home
RSS
Should your child get ear tubes?
July 1st, 2013
06:19 PM ET

Should your child get ear tubes?

Parents of young children may be all too familiar with the ear aches, ear infections, and middle ear fluid build-up that can plague their little ones.

For many of these children, ear tubes, known clinically as tympanostomy tubes, may be the best treatment. But until now, there has been no clinical guideline to advise doctors and parents on which children should - or should not - receive them.  A multidisciplinary panel associated with the American Academy of Otolaryngology – Head and Neck Surgery Foundation (also known as AAO-HNSF) has changed that, releasing new guidelines on Monday.

"You've got the number-one ambulatory surgery in kids, the number-one reason they are given anesthesia, and no national society has ever published evidence-based guidelines about the best way to do this," said Dr. Richard Rosenfeld, a professor and chairman of otolaryngology at SUNY Downstate Medical Center in Brooklyn, New York.

"It seemed like a huge deficit," said Rosenfeld, who chaired the AAO-HNSF panel.

Who should get ear tubes?

The guideline addresses ear tubes in children ranging in age from 6 months to 12 years. It was written by a panel of specialists that included pediatricians, a nurse practitioner, an anesthesiologist, a speech pathologist, consumer advocates and ear, nose and throat specialists, among others.

According to the guideline, children who have very frequent ear infections and who also hold on to fluid - meaning their infections don't clear up quickly - are candidates for ear tubes. However, the guideline says tubes should not be given to children who have frequent ear infections but who do not have fluid build-up - a major deviation from what typically happens in clinical practice.

"This is one of the most new and significant things being recommended," said Rosenfeld. "You have to distinguish between the kids whose infections clear up completely and the ones who hold on to fluid."

That means parents should question doctors on whether their child's ears contain fluid, Rosenfeld said. If they do not, according to the guideline, ear tubes should be avoided.

In addition, children who have had fluid build-up in both ears for more than three months and are experiencing difficulties such as not hearing well in loud group situations or listening to someone speak who is not looking at them - a teacher writing on a chalkboard, for example - should also be offered tubes, according to the guideline. That also goes for children who have had fluid build-up for more than three months in only one year, but whose quality of life is being affected by it, Rosenfeld said.

"There's an effect on gross motor skills, on a child's balance," he explained.  "Fluid that is affecting your equilibrium benefits from tubes."

Children who are at higher risk for fluid build-up-related developmental delays should also be given tubes. That includes children diagnosed with autism, permanent hearing loss, Down syndrome or any other developmental delay.

How they work

The small tubes, about 1/20th of an inch, are placed at the end of a child's ear canal while the child is under light general anesthesia. They're designed to alleviate any fluid build-up by allowing air to pass into the child's middle ear to ventilate and eliminate the pressure inside that space.

Children with tubes are able to play in the water, swim, and bathe without wearing ear plugs - something that isn't common knowledge, according to Rosenfeld. Children swimming in water at least six feet deep are the only ones who should be concerned with wearing ear protection, he said.

"That advice is given under the common-sense pretense that water can get in to the tube ... but that's not the case," he said. "Water simply does not pass through a hole that small easily."

Children should not be able to feel the tubes while they have them and over time, they should fall out on their own as wax and debris build up inside the ear.


soundoff (1,193 Responses)
  1. Soosteemocush

    buy cialis pills where to buy generic cialis online safely where to buy cialis without prescription lowest price cialis https://cttadalafil.com/

    May 27, 2021 at 05:46 | Report abuse | Reply
  2. RV Bay Doors Los Angeles

    http://ceksini.info/track/link?to=https://ocrvmotorcoaches.com/trailer-collision-repair-shop-near-me

    May 27, 2021 at 06:32 | Report abuse | Reply
  3. Ma Airhart

    https://login.talend.com/logout.php?redirectUrl=http://reviewnearme.com

    May 27, 2021 at 07:31 | Report abuse | Reply
  4. custom rv painting

    Pretty! This has been an extremely wonderful post. Many thanks for supplying this information.

    http://www.pcpitstop.com/offsite.asp?https://ocrvcenter.co/rv-repair-shop-lynwood-california

    May 27, 2021 at 10:18 | Report abuse | Reply
  5. RV Interior Remodeling California

    Having read this I believed it was very enlightening. I appreciate you taking the time and energy to put this informative article together. I once again find myself spending way too much time both reading and commenting. But so what, it was still worthwhile!

    http://ljc.jieju.cn/agent/rdandstat.aspx?url=https://ocrv.world/garbage-truck-collision-repair-shop-near-me

    May 27, 2021 at 11:03 | Report abuse | Reply
  6. RV Wraps Riverside

    I must thank you for the efforts you have put in penning this site. I really hope to check out the same high-grade blog posts by you later on as well. In fact, your creative writing abilities has motivated me to get my very own website now 😉

    https://cutephp.com/forum/redirect/?q=https://theocrv.com/rv-remodeling-near-me

    May 27, 2021 at 12:55 | Report abuse | Reply
  7. Gsa Ser Proxies

    Oh my goodness! Amazing article dude! Thank you, However I am having difficulties with your RSS. I don’t know the reason why I can't join it. Is there anyone else having identical RSS problems? Anyone that knows the solution will you kindly respond? Thanx!!

    https://proxyti.com

    May 27, 2021 at 16:36 | Report abuse | Reply
  8. rv body repair

    http://outlink.webkicks.de/dref.cgi?job=outlink&url=https://ocrvshop.com/passenger-truck-collision-repair-paint-shop-near-me-orange-county

    May 27, 2021 at 17:07 | Report abuse | Reply
  9. Forklift Repair Los Angeles

    An impressive share! I have just forwarded this onto a coworker who was conducting a little homework on this. And he in fact bought me dinner because I stumbled upon it for him... lol. So allow me to reword this.... Thanks for the meal!! But yeah, thanks for spending some time to discuss this issue here on your internet site.

    https://espqa.memorialhermann.org/url?q=http://forkliftswildwestlifttrucks.com/west-covina-forklifts/

    May 27, 2021 at 17:45 | Report abuse | Reply
  10. travel trailer slide out repair

    This is a topic that's close to my heart... Best wishes! Where are your contact details though?

    http://ins.o-hara.ac.jp/ViewSwitcher/SwitchView?mobile=False&returnUrl=https://

    May 27, 2021 at 20:04 | Report abuse | Reply
  11. i repair near me

    It’s hard to find experienced people about this subject, however, you sound like you know what you’re talking about! Thanks

    http://go.parvanweb.ir/index.php?url=https://ocrvcenter.biz/rv-repair-shop-reseda-california

    May 27, 2021 at 22:40 | Report abuse | Reply
  12. RV Refrigerator Near Me

    http://se03.cside.jp/~webooo/zippo/naviz.cgi?jump=82&url=https://ocrv.pro/rv-repair-shop-inland-empire-california

    May 28, 2021 at 00:46 | Report abuse | Reply
  13. Local Marketing Experts

    https://www.c-sharpcorner.com/AdRedirector.aspx?BannerId=744&target=https://cdaseo.com

    May 28, 2021 at 01:32 | Report abuse | Reply
  14. all class rv yorba linda

    Hello, I believe your web site could possibly be having internet browser compatibility problems. When I look at your site in Safari, it looks fine however when opening in IE, it has some overlapping issues. I just wanted to give you a quick heads up! Apart from that, fantastic site!

    http://edm-fe.seed.net.tw/seednet_a/click.aspx?url=http://diplingpaedmediatorreiter.eu/index.php?option=com_phocaguestbook&view=phocaguestbook&id=1&Itemid=4&limitstart=64960

    May 28, 2021 at 02:27 | Report abuse | Reply
  15. RV Parts Orange County

    Your style is really unique compared to other folks I've read stuff from. I appreciate you for posting when you have the opportunity, Guess I'll just bookmark this site.

    /

    May 28, 2021 at 02:33 | Report abuse | Reply
  16. vans store orange county

    http://www.denwer.ru/click?http://mpudahuel.cl/sitio/index.php/municipalidad-2/concejo-municipal/item/45-concejala-ester-toledo-alcaino?limit=10&start=18720

    May 28, 2021 at 02:51 | Report abuse | Reply
  17. RV Wraps Near Me

    I seriously love your site.. Pleasant colors & theme. Did you create this site yourself? Please reply back as I’m planning to create my own website and want to find out where you got this from or exactly what the theme is named. Many thanks!

    https://www.roughtrade.com/gb/country?redirect=http://sublimedir.net/Society/Relationships/?p=751

    May 28, 2021 at 03:44 | Report abuse | Reply
  18. SEO Marketing Company

    http://esdlife.com/goto.asp?url=www.cdaseo.com/

    May 28, 2021 at 04:11 | Report abuse | Reply
  19. RV Remodeling California

    http://www.vanpeople.com/space/link.php?url=https://wipremiervb.com/wisconsin-premier-volleyball-club-2/ohow-logo-200/

    May 28, 2021 at 04:38 | Report abuse | Reply
  20. Krysta Wolfing

    Have you ever heard of second life (sl for short). It is basically a online game where you can do anything you want. SL is literally my second life (pun intended lol). If you want to see more you can see these Second Life websites and blogs

    http://4-mobile.blogspot.com/2009/03/celebrating-ada-lovelace-day.html

    May 28, 2021 at 05:14 | Report abuse | Reply
  21. awnings orange county

    The next time I read a blog, I hope that it doesn't fail me just as much as this particular one. After all, Yes, it was my choice to read, but I genuinely believed you would probably have something interesting to say. All I hear is a bunch of moaning about something that you could fix if you weren't too busy looking for attention.

    https://www.twpusc.org/Redirect.aspx?destination=https://beta.lekhafoods.com/speciality/ice-creams/apricot-ice-cream.aspx

    May 28, 2021 at 08:24 | Report abuse | Reply
  22. RV Parts Los Angeles

    Hi there, I do think your web site could possibly be having web browser compatibility problems. When I look at your website in Safari, it looks fine however when opening in I.E., it has some overlapping issues. I simply wanted to give you a quick heads up! Apart from that, fantastic site!

    /

    May 28, 2021 at 09:26 | Report abuse | Reply
  23. index of xvideos

    This site was... how do I say it? Relevant!! Finally I have found something that helped me. Kudos!

    http://action.ae911truth.org/dia/logout.jsp?killorg=50694&redirect=https://360inc.co.jp/2018/01/19/3476/

    May 28, 2021 at 10:57 | Report abuse | Reply
  24. Social Media Marketing Companies

    Hi, I do think this is an excellent site. I stumbledupon it 😉 I may come back once again since I book marked it. Money and freedom is the best way to change, may you be rich and continue to guide others.

    http://www3.famille.ne.jp/~ykad/cgi-bin/search/ykrank.cgi?mode=link&id=51&url=https://masternearme.com/

    May 28, 2021 at 12:06 | Report abuse | Reply
  25. RV Storage Near Me

    /

    May 28, 2021 at 13:14 | Report abuse | Reply
  26. Digital Marketing Companies Near Me

    An outstanding share! I have just forwarded this onto a friend who has been doing a little homework on this. And he in fact ordered me lunch simply because I discovered it for him... lol. So allow me to reword this.... Thanks for the meal!! But yeah, thanx for spending the time to talk about this subject here on your blog.

    https://searchpoint.net/redir.asp?reg_id=pTypes&sname=/search.asp&lid=1&sponsor=RES&url=https://meticulousjess.com/

    May 28, 2021 at 14:51 | Report abuse | Reply
  27. bus paint shop

    I absolutely love your blog.. Great colors & theme. Did you create this web site yourself? Please reply back as I’m hoping to create my own personal website and would like to know where you got this from or exactly what the theme is called. Thanks!

    https://www.vanpeople.com/space/link.php?url=https://www.air-conditioning-service17727.ltfblog.com/3155845/detailed-notes-on-rv-shops-near-me

    May 28, 2021 at 16:32 | Report abuse | Reply
  28. RV Slide Out California

    http://dev-skanvor.1gb.ru/redir.php?url=http://yarnbarn.com.sg/product/plastic-crochet-hook/

    May 28, 2021 at 17:01 | Report abuse | Reply
  29. awnings orange county ca

    https://is.gd/OwLLwa

    May 28, 2021 at 20:48 | Report abuse | Reply
  30. rv wrap vs paint

    Hi there! This post couldn’t be written much better! Reading through this article reminds me of my previous roommate! He constantly kept talking about this. I am going to send this information to him. Pretty sure he'll have a great read. I appreciate you for sharing!

    http://www.flash.wakunavi.net/rank.cgi?mode=link&id=333&url=https://thebigcando.com/368/?p=376

    May 28, 2021 at 21:21 | Report abuse | Reply
  31. RV Windshield Riverside

    /

    May 29, 2021 at 00:05 | Report abuse | Reply
  32. Sprinter Black Death Repair

    Oh my goodness! Amazing article dude! Thank you so much, However I am encountering difficulties with your RSS. I don’t know the reason why I cannot join it. Is there anyone else getting similar RSS issues? Anyone that knows the solution will you kindly respond? Thanx!!

    https://track.wheelercentre.com/event?target=https://sprintervanrepair.com/

    May 29, 2021 at 03:41 | Report abuse | Reply
  33. Semi Truck Wrap

    https://aro.lfv.se/ViewSwitcher/SwitchView?mobile=True&returnUrl=https://commercialrepairshop.com/semi-truck-paint-shop-near-me

    May 29, 2021 at 05:46 | Report abuse | Reply
  34. Bernie Protich

    Have you ever heard of second life (sl for short). It is basically a online game where you can do anything you want. sl is literally my second life (pun intended lol). If you would like to see more you can see these sl authors and blogs

    http://thisteachinglife.blogspot.com/2006/12/

    May 29, 2021 at 05:48 | Report abuse | Reply
  35. Digital Marketing Consultant

    Your style is unique compared to other people I've read stuff from. Thanks for posting when you have the opportunity, Guess I'll just bookmark this web site.

    https://www.shop-bell.com/out.php?id=kibocase&category=ladies&url=https://quotenearme.com

    May 29, 2021 at 16:06 | Report abuse | Reply
  36. Box Truck Wrap Shop Near Me

    I blog quite often and I seriously thank you for your content. This great article has truly peaked my interest. I will book mark your website and keep checking for new details about once per week. I opted in for your RSS feed as well.

    http://www.asiawebdirect.com/customer/recommend/?url=www.fleettruckrepairshop.com/rv-dent-repair-shop-near-me

    May 29, 2021 at 21:07 | Report abuse | Reply
  37. Social Media Marketing Experts

    I like it whenever people get together and share ideas. Great blog, stick with it!

    http://dta365.com/dt/uchome/link.php?url=http://spokanevalleyseo.com/

    May 29, 2021 at 22:40 | Report abuse | Reply
  38. Isuzu Truck Repair Shop Near Me

    It’s hard to come by knowledgeable people about this subject, however, you seem like you know what you’re talking about! Thanks

    https://www.edamam.com/widget/nutrition.jsp?widgetKey=4a7071d1-178b-4780-b73e-73fb5b417a60&url=http://fleettruckrepairshop.com/semi-truck-repair-shop-near-me-3

    May 29, 2021 at 22:41 | Report abuse | Reply
  39. loose leaf tea vs tea bags

    best i have ever seen!Hello, always i used to check webpage posts here early in the daylight, for the reason that i love to gain knowledge of more and more.

    https://www.featherwolfmusic.com/best-black-tea-brands-my-personal-favorite-tea-companies-for-loose-leaf/

    May 30, 2021 at 02:44 | Report abuse | Reply
  40. spring tea blends

    very interesting , good job and thanks for sharing such a good blog.

    https://www.superbuttonsoccer.com/green-teas-ability-to-slow-development-of-cancer-cells/

    May 30, 2021 at 03:08 | Report abuse | Reply
  41. HVAC Installation Warrenton VA

    Commenting on a blog is an art. Good comments create relations. You're doing great work. Keep it up.

    https://hvacwarrenton.blogspot.com/2021/05/a-few-tasks-before-hiring-best-air.html

    May 30, 2021 at 03:55 | Report abuse | Reply
  42. Baton Rouge Fence Company LA

    A great read. I'll definitely be back.

    https://fencecompanybatonrouge.tumblr.com/post/651058672774070272/what-to-consider-when-choosing-the-best-fence

    May 30, 2021 at 04:14 | Report abuse | Reply
  43. Carpet Cleaning Spokane Valley

    Thank you, I've just been looking for information approximately this topic for a long time and yours is the greatest I have discovered so far. But, what in regards to the conclusion? Are you certain concerning the supply?

    https://diigo.com/0kj9hl

    May 30, 2021 at 04:40 | Report abuse | Reply
  44. gutter replacement and repair Hainesport

    very interesting , good job and thanks for sharing such a good blog.

    https://www.behance.net/gallery/119410525/Working-As-a-Professional-Roofer

    May 30, 2021 at 05:06 | Report abuse | Reply
  45. Anonymous Proxies

    Woah! I'm really enjoying the template/theme of this blog. It's simple, yet effective. A lot of times it's difficult to get that "perfect balance" between superb usability and visual appearance. I must say you have done a excellent job with this. Additionally, the blog loads super quick for me on Opera. Exceptional Blog!

    https://proxyti.com/buy/500-private-proxies/

    May 30, 2021 at 05:22 | Report abuse | Reply
  46. lock Change Palo Alto

    Thanks for wonderful information I used to be in search of this info for my mission.

    https://locksmithpaloaltoca.tumblr.com/post/651060849619959808/locksmith-service-and-its-benefits

    May 30, 2021 at 05:34 | Report abuse | Reply
  47. NV locksmith llc Las Vegas

    thanks for sharing!

    https://www.behance.net/gallery/119414055/Help-In-Finding-a-Professionally-Trained-Locksmith

    May 30, 2021 at 05:55 | Report abuse | Reply
  48. Debt Consolidation Company

    Interesting stuff to read. Keep it up. Flooring Installers of Pittsburgh, 1933 Crafton Blvd #5, Pittsburgh, PA 15205, (412) 415-7629

    https://debtconsolidationcompanyfl.blogspot.com/2021/05/your-friend-in-need-debt-consolidation.html

    May 30, 2021 at 06:15 | Report abuse | Reply
  49. Clarita Roucoulet

    Have you ever heard of second life (sl for short). It is basically a online game where you can do anything you want. Second life is literally my second life (pun intended lol). If you want to see more you can see these sl authors and blogs

    http://adolit.blogspot.com/2006/10/new-report-on-youth-and-media.html

    May 30, 2021 at 06:38 | Report abuse | Reply
  50. Social Media Marketing Companies

    Spot on with this write-up, I truly believe that this amazing site needs far more attention. Iíll probably be returning to read through more, thanks for the advice!

    http://track.affclkr.com/track/clicks/3171/c627c2b89e0522dbfe9cbd2e8d2b8914736245cb75e9f0ab416db1046005?t=wholesalenearme.com/

    May 30, 2021 at 06:39 | Report abuse | Reply
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

Leave a Reply to Micheal Smith


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.