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 from the middle ear.

Why are Tympanostomy tubes used?
To treat recurring ear infections or persistent fluid buildup in the middle ear.

How are Tympanostomy tubes inserted?
Typically through a surgical procedure under general anesthesia or sedation.

What is the purpose of the tube?
To allow air to enter the middle ear and fluid to drain out, helping to equalize pressure.

How long do Tympanostomy tubes stay in place?
Usually 6-12 months, but can vary from a few months to several years.

Do Tympanostomy tubes require special care?
Yes, to prevent infection and promote healing, such as keeping the ear dry.

Can children with Tympanostomy tubes swim or bathe?
Generally, yes, but with precautions, such as using earplugs or a bathing cap.

Are there potential risks or complications?
Possible risks include infection, tube blockage, or eardrum perforation.

How effective are Tympanostomy tubes in treating ear problems?
Generally effective in reducing ear infections and fluid buildup, but outcomes may vary.

Can Tympanostomy tubes be removed?
Yes, either naturally as they fall out or through a surgical procedure if necessary.