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Pressure-Equalizing Ear Tubes

WHAT YOU SHOULD KNOW

Doctors sometimes insert a pressure-equalizing (PE) tube into an incision or opening in the eardrum to prevent middle ear infections. These infections, known medically as otitis media, are particularly common in young children. The operation is known as a myringotomy (mir-ing-GOT-oh-mee). The tubes (also called ventilation tubes, tympanoplasty tubes, or transtympanic tubes) resemble very small spools of thread. The PE tubes remain in the eardrums for between 6 and l8 months. During this time, they gradually work their way out of the eardrums and into the ear canals. A small amount of blood may ooze from the ears when the tubes finally come out. Because the tubes are very tiny, it's unlikely that you will see them when they fall out. If the tubes remain in the eardrums longer than five years, they should be removed. Otherwise, scar tissue might form around them.


Risks

Their is a small chance that the tubes could cause scarring or injury to the eardrum, leading to hearing problems. In addition, pus may drain from the ear.

IF YOU'RE HEADING FOR THE HOSPITAL...

Before You Go

  • Your doctor will tell you when you or your youngster should stop eating or drinking. Follow these directions exactly.
  • Be sure to remove glasses, contact lenses, and false teeth before the surgery. Jewelry should also be taken off.

What to Expect While You're There

You may encounter the following procedures and equipment during your stay:
  • Emotional: If your child is having the operation, you may stay to give comfort and support. Children feel safer in the hospital with a parent nearby.
  • Taking Vital Signs: These include temperature, blood pressure, pulse (counting the heartbeats), and respirations (counting the breaths). A stethoscope is used to listen to the heart and lungs. Blood pressure is taken by wrapping a cuff around the arm. There is no pain when taking vital signs.
  • IV: A tube placed in a vein for giving medicine or liquids. It will be capped or have tubing connected to it.
  • During the Surgery...
    • Children are usually put to sleep during this operation. Adults may receive numbing medication instead.
    • The doctor will make a tiny hole in the eardrum to drain out fluid that has accumulated inside the ear.
    • The PE tube will then be put into the hole in the eardrum so that the fluid can continue to drain.
    • To fight possible infection, the doctor will put antibiotic medicine in the ear.
    • After the surgery, patients are allowed to wake up in the recovery room before being returned to their room or sent home.

After You Leave

  • Medications given during the operation will cause drowsiness. Do not plan on driving immediately afterward.
  • After PE tubes are put in, there may be a mild earache for 2 to 3 hours, and clear fluid may drain from the ears for up to 24 hours.
  • Your doctor may suggest medicine to ease the pain.

Call Your Doctor If...

  • Pain persists despite the operation.
  • Blood or pus drains from either ear.
  • A fever develops.



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