Bilateral myringotomy with or without tube insertion becomes an option for a child suffering bilateral effusion for 3 months and who has bilateral hearing deficiency. Placement of tympanostomy tubes is recommended after a total of 4 to 6 months of bilateral effusion with a bilateral hearing deficit. Tympanostomy tubes are used for the treatment of recurrent infections and in cases of otitis media with effusion that last longer than 3 months and involve hearing loss. Tubes are usually placed during out-patient surgery under general anesthesia. A small incision is made in the ear drum to allow fluid to drain from the middle ear.
Tubes allow air to enter the middle ear and permits fluid to drain out.
Lasting 4 to 6 months, tympanostomy tubes will be gradually rejected and work their way out. Most children will require only one surgery and outgrow recurrent ear infections and fluid accumulation after age 7-8. T-tubes have arms that spread behind the ear drum and can remain in place for prolonged periods of time with removal possible in the office. Children with tubes should prevent water from entering the ear, ruling out swimming and some cases, showering, and requiring added caution with hair washing. Discuss any questions with your child's physician or healthcare provider.