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. Nearby RV Repairs

    http://www.drugoffice.gov.hk/gb/unigb/ingenieurleistungenreiter.com/index.php?option=com_phocaguestbook&view=phocaguestbook&id=1&Itemid=4&t=1200&limitstart=85280

    June 16, 2021 at 03:55 | Report abuse | Reply
  2. RV Repair Around Me

    http://www.astro.wisc.edu/?URL=http://www.seoacedemy.xyz/2021/05/25/submission-147-2/

    June 16, 2021 at 07:13 | Report abuse | Reply
  3. Camper Repair Shop Near Me

    There is definately a great deal to find out about this issue. I like all of the points you made.

    http://www.commissionsoup.com/opts.aspx?t=P6MCR2&u=www.ocrvcenter.com/motorhome-headlight-repair-near-me

    June 16, 2021 at 07:20 | Report abuse | Reply
  4. RV Repair Shops Nearby

    Right here is the perfect site for everyone who really wants to understand this topic. You realize a whole lot its almost tough to argue with you (not that I really will need toÖHaHa). You definitely put a new spin on a topic that's been written about for a long time. Excellent stuff, just excellent!

    https://brettterpstra.com/share/fymdproxy.php?url=https://ocrvcenter.com/rv-repair-shop-huntington-beach-california/

    June 16, 2021 at 09:02 | Report abuse | Reply
  5. Nearest RV Repair

    http://www.cs.odu.edu/~mln/teaching/cs518-f08/?method=display&redirect=http://www.loserwhiteguy.com/gbook/gbook.php?page=1529

    June 16, 2021 at 10:04 | Report abuse | Reply
  6. Sprinter Repair Shop Near Me

    http://www.blackfive.net/__media__/js/netsoltrademark.php?d=ocrvcenter.com/bucket-truck-repair-near-me

    June 16, 2021 at 11:06 | Report abuse | Reply
  7. restaurants near me now

    Oh my goodness! Awesome article dude! Thank you so much, However I am encountering issues with your RSS. I donít know why I cannot subscribe to it. Is there anyone else getting the same RSS problems? Anybody who knows the answer will you kindly respond? Thanx!!

    http://uaesigns-cg.com/__media__/js/netsoltrademark.php?d=www.ocrvcenter.com

    June 16, 2021 at 13:54 | Report abuse | Reply
  8. used appliances near me

    http://www.oberweissecurities.org/__media__/js/netsoltrademark.php?d=http://ocrvcenter.com/

    June 16, 2021 at 20:08 | Report abuse | Reply
  9. music store near me

    http://www.briskie.com/__media__/js/netsoltrademark.php?d=ocrvcenter.com

    June 16, 2021 at 20:24 | Report abuse | Reply
  10. white label bank

    naturally like your website however you need to test the spelling on quite a few
    of your posts. Many of them are rife with spelling problems and I to find it very bothersome to inform the reality nevertheless I will
    surely come again again.

    June 16, 2021 at 21:22 | Report abuse | Reply
  11. alterations near me

    May I simply say what a relief to uncover a person that actually knows what they're discussing on the web. You actually know how to bring a problem to light and make it important. More and more people have to read this and understand this side of your story. I can't believe you're not more popular because you certainly possess the gift.

    https://bonus-books.com/postfallsholistichealth-com/

    June 16, 2021 at 22:01 | Report abuse | Reply
  12. sprint store near me

    https://www.islamcenter.ru/go.php?url=https://www.ocrvcenter.com

    June 16, 2021 at 22:30 | Report abuse | Reply
  13. Camper Repair Places Near Me

    http://waltrop.de/Inhalte/Allgemein/externerlink.asp?ziel=ocrvcenter.com/nationwide-rv-collision-repair-shop-near-me

    June 17, 2021 at 04:25 | Report abuse | Reply
  14. RV Repair Near Me Now

    May I simply say what a relief to find a person that truly knows what they are discussing on the internet. You certainly know how to bring a problem to light and make it important. More people really need to read this and understand this side of your story. It's surprising you are not more popular since you certainly have the gift.

    https://connectathon-results.ihe.net/open_is_url.php?url=www.ocrvcenter.com/medical-bus-collision-repair-shop-near-me

    June 17, 2021 at 04:39 | Report abuse | Reply
  15. situs judi slot online terbaik dan terpercaya no 1

    I got this site from my pal who informed me
    regarding this site and now this time I am visiting this site
    and reading very informative articles or reviews
    at this place.

    June 17, 2021 at 09:13 | Report abuse | Reply
  16. dog groomers near me

    Oh my goodness! Amazing article dude! Many thanks, However I am encountering difficulties with your RSS. I donít understand the reason why I am unable to subscribe to it. Is there anybody getting similar RSS problems? Anyone that knows the solution will you kindly respond? Thanx!!

    http://magicmaui.com/__media__/js/netsoltrademark.php?d=https://www.ocrvcenter.com/

    June 17, 2021 at 09:37 | Report abuse | Reply
  17. Camper Repair Shop Near Me

    http://funai.gov.br/index.php/component/finder/search?q=http://www.ocrvcenter.com/motorhome-interior-remodeling-near-me/

    June 17, 2021 at 09:57 | Report abuse | Reply
  18. Camper Repair Shop Near Me

    Way cool! Some extremely valid points! I appreciate you penning this write-up plus the rest of the site is really good.

    http://loopbaan.dezorggroep.nl/redirect.php?from=https://ocrvcenter.com/rv-repair-shop-rancho-santa-margarita-california

    June 17, 2021 at 10:10 | Report abuse | Reply
  19. RV Repairs Near Me

    http://www.web28.werkbank.bayern-online.de/cgi-bin/forum/gforum.cgi?url=https://www.ocrvcenter.com/rv-repair-shop-la-palma-california/

    June 17, 2021 at 12:01 | Report abuse | Reply
  20. dmv near me

    http://aquarist-classifieds.co.uk/BANNER-MANAGEMENT/click.php?id=44&url=https://nearmyspot.com/

    June 17, 2021 at 15:37 | Report abuse | Reply
  21. humane society near me

    https://www.zhhsw.com/home/link.php?url=https://www.nearmyspot.com

    June 17, 2021 at 20:14 | Report abuse | Reply
  22. store near me

    http://easylearn.com/__media__/js/netsoltrademark.php?d=quotenearme.com

    June 17, 2021 at 20:51 | Report abuse | Reply
  23. https://shiatsu-web.com

    Best view i have ever seen !

    https://images.google.mw/url?q=https://shiatsu-web.com

    June 17, 2021 at 22:42 | Report abuse | Reply
  24. topbet88

    Hey there, I think your site might be having browser compatibility issues.
    When I look at your website in Firefox, it looks fine but when opening in Internet Explorer,
    it has some overlapping. I just wanted to give you a quick heads up!
    Other then that, superb blog!

    June 17, 2021 at 23:02 | Report abuse | Reply
  25. businesses near me

    http://islandflyfishingbc.com/__media__/js/netsoltrademark.php?d=bestservicenearme.com/

    June 17, 2021 at 23:13 | Report abuse | Reply
  26. rapid covid testing near me

    I really love your website.. Excellent colors & theme. Did you make this amazing site yourself? Please reply back as Iím trying to create my own personal website and would love to find out where you got this from or exactly what the theme is named. Many thanks!

    https://mametesters.org/permalink_page.php?url=http://bestservicenearme.com

    June 17, 2021 at 23:48 | Report abuse | Reply
  27. jimmy johns near me

    http://overthereef.net/__media__/js/netsoltrademark.php?d=bestlocalnearme.com/

    June 18, 2021 at 03:00 | Report abuse | Reply
  28. escorts near me

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

    http://cancerwar.com/__media__/js/netsoltrademark.php?d=bestshopnearme.com

    June 18, 2021 at 04:13 | Report abuse | Reply
  29. humane society near me

    I'd like to thank you for the efforts you've put in penning this blog. I really hope to view the same high-grade blog posts by you later on as well. In fact, your creative writing abilities has inspired me to get my own, personal site now 😉

    http://www.tacticalphysician.com/__media__/js/netsoltrademark.php?d=www.nearmyspot.com

    June 18, 2021 at 08:04 | Report abuse | Reply
  30. 姶良 整骨院 交通事故

    I blog frequently and I truly appreciate your information. Your article has truly peaked my interest.
    I am going to bookmark your website and keep checking for
    new information about once a week. I subscribed to your
    Feed too.

    June 18, 2021 at 08:22 | Report abuse | Reply
  31. office depot near me

    When I originally left a comment I appear to have clicked the -Notify me when new comments are added- checkbox and now every time a comment is added I recieve 4 emails with the same comment. Perhaps there is a way you are able to remove me from that service? Cheers!

    https://jyotu.net/modules/wordpress/wp-ktai.php?view=redir&url=https://www.bestservicenearme.com

    June 18, 2021 at 08:22 | Report abuse | Reply
  32. salon near me

    I like it when folks come together and share thoughts. Great blog, stick with it!

    http://www.hyoito-fda.com/out.php?url=https://bestshopnearme.com/

    June 18, 2021 at 09:24 | Report abuse | Reply
  33. Rodger Kestle

    Have you ever heard of second life (sl for short). It is essentially 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://digitalnarratives.blogspot.com/2008/12/

    June 18, 2021 at 10:33 | Report abuse | Reply
  34. RV Repair Shop

    I want to to thank you for this good read!! I certainly loved every bit of it. I've got you book-marked to check out new things you postÖ

    https://www.google.mw/url?q=https://bing.com

    June 18, 2021 at 11:04 | Report abuse | Reply
  35. RV Repair Mission Viejo

    Having read this I thought it was extremely enlightening. I appreciate you spending some time and energy to put this information together. I once again find myself personally spending a lot of time both reading and leaving comments. But so what, it was still worthwhile!

    http://eridan.websrvcs.com/System/Login.asp?id=48747&Referer=http://theocrv.com/motorhome-remodeling-near-me/

    June 18, 2021 at 12:43 | Report abuse | Reply
  36. RV Repairs Near Me

    http://www.noexcuselist.com/li/?url=http://ocrvcenter.com/class-c-collision-repair-shop-near-me

    June 18, 2021 at 13:40 | Report abuse | Reply
  37. RV Repair Shop Near Me

    http://loome.net/demo.php?url=https://ocrvart.com/city-bus-collision-repair-paint-shop-near-me-orange-county/

    June 18, 2021 at 13:41 | Report abuse | Reply
  38. Nearby RV Repairs

    https://bookmerken.de/?url=www.ocrvcenter.com/rv-repair-shop-sierra-madre-california

    June 18, 2021 at 15:26 | Report abuse | Reply
  39. Camper Repair Places Near Me

    When I initially left a comment I appear to have clicked the -Notify me when new comments are added- checkbox and from now on each time a comment is added I recieve four emails with the exact same comment. Perhaps there is an easy method you are able to remove me from that service? Kudos!

    http://board-en.drakensang.com/proxy.php?link=https://www.ocrvcenter.com/rv-repair-shop-santee-california

    June 18, 2021 at 21:31 | Report abuse | Reply
  40. RV Repair

    http://yellowpages.uticaod.com/__media__/js/netsoltrademark.php?d=http://ocrv.me/shasta-camper-collision-repair-paint-shop-near-me-orange-county

    June 18, 2021 at 21:33 | Report abuse | Reply
  41. RV Repair Shops Near Me Now

    http://aboutlincolncenter.org/component/dmms/handoff?back_url=ocrvcenter.com/rv-repair-shop-west-hollywood-california

    June 18, 2021 at 22:37 | Report abuse | Reply
  42. Sprinter Repair Near Me

    Greetings! Very helpful advice within this article! It is the little changes that produce the greatest changes. Thanks for sharing!

    https://genki365.net/gnka01/common/redirect.php?url=https://www.ocrvcenter.com/rv-repair-shop-covina-california

    June 19, 2021 at 03:25 | Report abuse | Reply
  43. psychiatrist near me

    Everything is very open with a really clear explanation of the issues. It was truly informative. Your website is useful. Many thanks for sharing!

    http://www.love.okchatroom.com/lovelove/link.php?url=https://wholesalenearme.com/

    June 19, 2021 at 03:48 | Report abuse | Reply
  44. RV Repair Shop Near My Location

    https://www.brivium.com/proxy.php?link=https://ocrvluxurycoaches.com/rv-repair-shop-sunland-tujunga-california/

    June 19, 2021 at 04:36 | Report abuse | Reply
  45. Nearby RV Repair

    Everything is very open with a really clear description of the challenges. It was truly informative. Your website is very useful. Thanks for sharing!

    http://wapp.baidu.com/mo/q/checkurl?url=https://ocrvart.com/rv-repair-shop-monrovia-california

    June 19, 2021 at 04:55 | Report abuse | Reply
  46. Camper Repair Shop Near Me

    This web site certainly has all of the information I needed concerning this subject and didnít know who to ask.

    https://www.pennergame.de/redirect/?site=ocrvcenter.com/rv-repair-shop-san-bernardino-california/

    June 19, 2021 at 07:25 | Report abuse | Reply
  47. RV Repair Near Me

    Good info. Lucky me I recently found your website by accident (stumbleupon). I've saved as a favorite for later!

    http://theamericanmuslim.org/tam.php?URL=https://www.ocrvcenter.com/class-7-truck-collision-repair-shop-near-me

    June 19, 2021 at 09:56 | Report abuse | Reply
  48. Camper Repairs Near Me

    https://fr.paltalk.com/client/webapp/client/External.wmt?url=ocrvshop.com/rv-repair-shop-adelanto-california

    June 19, 2021 at 11:28 | Report abuse | Reply
  49. RV Repairs Near Me

    http://www.secure.duoservers.com/?lang=en&s_id=123179&rdomain=www.ocrvshop.com/rv-repair-shop-desert-hot-springs-california/&action=order&popup=1

    June 19, 2021 at 11:30 | Report abuse | Reply
  50. Nearest RV Repair

    Right here is the perfect web site for anybody who really wants to find out about this topic. You know a whole lot its almost hard to argue with you (not that I actually will need toÖHaHa). You definitely put a fresh spin on a subject which has been written about for decades. Excellent stuff, just great!

    https://www.l214.com/lettres-infos/partage/?nom=7ème+jour:+les+poulets+de+chair&url=www.ocrv.org/rv-repair-shop-laguna-hills-california

    June 19, 2021 at 12:39 | 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

Post a comment


 

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.