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Tubes and Tonsils

Ear Tubes

Tubes and Tonsils are common pediatric otolaryngic procedures. Tubes in the ear are very small cylinder-shaped flexible synthetic objects placed inside by a board-certified ENT through the ear drum to allow air passage into the middle ear. Having one's "tonsils out" refers to the circumstances surrounding instances when medication therapy (antibiotics) fail to resolve chronic tonsillar infections that affect a child.

Tubes are often recommended to a child by an otolargyngologist when that patient experiences multiple middle ear infection (severe otitis media) or has hearing loss caused by the persistent presence of middle ear fluid (otitis with the presence of effusion). These conditions more commonly occur in children. Less commonly, malformation of the ear drum or Eustachian tube can cause the need for this procedure.

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If you or your child has frequent ear infections, if fluid is affecting hearing, or if ear infections don't respond to antibiotics, then pressure equalization, or PE tube surgery, may be recommended.  During this procedure, which in children often requires brief general anesthesia, a surgeon will remove the fluid from the middle ear and insert a small pressure equalization tube. This will allow air to fill the middle ear, and allow any future fluid to drain.   Over time, the tubes will come out on their own, and the drainage holes will heal.  This usually occurs within a year.

Tonsillectomy and Adenoidectomy

When antibiotics fail to resolve tonsil infections and when a child experiences airway obstruction, the best recourse may be removal or reduction of the tonsils and adenoids. Typically, children who have greater than 3 tonsillar infections a year undergo a tonsillectomy. And a young adolescent with a sleep disorder could be a candidate for removal or reduction of the enlarged tonsils. You should consult an ENT Doctor otolargyngologist if you or your child experiences severe ear infections or tonsilitis that are not resolved with medical therapy.

Copyright ENT and Allergy Associates
05/13/2010

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