In young children, this is usually done under a light general anesthesia, although there are some other options that are occasionally used. Older patients may tolerate the procedure under local anesthesia. The hole can be created with a laser, as well. In general, smaller tubes stay in for a shorter duration, while large inner flanges hold the tube in place for a longer time. Some recent tubes have special surface coatings or treatments that may reduce the likelihood of infection.
Most children have no particular problems.
For the vast majority of patients, this has no clinical or hearing significance. Yes, and there are two general types of infections. Therefore, the treatment is drops alone. For the average child, we usually recommend a tube that stays in, on average, about 8-12 months. If the tube is staying in for several years, or if the tube is causing infections, the tube may be removed.