Ear Tubes in Kids

As a parent, having to deal with your child's frequent ears infections can be stressful. Ear infections are relatively common in young children, and while most will clear up on their own or with antibiotic treatment, some kids may need extra help. That's where ear tubes come in. In this blog, we'll explore what ear tubes are, how they work, and whether they may be a suitable solution for your child. If you're looking for more information about ear tubes for kids, read on!

What are Ear Tubes?

Ear tubes, also known as tympanostomy tubes, are small cylinders that are surgically inserted into a child's eardrum by an ear, nose, and throat surgeon. These tubes are usually made of plastic and allow air to flow into the middle ear. The procedure involves making a small opening in the eardrum, myringotomy, and then inserting the ear tubes into the hole. This opening helps to relieve pressure and drain fluid that may cause ear infections or other problems. Ear tubes are typically recommended for children who have chronic fluid buildup in their middle ear, or who suffer from frequent ear infections. While the thought of ear surgery may seem daunting to some parents, ear tube insertions are a common and safe procedure performed on many children each year.

When are Ear Tubes Recommended for Kids?

Ear tubes may be recommended for kids who experience frequent ear infections or have fluid buildup in their ears for an extended period of time. If a child has had at least four ear infections in six months or three months of consistent fluid behind their eardrum, their doctor may suggest ear tubes. Most children who need ear tubes are under the age of three, although the average age for the procedure is about 10 months to two years. By age five, most children's Eustachian tubes have matured enough to allow for better drainage of fluids from the ear. It's important for parents to discuss their child's symptoms with their doctor or ENT specialist to determine if ear tubes are necessary. Ear tube surgery is a common and safe procedure, although like any surgery, there are risks involved.

How Is Ear Tube Surgery Performed?

The surgery for ear tube insertion, also known as a tympanostomy, is a straightforward procedure performed by ENT surgeons. First, the surgeon will make a small incision in the child's eardrum to remove any fluid buildup behind it. Then, a small, hollow cylinder known as an ear tube is inserted into the eardrum opening. This tube lets air flow in and out of the middle ear, preventing fluid buildup and decreasing the likelihood of ear infections. The procedure typically takes less than 15 minutes and is done under mild sedation or general anesthesia. Parents can rest assured knowing that the procedure is very common and safe for kids with a low risk of complications. After the surgery, doctors will closely monitor the child's progress and recommend antibiotic ear drops if necessary. Proper follow-up care can help ensure that the ear tubes stay in place and are effective in preventing future ear infections.

What Type of Anesthesia is Used for Ear Tube Surgery?

When it comes to ear tube surgery, a common question parents may have is what type of anesthesia will be used. Usually, surgery for ear tube placement requires general anesthesia, which means the child will be asleep during the procedure. However, for selected children who are older than 5 years of age, local anesthesia may be an appropriate option. The Tula System, for instance, uses a small electrical current to deliver a local anesthetic into the ear drum prior to tube insertion. While the risks of anesthesia are very low in otherwise healthy children, parents should still discuss any concerns with their child's healthcare provider. The goal is to ensure that the procedure is as safe and comfortable as possible for the child.

Is Ear Tube Surgery Common for Children?

Ear tube surgery is the most common surgery performed on children in the United States. It is a safe and quick procedure that is usually done on an outpatient basis. Children between the ages of 1 and 3 are most commonly affected by ear infections, and ear tube surgery is often recommended to help prevent them. The procedure involves making a small hole in the eardrum to insert a tiny tube, which allows for the drainage of fluid and the prevention of infection. While there are risks associated with any surgery, ear tube surgery is generally considered low-risk and has a high success rate in preventing ear infections. Parents can rest easy knowing that this common procedure is relatively simple and can provide their child with relief from the discomfort that comes with ear infections.

What are the Risks Associated with Ear Tubes?

Although ear tubes can provide many benefits for children with frequent ear infections, there are also potential risks associated with the procedure. One risk is scarring of the eardrum, which can occur either from previous ear infections or from the insertion of the tubes. While this usually doesn't cause any problems with hearing, it can occasionally lead to a decrease in hearing ability. Additionally, some children may still experience ear infections after the tubes are inserted and the tubes may become blocked. In rare cases, a persistent hole may develop in the eardrum or a severe destructive condition of rolled eardrum skin, also called cholesteatoma, can develop. However, the benefits of ear tubes often far outweigh the risks, and many children experience significant improvement in their hearing and ear health after the procedure. As with all medical procedures, it is important to discuss the potential risks and benefits of ear tubes with your child's doctor before making a decision.

How Long Do Ear Tubes Typically Stay in Place?

Ear tubes typically stay in place for six to 18 months before falling out on their own, depending on the type of tube used. As children grow older, their Eustachian tubes naturally widen and lengthen, allowing for better drainage and diminishing the need for ear tubes. While some tubes may fall out on their own, others may require removal by a pediatrician. Should there be any drainage or discomfort, it's important to follow up with a healthcare provider to ensure proper heal and care. Although the insertion of ear tubes carries potential risks, they have proven benefits in reducing the frequency and severity of ear infections, improving hearing, and preventing developmental delays. Parents can prepare their child for the surgery by explaining the process in an age-appropriate manner and discussing any concerns with their healthcare provider. Follow-up care after surgery may include ear drops and monitoring for any signs of infection or complications. At ENT Care Centers, our experienced physicians can provide comprehensive care for children needing ear tubes, ensuring their health and safety throughout the process.

What are the Benefits of Ear Tubes for Children?

One of the major benefits of ear tube placement is a significant reduction in the number of ear infections a child experiences each year. In addition, ear tubes help to improve hearing, which can have a positive impact on a child's ability to learn and communicate effectively. By allowing air to flow freely in and out of the middle ear, ear tubes also prevent the buildup of negative pressure and fluids, which can cause significant discomfort and pain. In general, ear tubes improve overall quality of life for both children and parents by providing a long-lasting solution to chronic ear infections and related complications. While there are risks associated with ear tube surgery, the benefits for most children far outweigh any potential complications. As always, parents should consult with their child's pediatric ear, nose, and throat specialist to determine whether ear tubes are the best option for their child's specific needs.

How Can Parents Prepare Their Child for Ear Tube Surgery?

As a parent, you want your child to feel comfortable and prepared for any medical procedure they may undergo. Before ear tube surgery, it's important to talk to your child about what to expect. Use simple, age-appropriate language to explain the procedure and reassure them that it will help their hearing and possibly reduce ear infections. Encourage them to ask any questions they may have and let them know that the doctors and nurses will be there to answer them too. It's also important to follow your child's doctor's instructions regarding any necessary medications or fasting prior to surgery. Lastly, consider bringing their favorite toy or comforting item to the hospital to help them feel at ease. By preparing your child for ear tube surgery in these ways, you can help them feel confident and reduce any anxiety they may have about the procedure.

Follow-Up Care After Ear Tube Surgery

After the surgery for ear tube insertion, it is important to take proper care and monitor your child's progress in the following weeks. The doctor will advise you on how to keep the ears dry and avoid water from getting into them, particularly during bathing or swimming. It is also essential to keep your child away from people with illnesses to prevent ear infections during the recovery period. The doctor will schedule a follow-up appointment to check how well the ear tubes are working and ensure that there are no complications. If the ear tubes fall out sooner than expected, or if there are issues with hearing or drainage, it is important to consult an ENT specialist immediately. By staying vigilant and maintaining follow-up care after ear tube surgery, you can ensure the best results for your child's ear health.

Conclusion

In conclusion, getting ear tubes for children is a safe and effective procedure to treat persistent fluid in the middle ear and improve hearing. The surgery involves inserting tiny, hollow cylinders into the eardrum to enable drainage of the middle ear. Ear tubes are most often recommended for children who have had several middle ear infections or hearing loss. While the surgery is common, there are associated risks, such as infection or blockage. On average, ear tubes stay in place for six to twelve months before they naturally fall out. The benefits of ear tubes for children include the prevention of future infections and improved hearing. Parents can prepare their child for surgery by explaining the procedure in child-friendly terms and managing any anxiety they may have. Following surgery, it is essential to attend follow-up appointments with a healthcare provider to ensure the ear tubes are functioning correctly. At ENT Care Centers, parents can trust their child's ear tube surgery will be performed by experienced professionals in a safe, comfortable environment.

Getting Your Kid's Ear Tubes Performed at ENT Care Centers

If your child needs ear tubes, the otolaryngology physicians of ENT Care Centers have helped thousands of kids with ear infections. ENT Care Centers have experienced pediatric ear, nose, and throat specialists who perform the surgery safely and quickly. They aim to ensure that your child remains comfortable throughout the procedure. The recovery time is minimal, and most children can go home the same day. Parents can trust that their child is in good hands at ENT Care Centers and that the staff will provide helpful follow-up care after the procedure. Overall, ear tube surgery is a common, safe, and effective way to help children who suffer from frequent ear infections, middle-ear fluid, and hearing problems.

Medical Reviewers

Last Review Date: June 2023

Content Reviewers:

• Dr. Jeffrey Nau, MD
• Dr. JosephJ. Creely, MD
• Dr. Bryan Murphy, MD
• Dr. Thomas Higgins, MD, MSPH