After Tympanostomy (Ear Tubes)
Your child’s hearing should improve once the tubes are in place. For best results, follow up as instructed by your child’s surgeon. In some cases, ear problems may continue. However, you can help prevent ear infections by using good ear care.
Shortly after the surgery, your child’s surgeon may want to examine your child. This follow-up visit ensures that the tubes are still in place and that your child’s ears are healing.
After the initial follow-up, the healthcare provider may want to see your child every few months. Do your best to keep these visits. They’re the only way to make sure the tubes remain in place and stay open.
Most tubes stay in place for about a year. Some last longer. The life of the tube often depends on your child’s growth. Most tubes fall out on their own. In rare cases, tubes need to be removed by the surgeon.
Even with tubes, your child may still get ear infections. Cranky behavior, ear drainage, and fever are all clues that you should be calling your child's healthcare provider. However, as long as the tubes are working, you can expect fewer problems and a quicker recovery.
If an infection does happen, it will likely respond to antibiotic ear drops. For more severe infections, oral antibiotics may be added. Always make sure your child finishes the entire prescription. Otherwise, the medicine may not work. Use only ear drops prescribed by your child’s provider.
Ask your child's healthcare provider if your child’s ears should be protected from contact with water. Your child may need to wear earplugs during swimming and bathing if they put their heads under water.
Do not use any ear drops in your child's ears, unless prescribed by the surgeon or another provider.
Do not use cotton swabs to clean the ears. Used carelessly, they can clog tubes with wax or even damage the eardrum
When to call your child's healthcare provider
Call your child's provider if he or she is showing any signs of the following:
Bloody drainage from the ears
Drainage from the ears that doesn't stop
Problems with balance
January 11, 2018
Clinical Practice Guideline: Tympanostomy Tubes in Children. Otolaryngology-Head and Neck Surgery. Rosenfeld R. Otolaryngology–Head and Neck Surgery. 2013;149(1):s1-s35., Overview of tympanostomy tube placement, postoperative care, and complications in children. UpToDate
Fetterman, Anne, RN, BSN,Image reviewed by StayWell art team.,Kacker, Ashutosh, MD