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. RV Repair Shops Near Me Now

    Iím impressed, I must say. Rarely do I encounter a blog thatís equally educative and interesting, and let me tell you, you have hit the nail on the head. The problem is an issue that not enough folks are speaking intelligently about. I am very happy I found this during my search for something regarding this.

    http://www.webclap.com/php/jump.php?url=http://54.249.99.185/

    June 25, 2021 at 16:26 | Report abuse | Reply
  2. RV Camper Repair Near Me

    https://eao.rtrs.ru/go/?q=https://www.portlandfishingtrips.com/board/board_topic/5380397/4503771.htm?page=2

    June 25, 2021 at 17:48 | Report abuse | Reply
  3. Stefanie Savers

    http://www.pantybucks.com/galleries/hpf/64/clair/index.php?link=http://fleettruckrepairshop.com/

    June 25, 2021 at 22:06 | Report abuse | Reply
  4. RV Repairs Nearby

    I really love your site.. Very nice colors & theme. Did you build this site yourself? Please reply back as Iím trying to create my own website and want to learn where you got this from or what the theme is named. Thank you!

    https://na.eventscloud.com/emarketing/go.php?i=126636&e=amVhbi1tYXJjLmR1Zm91ckBmcmFuY2UtZWNpLm5ldA==&l=https://52.76.81.42

    June 25, 2021 at 23:40 | Report abuse | Reply
  5. Sprinter Repair Costa Mesa

    http://testphp.vulnweb.com/redir.php?r=http://calivitamins.com/

    June 26, 2021 at 01:32 | Report abuse | Reply
  6. Camper Repair Shops Near Me

    https://gogvo.com/redir.php?url=https://diplingpaedmediatorreiter.eu/

    June 26, 2021 at 02:06 | Report abuse | Reply
  7. RV Repair Near Here

    Iím amazed, I must say. Rarely do I come across a blog thatís equally educative and interesting, and without a doubt, you've hit the nail on the head. The problem is something which not enough people are speaking intelligently about. Now i'm very happy that I came across this in my search for something relating to this.

    /

    June 26, 2021 at 04:15 | Report abuse | Reply
  8. RV Repair Shop

    Greetings! Very helpful advice within this post! It's the little changes that will make the most significant changes. Thanks a lot for sharing!

    http://salesnews.qantas.com/public/m/closed?msLRR=http://xperiencearchery.co.uk/

    June 26, 2021 at 08:45 | Report abuse | Reply
  9. RV Appliance Repair Near Me

    Hello there, I think your website might be having web browser compatibility problems. Whenever I take a look at your web site in Safari, it looks fine but when opening in Internet Explorer, it's got some overlapping issues. I just wanted to provide you with a quick heads up! Besides that, great site!

    /

    June 26, 2021 at 09:22 | Report abuse | Reply
  10. RV And Trailer Repair Near Me

    /

    June 26, 2021 at 11:02 | Report abuse | Reply
  11. phim 77.net

    Top 5 Trang Net Tỷ Lệ Kèo Bóng Đá Tốt Nhất 2021Tỷ Lệ Kèo Nhà Cái Soi Kèo Bóng Đá Hôm Nay. Nhận Định Euro 2021 Copa America casino royal.Hai trận đấu của lượt cuối mỗi bảng bắt buộc phải thi đấu cùng giờ. Kết thúc vòng bảng, đội nhất, nhì các bảng và four đội xếp thứ ba có thành tích tốt nhất sẽ giành quyền vào vòng sixteen đội.

    https://www.vnd188.bet/

    June 26, 2021 at 12:47 | Report abuse | Reply
  12. RV Repair Around Me

    https://es.paltalk.com/client/webapp/client/External.wmt?url=https://simon3f3p8.smblogsites.com

    June 26, 2021 at 13:35 | Report abuse | Reply
  13. fb88viet.net

    Great post. I was checking continuously this blog and
    I'm impressed! Extremely helpful information specifically the last part
    🙂 I care for such information much. I was looking for
    this certain information for a very long time.

    Thank you and best of luck.

    June 26, 2021 at 16:10 | Report abuse | Reply
  14. Leadership Goals

    http://winkler-sandrini.it/info/mwst01i.pdf?a%5B%5D=<a+href=https://backboneleaders.com

    June 26, 2021 at 19:14 | Report abuse | Reply
  15. Leadership Management

    http://link.harikonotora.net/?https://backboneleaders.com

    June 26, 2021 at 20:02 | Report abuse | Reply
  16. Life Leadership

    http://sns.51.ca/link.php?url=http://backboneleaders.com/

    June 26, 2021 at 20:10 | Report abuse | Reply
  17. Leadership Synonym

    Great information. Lucky me I ran across your website by chance (stumbleupon). I have bookmarked it for later!

    https://www.adminer.org/redirect/?url=https://backboneleaders.com/

    June 26, 2021 at 20:37 | Report abuse | Reply
  18. Executive Leadership

    http://m.sport.hir24.hu/redirect?url=http://backboneleaders.com

    June 26, 2021 at 22:17 | Report abuse | Reply
  19. knowledge fight podcast

    https://openforbusinessmagazine01.businesscatalyst.com/Redirect.aspx?destination=http://backbonehunters.com

    June 27, 2021 at 00:48 | Report abuse | Reply
  20. Best Leadership Podcast

    https://www.searchpoint.net/redir.asp?reg_id=pTypes&sname=/search.asp&lid=0&sponsor=INC&url=http://backboneleaders.com

    June 27, 2021 at 01:05 | Report abuse | Reply
  21. jocko podcast

    http://richr.wellymulia.zaxaa.com/b/6306379?s=1&redir=https://backbonehunters.com/

    June 27, 2021 at 04:26 | Report abuse | Reply
  22. Britt

    Awesome site you have here but I was wondering if you knew of any user
    discussion forums that cover the same topics talked about here?
    I'd really like to be a part of online community where I can get opinions from other knowledgeable individuals that share the same interest.
    If you have any suggestions, please let me know. Cheers!

    June 27, 2021 at 05:39 | Report abuse | Reply
  23. What Is Transformational Leadership

    http://my.hisupplier.com/logout?return=http://backboneleaders.com/

    June 27, 2021 at 06:26 | Report abuse | Reply
  24. morbid podcast hosts

    https://sc.hkex.com.hk/gb/www.backbonehunters.com

    June 27, 2021 at 06:36 | Report abuse | Reply
  25. call her daddy podcast

    https://community.rsa.com/external-link.jspa?url=http://backbonehunters.com

    June 27, 2021 at 09:20 | Report abuse | Reply
  26. Leadership

    http://dereferer.org/?https://backboneleaders.com

    June 27, 2021 at 09:42 | Report abuse | Reply
  27. Definition Of Leadership

    You are so cool! I do not think I've truly read through anything like that before. So nice to find another person with some genuine thoughts on this subject matter. Really.. many thanks for starting this up. This web site is something that is required on the internet, someone with some originality!

    https://nutritiondata.self.com/facts/recipe/1304991/2?mbid=HDFD&trackback=http://backboneleaders.com

    June 27, 2021 at 10:07 | Report abuse | Reply
  28. bellas podcast

    https://domain.opendns.com/backbonehunters.com/

    June 27, 2021 at 12:13 | Report abuse | Reply
  29. RV Repair Shop

    Hi, I do believe this is an excellent blog. I stumbledupon it 😉 I am going to return yet again since I bookmarked it. Money and freedom is the best way to change, may you be rich and continue to help other people.

    http://transitions-businessportal.com/__media__/js/netsoltrademark.php?d=ocrv.today

    June 27, 2021 at 14:57 | Report abuse | Reply
  30. Camper Repair Shop Near Me

    http://baseballmind.com/__media__/js/netsoltrademark.php?d=ocrvcenter.co/

    June 27, 2021 at 19:05 | Report abuse | Reply
  31. Windshield Replacement

    http://celebrationcruiseholidays.com/__media__/js/netsoltrademark.php?d=commercialvanrepairshop.com/

    June 27, 2021 at 22:48 | Report abuse | Reply
  32. Mecedes Sprinter Repair

    http://kgbr.co.kr/truth.php?mode=view&cat=9&th_idx=30&page=2&return_url=https://fleetrepairshops.com

    June 28, 2021 at 04:23 | Report abuse | Reply
  33. RV Repair Shops Near Me

    You've made some really good points there. I checked on the internet for more information about the issue and found most individuals will go along with your views on this website.

    http://www.gallerygoods.com/__media__/js/netsoltrademark.php?d=www.rvmarketingexperts.com

    June 28, 2021 at 05:03 | Report abuse | Reply
  34. Repair Sprinter

    http://bossov.com/__media__/js/netsoltrademark.php?d=fleetrepairshops.com

    June 28, 2021 at 09:27 | Report abuse | Reply
  35. Nearby RV Repairs

    I love it when folks come together and share ideas. Great site, stick with it!

    https://yvce.com/home/link.php?url=www.ocrvcenter.com/

    June 28, 2021 at 10:59 | Report abuse | Reply
  36. dumps shop legit

    500478 948084Awesome material you fellas got these. I in fact like the theme for the website along with how you organized a person who. Its a marvelous job For certain i will come back and have a look at you out sometime. 249399

    June 28, 2021 at 11:25 | Report abuse | Reply
  37. Mercedes Sprinter Start Error Fault Repair

    Hello, There's no doubt that your blog could possibly be having web browser compatibility problems. Whenever I look at your website in Safari, it looks fine but when opening in Internet Explorer, it's got some overlapping issues. I just wanted to give you a quick heads up! Other than that, fantastic blog!

    http://orders.gazettextra.com/AdHunter/Default/Home/EmailFriend?url=http://ocrvcenter.com

    June 28, 2021 at 11:51 | Report abuse | Reply
  38. Rv Mercedes Sprinter Service Center Near Me

    http://jpn1.fukugan.com/rssimg/cushion.php?url=ocrvmotorsports.org

    June 28, 2021 at 16:14 | Report abuse | Reply
  39. Sprinter Repair Orange County

    http://eneffect.bg/language.php?url=https://ocrv.biz/

    June 28, 2021 at 16:26 | Report abuse | Reply
  40. RV Repair Huntington Beach

    Right here is the perfect webpage for anybody who wishes to understand this topic. You know so much its almost hard to argue with you (not that I really will need toÖHaHa). You certainly put a new spin on a topic that's been written about for decades. Excellent stuff, just great!

    https://www.gutscheinaffe.de/wp-content/plugins/AND-AntiBounce/redirector.php?url=https://ocrv.online

    June 28, 2021 at 19:07 | Report abuse | Reply
  41. RV Repair Around Me

    http://ageoutloud.gms.sg/visit.php?item=54&uri=http://ocrvexperts.com/

    June 28, 2021 at 19:59 | Report abuse | Reply
  42. Mercedes Sprinter Diesel Repair Near Me

    An impressive share! I've just forwarded this onto a friend who has been doing a little homework on this. And he actually bought me dinner due to the fact that I found it for him... lol. So allow me to reword this.... Thank YOU for the meal!! But yeah, thanks for spending time to talk about this topic here on your web page.

    http://js1.bloggerads.net/ads/RedirectTo?targetUrl=http://www.ocrv.biz

    June 28, 2021 at 21:39 | Report abuse | Reply
  43. Sprinter Van Collision Repair

    https://link.getmailspring.com/link/local-80914583-2b23@Chriss-MacBook-Pro.local/1?redirect=https://ocrvandtrucks.com/

    June 28, 2021 at 23:49 | Report abuse | Reply
  44. RV Repair Orange County California

    https://www.midrange.de/link.php?tid=29322&tnr=MMT1738&url=http://ocrvmotorcoaches.com

    June 29, 2021 at 03:04 | Report abuse | Reply
  45. RV Repair Orange County

    https://www.bad.org.uk/for-the-public/patient-information-leaflets/androgenetic-alopecia/?showmore=1&returnlink=https://ocrv.club

    June 29, 2021 at 07:21 | Report abuse | Reply
  46. RV Repair Shop

    An outstanding share! I have just forwarded this onto a co-worker who had been doing a little homework on this. And he actually ordered me breakfast because I stumbled upon it for him... lol. So let me reword this.... Thank YOU for the meal!! But yeah, thanx for spending the time to discuss this issue here on your site.

    http://ws.giovaniemissione.it/banners/counter.aspx?Link=http://www.ocrv.vip

    June 29, 2021 at 09:25 | Report abuse | Reply
  47. RV Repair Shop Near Me

    http://weblaunch.blifax.com/listener3/redirect?l=824869f0-503b-45a1-b0ae-40b17b1fc71e&id=2c604957-4838-e311-bd25-000c29ac9535&u=https://www.ocrvcenter.mobi/

    June 29, 2021 at 10:27 | Report abuse | Reply
  48. Sprinter Repair Orange County

    https://track.wheelercentre.com/event?target=http://ocrv.store/

    June 29, 2021 at 11:14 | Report abuse | Reply
  49. Mercedes Diesel Repair

    Hi there! This post could not be written much better! Looking through this post reminds me of my previous roommate! He always kept talking about this. I will send this post to him. Pretty sure he will have a good read. Many thanks for sharing!

    https://www.pocketpc.ch/redirect-to/?redirect=https://www.www.carsonrvexperience.com

    June 29, 2021 at 12:30 | Report abuse | Reply
  50. RV Repair Orange County

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

    https://letronc-m.com/redirector?url=https://ocrvcenter.info

    June 29, 2021 at 14:32 | 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 Mercedes Sprinter Diesel Repair Near Me


 

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.