Ear Tubes (Tympanostomy)

Tympanostomy is a common pediatric procedure that involves inserting an ear tube to help drain fluid from the middle ear and prevent infections. Tiny tubes are placed through the eardrums, which separate the outer and middle ear. The tubes are made of plastic or metal and typically fall out in 4 to 18 months. 

Children who experience frequent or persistent ear infections may require tympanostomy to prevent potential long-term complications, such as hearing loss. Tympanostomy can also help children who still have fluid buildup in the ear after an infection clears up.

At Kimball Health Services, our board-certified ENT surgeon, Dr. William O. Dickey, performs a safe and compassionate tympanostomy to address your child’s infection and promote overall ear health. Our team takes extra care to ensure your child is comfortable during the procedure.

Tympanostomy involves using an ear tube to manage and prevent the accumulation of fluids in the middle ear.

The middle ear, located behind the eardrum, houses three small bones that facilitate vibration. Connected to the back of the throat via the eustachian tube, the middle ear serves three primary functions:

• Maintaining even air pressure in the middle ear
• Supplying fresh air to the ear
• Draining fluids from the middle ear

In young children, the eustachian tubes are narrower and more horizontal compared to adults, making them prone to blockages and difficulty draining.

Ear tubes are effective in managing the following conditions:

• Middle ear infection: This infection is caused by bacteria or viruses and results in inflammation and fluid buildup in the middle ear. 
• Chronic middle ear infection: When bacterial infections persist despite antibiotic treatment, ear tubes provide drainage pathways and enable direct application of antibiotic drops into the middle ear.
• Fluid buildup without infection: Fluid retention post-infection or due to eustachian tube dysfunction can lead to this condition, which can cause hearing loss and balance issues. 
• Persistent inflammation with eardrum perforation: This condition, characterized by ongoing ear drainage from a tear in the eardrum, can follow infections or result from eustachian tube blockages or ear injuries. 

With the help of ear tubes, tympanostomy helps in fluid drainage and prevents recurring infections.

Dr. Dickey provides detailed instructions on how to prepare for the tympanostomy procedure. He starts by thoroughly reviewing your child’s medical history and advises you on any medications that may need to be discontinued before the procedure. 

Typically, fasting for several hours before the procedure may be necessary. We advise you to consult for any specific guidance on preparing your child for ear tube placement.

Inform our team about the following to better prepare for the tympanostomy:

• All medications your child currently takes
• Any history of adverse reactions to anesthesia, either in your child or family
• Known allergies or reactions to other medicines, including antibiotics.

Helpful tips for preparing your child include:

• Start discussing the hospital visit a few days beforehand to familiarize them with what to expect
• Explain how ear tubes can alleviate discomfort and improve hearing
• Inform them about the procedure 
• Allow your child to choose a favorite comfort item, such as a blanket or stuffed animal, to bring to the hospital
• Reassure your child that you will be with them at the hospital throughout the procedure

Dr. Dickey provides guidance at every step of the procedure, including post-procedure recovery tips. 

Make sure to reach the hospital before the scheduled time to prepare your child for the procedure.

The follow-up care plan typically includes:

• A follow-up appointment after 2 to 4 weeks
• Regular follow-up appointments every 4 to 6 months 
• Antibiotic ear drops to prevent infections
• Hearing tests
• Earplugs may be necessary during activities like swimming or bathing 

Dr. Dickey conducts follow-up checkups to ensure recovery is progressing well. He may prescribe antibiotic ear drops to prevent infection and recommend using earplugs during activities like swimming and showering.

Regular monitoring appointments every few months will ensure the ear tubes remain functional, and periodic hearing tests may be recommended to assess hearing health.

At Kimball Health Services, we understand that frequent ear infections and fluid buildup can significantly impact a child's hearing and overall quality of life. Our team prioritizes creating a comforting and reassuring environment for both the child and their parents to provide a quick and effective treatment.

As one of the top critical access hospitals in the nation, we pride ourselves on delivering high-quality, patient-centered care. 

In case of an emergency, call 911 or walk into our emergency department anytime. For appointments, call us at 308-235-1966 or request an appointment online. We're here for you whenever you need us.