Tympanostomy Tubes

Tympanostomy tubes, also known as ear tubes or grommets, are small tubes inserted into the eardrum to drain fluid from the middle ear.

Indications

• Recurrent acute otitis media (middle ear infections)
• Chronic otitis media with effusion (fluid in the middle ear)
• Hearing loss due to middle ear fluid
• Eustachian tube dysfunction
• Barotrauma (injury to the middle ear from changes in air pressure)

Procedure

The procedure is typically performed under general anesthesia or sedation, and usually takes about 15-30 minutes.

• A small incision is made in the eardrum
• The fluid in the middle ear is suctioned out
• A tympanostomy tube is inserted into the incision
• The tube allows air to enter the middle ear and helps to drain fluid

Types of Tympanostomy Tubes

• Short-term tubes: remain in place for 6-12 months
• Long-term tubes: remain in place for 1-2 years or more
• T-tubes: shaped like a T, used for longer-term drainage

Benefits and Risks

Benefits:

• Reduced risk of recurrent ear infections
• Improved hearing
• Relief from ear pain and pressure

Risks:

• Infection or inflammation of the tube site
• Perforation of the eardrum
• Tube blockage or displacement
• Scarring of the eardrum

Post-Procedure Care

• Avoid getting water in the ear for 1-2 weeks after the procedure
• Use ear drops as directed by the doctor to help prevent infection
• Follow up with the doctor to check on the tube's position and function

Removal of Tympanostomy Tubes

Tympanostomy tubes usually fall out on their own within 6-12 months, but may need to be removed by a doctor if they do not come out naturally.

Frequently Asked Questions (FAQs)

What are tympanostomy tubes?
Small tubes inserted into the eardrum to drain fluid.

Why are tympanostomy tubes used?
To treat recurring ear infections or persistent fluid buildup.

How are tympanostomy tubes inserted?
Through a surgical procedure under general anesthesia.

What is the age range for tympanostomy tube insertion?
Typically children under 7 years old.

Are tympanostomy tubes permanent?
No, they usually fall out on their own within 6-12 months.

Do tympanostomy tubes require special care?
Yes, to prevent infection and promote healing.

Can water enter the ear with tympanostomy tubes?
Yes, but earplugs or earmolds may be recommended.

How long does the surgical procedure take?
About 15-30 minutes.

What are potential risks of tympanostomy tube insertion?
Infection, bleeding, and eardrum perforation.

When can normal activities resume after surgery?
Usually within a few days to a week.