Doctor insights on:
Pros And Cons Of Ear Tubes
?? for kids??: Ear tubes generally refers to insertion of plastic ventilation tubes into the ears if infants have chronic infections. The kids are placed under general anesthesia, the canal cleaned with antiseptic material & a thin knife used to open a hole in the ear drum. Debris is sucked out of the middle ear & the tube inserted & antibiotic drops applied. The kid is awakened & sent home to outpatient followup.
Question: In general, a ventilation tube inserted into the ear drum for removal of fluid or to prevent recurrent ear infections should not hurt. Sometimes when water gets into the ear canal or antibiotic drops are inserted, they may possibly cause discomfort. Rarely the tube is pressing on the ear canal skin. Talk to your surgeon and ask him to reassure you.
Less infections.: Ear tubes help about 80% of people who get them for recurring ear infections. For most patients who have had tubes placed, no subsequent treatment is necessary unless there is an ear infection and/or drainage. The ENT doctor can tell you what to expect, based on whether the tubes are to be temporary or permanent.See 1 more doctor answer
Like No Tubes: When the tubes stop working, your child is now back to natural ear function. Thus if if btheir eustachian tubes have matured, there will be much less liklihood of ear infections. If not, the infections will start again. Do not overeact! The tubes need replaced only if frequent ear infections occur.See 1 more doctor answer
Chronic or recurrent: If a kid has an ear infection that will not resolve over 90 days in spite of several rounds of medication, the muck behind the ear drum is unlikely to clear without surgical removal. Tubes after that removal makes sense. If a kid has 5-7 separate resolving episodes per year, is excessively "ill" with episodes or has begun to develop allergies to abx, tubes are worthwhile. Ent's must eval & agree.
Not a podiatry?: Consult your family doctor or ent.Get a more detailed answer ›
Individualized decis: You may want to discuss this your pediatrician. This is probably an individualized decision... Read more here... Ear tubes may not be necessary. Http://www. Nytimes. Com/2006/08/15/health/15brody. Html? Pagewanted=all.
Varies by age/reason: How long tubes "should" remain in does not have one answer. For instance, if they are put in because a child has a cleft palate, we would want them to remain in until the surgery to repair the cleft. For ventilation in babies with recurrent ear infections, usually around a year. For older kids and adults, it really makes a difference why they were placed to determine how long - ask your ENT doc!
Nothing if not probs: Tubes last 6 months to 2 years. Then they fall out. Some kids have had enough time in the period with tubes to grow out of the issues and others haven't- the latter group may possibly need another set. This will depend on the development of new infections or new persistent fluid or hearing loss. Most kids only need one set, though.See 1 more doctor answer
Is my child a candidate for ear tubes? What are you basing your recommendations for ear tubes on?
It depends: The american academy of otolaryngology published guidelines about which kids should qualify for tubes for the first time this month that I have attached links to below. I am a pediatric ENT in your area if you have further questions. Http://www. Entnet. Org/guide_lines/loader. Cfm? Csmodule=security/getfile&pageid=174506 http://www. Entnet. Org/healthinformation/ear-tubes. Cf.See 2 more doctor answers
Office procedure: 95% of adults who receive ear tubes in my practice choose to have this done in the office. Under a microscope the ear drum is anaesthetized with topical phenol, a microscopic incision placed, any fluid suctioned from the ear, and a tube placed in the incision. All this takes less than 5 minutes.See 2 more doctor answers
Ear Tubes: For most pediatric patients, we typically recommend tubes only stay in place for a couple of years. Once they've been in for 2 years, I recommend consideration for removal. For adults who have tubes, keeping the tubes in for a longer period of time is quite common and necessary. It really depends on the underlying problem and the condition of the ear. Best to discuss with an ENT doctor.
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