Tympanostomy Tubes

Although ear tube surgery is a relatively common procedure, surgery is not the first choice of treatment for middle ear infections. Antibiotics are usually the first course of treatment for bacterial ear infections; in many cases, acute ear infections may resolve without treatment of any kind. Many ear infections are viral and antibiotics do not help. These infections need to improve on their own, and only time can help them heal. But if your ear infections recur frequently, you may be offered surgery to drain fluid from the middle ear and insert a ventilation tube. A tiny tube, also called pressure equalization (PE) or tympanostomy tube is inserted into the eardrum. It is designed to ventilate as well as equalize pressure in the middle ear. This will help prevent infection and the accumulation of fluid. Hearing can then be normalized. The tube does not impair hearing. It remains in place for about 6 to 18 months or more. Tympanostomy tubes greatly reduce the occurrence of further ear infections.

Steps During Surgery

Your child will receive general anesthesia. This means the surgery will be performed in a hospital so that an anesthesiologist can monitor your child. The procedure generally takes about 10 to 15 minutes. will make a small hole in the eardrum and remove fluid from the middle ear using suction. Because Dr. Gwinn can reach the eardrum through the ear canal, there is no visible incision. Inserting a small metal or plastic tube into the hole in the eardrum finishes the procedure.

After Surgery

After surgery, your child will wake up in the recovery area. The total time spent in the hospital is a few hours. Very young children or those with additional medical problems may stay for a longer period of time.

Substance such as water may sometimes enter the middle ear through the tube. This is generally not a problem. Dr. Gwinn suggests that earplugs are necessary for swimming, but not for routine bathing. In most cases, surgery to remove a tympanostomy tube is unnecessary. The tube usually is pushed out as the eardrum heals. A tube generally stays in the ear anywhere from 6 to 18 months, depending on the type of tube used. If the tube remains in the eardrum beyond 2 or 3 years, it will likely need to be surgically removed in order to prevent a perforation in the eardrum or accumulation of debris around the tube.