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.