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. Shawnee

    Fantastic beat ! I would like to apprentice while you amend
    your site, how can i subscribe for a weblog web site?

    The account helped me a applicable deal. I had been tiny
    bit acquainted of this your broadcast offered vibrant transparent idea

    Also visit my web-site – faux cuire

    November 24, 2020 at 16:52 | Report abuse | Reply
  2. Reina

    I have been browsing online more than 3 hours today, yet I never found any
    interesting article like yours. It is pretty worth enough for me.
    In my view, if all web owners and bloggers made good content as you did,
    the net will be a lot more useful than ever before.

    Have a look at my web site; carding shop

    November 25, 2020 at 16:17 | Report abuse | Reply
  3. Shelton

    Do you mind if I quote a few of your posts as long as I provide credit and
    sources back to your blog? My blog site is in the exact same niche as yours
    and my users would certainly benefit from some of the information you present here.
    Please let me know if this ok with you. Cheers!

    Review my web page Flats for Sale in Nigeria

    November 25, 2020 at 19:31 | Report abuse | Reply
  4. Hung

    That is a good tip especially to those fresh to the blogosphere.
    Brief but very accurate information… Appreciate your sharing
    this one. A must read article!

    Check out my web site: Middle East University

    November 26, 2020 at 17:07 | Report abuse | Reply
  5. Straight Tube

    It’s going to be end of this day, but before it ends I am glad to be reading this impressive blog


    November 28, 2020 at 00:05 | Report abuse | Reply
  6. Dong

    Wonderful work! That is the kind of information that should be shared across the internet.
    Shame on Google for no longer positioning this put up upper!
    Come on over and consult with my website . Thank you =)

    Check out my webpage – dFe6kbSLxf B0uh5KAUts

    November 30, 2020 at 18:17 | Report abuse | Reply
  7. Taren

    Hi there, I do believe your blog might be having web browser compatibility issues.
    When I look at your blog in Safari, it looks fine
    however when opening in I.E., it has some overlapping issues.
    I merely wanted to give you a quick heads up! Aside from that,
    wonderful blog!

    my web site spanish school

    December 2, 2020 at 16:39 | Report abuse | Reply
  8. Read Full Article electrician san diego

    Hello there, You have performed a fantastic job. I’ll definitely digg it and individually suggest to my friends. I'm sure they'll be benefited from this web site.


    December 2, 2020 at 16:47 | Report abuse | Reply
  9. lixwiivdi

    Довольно интересно
    сюжет бк

    December 3, 2020 at 21:37 | Report abuse | Reply
  10. Mitzi

    Somebody necessarily lend a hand to make significantly articles I might state.
    This is the very first time I frequented your website page and thus far?

    I amazed with the analysis you made to make this
    actual submit extraordinary. Wonderful process!

    Also visit my blog – In love quiz

    December 5, 2020 at 04:36 | Report abuse | Reply
  11. Danilo

    I know this web site presents quality depending posts and additional stuff, is there
    any other website which presents these information in quality?

    Feel free to surf to my web-site: London Property

    December 6, 2020 at 00:55 | Report abuse | Reply
  12. Anthonypap

    Спасибо, давно искал
    сафари игровые автоматы играть бесплатно

    December 6, 2020 at 17:22 | Report abuse | Reply
  13. uhejucphn

    как выиграть тото 1хбет

    December 6, 2020 at 17:22 | Report abuse | Reply
  14. Pasquale

    Thank you for another excellent article. Where else could anybody get that type of info in such
    a perfect method of writing? I've a presentation next week, and I'm
    on the look for such information.

    Here is my web blog: motivate video

    December 6, 2020 at 23:36 | Report abuse | Reply
  15. Gregorykah

    ничего особенного
    як грати в казино

    December 7, 2020 at 09:55 | Report abuse | Reply
  16. Summer

    Hello, I enjoy reading all of your post. I wanted to write a little comment to support

    My website: esl shopping

    December 10, 2020 at 14:10 | Report abuse | Reply
  17. Josefina

    My brother suggested I might like this blog.
    He was totally right. This post truly made my day.

    You can not imagine simply how much time I had spent
    for this info! Thanks!

    My homepage – subject verb agreement activity

    December 11, 2020 at 02:41 | Report abuse | Reply
  18. Eartha

    Excellent blog here! Also your web site loads up very fast!

    What web host are you using? Can I get your affiliate link to your host?
    I wish my website loaded up as fast as yours lol

    Have a look at my website: games for teaching english

    December 11, 2020 at 02:47 | Report abuse | Reply
  19. Seymour

    Superb website you have here but I was curious about if you knew of any
    user discussion forums that cover the same topics discussed here?

    I'd really love to be a part of community where I can get
    opinions from other experienced people that share the same interest.
    If you have any recommendations, please let me know. Appreciate

    Feel free to surf to my blog ... classifieds ads personal

    December 11, 2020 at 20:03 | Report abuse | Reply
  20. Maritza

    Write more, thats all I have to say. Literally, it seems as though you relied on the video to make your point.

    You definitely know what youre talking about, why waste your intelligence on just posting videos to your weblog when you could be giving us something enlightening to read?

    my site: gdp strain

    December 11, 2020 at 20:40 | Report abuse | Reply
  21. Babysitter

    Are there home remedies for ear infections? Many primary and specialty care physicians push home remedies to avoid over-prescription of antibiotics. The old adage says “if a doctor treats you you’ll get better in one week, and if they don’t you’ll get better in seven days”.  So we want to know, who has lingering problems? Who needs the treatment? That should be our primary focus. For home treatments most are harmless and people can easily treat a cold or allergy with symptomatic treatments like over-the-counter antihistamines, decongestants, nose sprays, and such. Anything that makes the nose stuffy has the tendency to block the eustachian tubes underneath the ear drum. Treatments like holding your nose and gently popping your ears can provide relief and the more you do it the faster your ears may clear. Babies and young children typically cannot pop their ears, but popping may happen if they suck on a bottle or pacifier. Another home remedy is lukewarm salt water inserted into the nose and pulled out by hand bulb syringe .

    December 11, 2020 at 23:52 | Report abuse | Reply
  22. detectives privados arcos de la frontera

    detectives privados arcos de la frontera


    December 12, 2020 at 00:14 | Report abuse | Reply
  23. WilburFup

    Интересный пост
    Казино Pin-Up

    December 14, 2020 at 20:45 | Report abuse | Reply
  24. Walteraccok

    Круто, давно искал
    Pin up казино

    December 15, 2020 at 18:22 | Report abuse | Reply
  25. Melvinraism

    вполне себе годнота
    Pin up казино

    December 16, 2020 at 02:25 | Report abuse | Reply
  26. Roseann

    I'm really enjoying the design and layout of your own blog.
    It's an extremely easy about the eyes which makes
    it considerably more enjoyable for me in the future here and visit more regularly.
    Do you hire out a developer to make your theme?
    Great work!

    Here is my blog – dot grid notebook bullet journal

    December 16, 2020 at 07:01 | Report abuse | Reply
  27. Johnyslm

    Complete your place of work appear to be these kinds of cool authorized boots or shoes for guys

    should you wish to be one of the stylish many men where you work, you cannot only just be sure to have the most cool trousers but t shirts to put on of working, But obtain the most trendy jogging shoes into flaunt with your workplace outfits. the fact that then why, varieties of cyber boutiques buy discovered a range extremely funky proper sneakers for males to obtain. the collection on these shopping on-line locations have best collection because video games and the new arrivals. want to buy one of pleasing ones, our staff members give you these referrals:

    considering that oxfords are the most generally prefer formal jogging shoes, always possess some rudimentary black nicely as grey oxford sneakers for this line. may well adaptable a lot to employed as well as the majority of your office costumes. you could potentially keep from several the summer season a large number of sophisticated tanners diamond jewelry traditional golf shoes website. They are the most effective to be worn employing your muted colors special tshirts and lightweight chinos. They might your workplace companies lookup completely alluring. additionally you can buy the professional schokohrrutige heels that can come in the wear design. They are comfortable to wear which enables it to be partnered with your business suits or trouser pair of shoes duos. There is a wide range of derbies adult men authorized running shoes which come in of different different artwork for you to each and every your fancy dress costumes. determined by a range numerous different colors integrating complicated ring tones to match a whole bunch of your business suits. Edgy suede set sandals through treatments as if navy blue, blonde, beige, brown etc. will also absorbing the choice realm of specialised fashion accessory. your articles to be be used at tshirt trouser charmdate.com reviews mixture also with medical clinic tuxedos. may range of formal household leather heels that come in the loafer or moccasin personality. They are the most useful Friday shoes and boots and can typically be set on via partial elegant fancy dress outfits. it really is use the internet for a large amount your boots and shoes would need. online holds don't merely offer you almost all top quality specialised range in men sneakers world-wide-web but also offer an amount of a casual that can come diverse in a range forms and sizes and colors to match your style. you're able to specialist from large collection that is confident trainers, wear basketball shoes, fabric boots and shoes and also of popular that you will match can your tops trousers and look at. we have a wide collection that is awesome sandals on the web that additionally supply you with a very smart off of accountability appear to be. it is easy to buy alligator as well as the plastic new sandals to be able to your ease of use. and moreover, There is all sorts of confident sandals cyberspace that you can buy from. a majority of these are also made of a range of various varieties and colors including the razors that are the best to be place satisfied or by the pool. For partially conventional periods, There is an array of exquisite loafers to moccasins to the. when put on hope to spend beyond your means of your runners retail therapy, each e ad providers include numerous amazing prices. a great bonus, they likewise have some great offers to you should definitely spend less on your items spree.

    December 17, 2020 at 03:19 | Report abuse | Reply
  28. Timothylit

    Довольно интересно
    как зарегистрировать букмекерскую контору в россии

    December 17, 2020 at 04:15 | Report abuse | Reply
  29. Suzanne Lordi

    My coder is trying to convince me to move to .net from PHP. I have always disliked the idea because of the costs. But he's tryiong none the less. I've been using WordPress on various websites for about a year and am worried about switching to another platform. I have heard good things about blogengine.net. Is there a way I can import all my wordpress posts into it? Any help would be greatly appreciated!


    December 19, 2020 at 16:56 | Report abuse | Reply
  30. RobertDom

    + за пост
    балтбет розыгрыш призов

    December 20, 2020 at 03:15 | Report abuse | Reply
  31. Cristobal Franceschi

    Pues nada, ya podemos hacer el cableado eléctrico y colocar nuestros tubos para interconectar todo, yo para esto ultimo utilice un tubo de goma de 8x5mm de diámetro, comprado en una tienda de repuestos de electrodomésticos, creo que lo venden para lavadoras, lo coloqué con un par de bridas en cada extremo a fijar, para una presión de 4 bar es mas que suficiente, eso si, procurar que no estén las uniones engrasadas, pues si no se nos soltaría al primer intento.


    December 20, 2020 at 13:53 | Report abuse | Reply
  32. Sue Brownsberger

    Many thanks for creating the effort to discuss this, I feel strongly about this and like learning a great deal more on this subject. If feasible, as you gain expertise, would you mind updating your weblog with a great deal more details? It’s very useful for me.


    December 20, 2020 at 15:02 | Report abuse | Reply
  33. Boscojpo

    could you have a problem with turning all create as trading options whether all the stuff collections awake

    david finished a fascinating say, which could be not unique, to begin with sensed the car and so have other dealers. he was quoted saying, "I see a hooked up i prefer say for example hammer combined with the rest creases up, but yet i merely don't the projectiles to download the result in, I proceeded to be sure he understands how this takes place, And related to it will make a difference to their particular transaction.

    guiding each deliver comes with a wide selection of thoughts, And i believe you know what I'm covering. one of the most powerful opinions is literally worries, this then feelings itself minimizes individuals including coming a trade, notwithstanding knowledge lineup, in what way they like it.

    the worry is in fact absolutely, the fear of harm. even as lose money on a transaction, now we problem having a similar thing transpire the moment again. If this is affecting you, it signifies you have not researched your whole body all that is needed, also concept it truly is likelihood connected with being successful.

    if people mentioned that a clear community obtained 70% chance of fulfillment, also, you had complete and comment positveness inside utterance, or your acknowledged deep-down when it comes to 100% faith that a stock trading system will take a 70% success rate, You could not have trouble with cleaning out the type of switch on (except you expect something to 100% of that time period, meaning you are in bad business model).

    i'll go ahead and develop a latamdate.com scam got application including. what happens if you may have spent $500 for a trading plan. It came with the books of account, videos et cetera which assured to provide a 70% rate of success. the situation however along with a the particular beliefs one has active in the system's creator. you see much, if you have any type of don't buy, and in addition strategy the device when using the 'I'll give it a try furthermore see' mindset, you may find it difficult to pull currently the end result plain from losses.

    i prefer a gotten setup to illustrate this,one example is towards the i've come across repeatedly where a perfectly sensible truly to set-up seems almost of the 5% helpful individuals. it's not possible the machine which responsible, it does not take user positveness. devoid of the beliefs, there is certainly trade to keep with the guidelines, And this creates a great deal more hesitation at the time traveling to pull the most important influence.

    your company silently suffering through this way, you might need to do some assignments. in case you are stock trading by yourself setup, You need to research the group advantages you are interested in to see when the machine creates lucrative home-based trades. If accomplished and see that in recent times one's own wide variety requirements might simple fact produce an effective impact, your main concern with elliminating the bring will want to go away.

    one hundred forty bought a device also considering the purchase of one, and after that maybe it's best to show a handful of beliefs and merely count the machine to my workplace, when not having the 'I'll give it a go on top of that see' mentality. this approach no more than causes some effort into focus on something you don't need, and as well,as well as the believe me, When you focus on something talk to your, You have more of what you wouldn't like.

    that which this depends upon is actually. for all who posses a system that the majority of creates a any better than 50% rate of success, and you simply also continue with the rules need to have of exception to this rule, you may not fall short. if your components makes only a 50% effectiveness, finally do you know what? Do the contrary (technique bit of light humour, but rather this truth no one currently the not so much). anyway, recognise that your whole body toils and you mustn't have an trouble with putting ones set off.

    December 22, 2020 at 19:22 | Report abuse | Reply
  34. Emile Heldt

    When you consider purchasing a hot tub, it is a good idea to make sure that you can fully enjoy all of the options that are available to you. These hot tubs can come with different levels of features, such as air conditioning, heaters, built in music systems, etc. Some of them will have many features, while others only have one or two.


    December 23, 2020 at 08:45 | Report abuse | Reply
  35. make money online today

    Earn 100 commissions of up to 900+ dollars DAILY. 90 Second Set Up – Beta Tested Proven 24-7 AUTOPILOT Income – The Ultimate Work Safe At Home System More details: https://bit.ly/2YfQFcC


    December 26, 2020 at 12:52 | Report abuse | Reply
  36. Chana

    You have made some really good points there. I checked on the
    web to find out more about the issue and found most people will go along with
    your views on this website.

    Visit my homepage ... car insurance hawkesbury ontario

    December 27, 2020 at 06:38 | Report abuse | Reply
  37. Stacey

    Appreciating the commitment you put into your site and detailed information you provide.
    It's awesome to come across a blog every once in a while that isn't the same out of date
    rehashed information. Excellent read! I've saved your site and
    I'm adding your RSS feeds to my Google account.

    Also visit my webpage; BlaineCHirst

    December 28, 2020 at 01:32 | Report abuse | Reply
  38. Jeffery

    WOW ϳust what I waѕ lo᧐king for. Came here by searching for internet home business

    Heгe іs my website have fun online (Isidro)

    December 30, 2020 at 07:11 | Report abuse | Reply
  39. Chana

    Ahaa, its fastidious conversation on the topic of this component of
    writing here at this particular website, I actually have read all that,
    so at this point me also commenting at this place.

    Here is my blog ... credit card holder insert for chic sparrow maverick

    January 1, 2021 at 02:15 | Report abuse | Reply
  40. Nellie

    I was recommended this website by my cousin. I am
    not sure whether this post is written by him as nobody else know
    such detailed about my trouble. You're amazing!


    Also visit my page; private investigators in Madrid

    January 1, 2021 at 15:25 | Report abuse | Reply
  41. Misha Gardener

    I regard something genuinely interesting about your site so I bookmarked.


    January 2, 2021 at 15:51 | Report abuse | Reply
  42. Rebbeca

    Excellent blog right here! Additionally your web site quite
    a bit up very fast! What web host are you the usage of?
    Can I get your associate hyperlink for your host? I want my site loaded
    up as quickly as yours lol

    Here is my homepage: Stila

    January 6, 2021 at 17:22 | Report abuse | Reply
  43. Mallie Beckerman

    Thanks for your posting. One other thing is that if you are disposing your property on your own, one of the concerns you need to be cognizant of upfront is just how to deal with property inspection reports. As a FSBO retailer, the key to successfully moving your property as well as saving money on real estate agent income is know-how. The more you already know, the softer your property sales effort is going to be. One area that this is particularly critical is home inspections.


    January 7, 2021 at 15:40 | Report abuse | Reply
  44. Larry Kier

    Resources like the one you mentioned here will be very useful to me! I will post a link to this page on my blog. I am sure my visitors will find that very useful.


    January 7, 2021 at 19:45 | Report abuse | Reply
  45. azacuyxa

    http://mewkid.net/when-is-xuxlya2/ – Amoxicillin Amoxicillin 500 Mg avn.aogm.thechart.blogs.cnn.com.qtb.nm http://mewkid.net/when-is-xuxlya2/

    January 8, 2021 at 19:42 | Report abuse | Reply
  46. azanigi

    http://mewkid.net/when-is-xuxlya2/ – Amoxicillin 500 Mg Buy Amoxicillin Online agp.sffk.thechart.blogs.cnn.com.wyy.mm http://mewkid.net/when-is-xuxlya2/

    January 8, 2021 at 20:27 | Report abuse | Reply
  47. Kera Offret

    An interesting discussion is worth comment. I think that you ought to write more about this topic, it may not be a taboo subject but usually people don't talk about such subjects To the next! Best wishes!!


    January 10, 2021 at 10:02 | Report abuse | Reply
  48. Klara

    When I originally commented I clicked the "Notify me when new comments are added" checkbox and now each time a comment is added I get
    several emails with the same comment. Is there any way you can remove people from
    that service? Cheers!

    Feel free to visit my web page; detectives infidelidades

    January 10, 2021 at 20:16 | Report abuse | Reply
  49. Kaylene

    I was wondering if you ever thought of changing the structure of your blog?
    Its very well written; I love what youve got to say.
    But maybe you could a little more in the way of content so people could connect with it better.

    Youve got an awful lot of text for only having 1 or 2 images.
    Maybe you could space it out better?

    my web-site: Beauty Products

    January 11, 2021 at 19:02 | Report abuse | Reply
  50. Argentina Fabin

    When I originally commented I clicked the -Notify me when new surveys are added- checkbox and already whenever a comment is added I am four emails sticking with the same comment. Can there be any way you are able to eliminate me from that service? Thanks!


    January 11, 2021 at 23:20 | 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.

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.