An Overview of the Tympanostomy Tubes Video

Shawn Ciecko MD -Otolaryngologist, Medical School at University of Buffalo, Resident in Otolaryngology Head and Neck Surgery at the Duke University Medical Center, ENT and Allergy Associate.
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How Ear Problems Affects Language Development in Children Male: Our child needs tube surgery I always tell the parents it’s really not that big a deal it’s rather simple to do what’s spending more time consuming doing a front and doing a surgery but there are different types of tubes out there. Shawn: There are, there are different types of physical tubes that are made and depending on the child’s condition we use different tubes. There are bevelled tubes that can be used. There are tubes that are made out of different substances titanium for instance which sometimes last longer in the eardrum there are different configurations of tubes, t tubes and it depends on the child’s condition that determines what tube we use. Male: If you put the tube in how long you think it’s going to function generally speaking. Shawn: Generally speaking the average life of a tube is about the 8 months meaning what that means is the body eventually will push the tube out of the eardrum and that just has to do with the natural healing process of the skin on the eardrum, the length of time can last longer and some children will hold on to their tubes as long as two years, when you get to the two or three year mark we often times think about removing the tubes because it’s sometimes means the body won’t keep it to themselves. Male: But the tube is like a small micro-sized perforation that was created is that true? Shawn: That’s correct it’s a — Male: So the reason one small concern about sometimes you can get a little waxy something growing cold in cold stomach is that possible tubes. Shawn: Sure and once the tubes is in place one problem that can happen is actually can have a wax plug in the tube that can clog the tube and that’s one concern with tubes and that can fixed sometimes eardrops and once the tube falls out you can have one of the risk and it’s rare and it is to have persistent hole in the ear drum and it’s a very small risk but it’s a real one. Male: And this is cold stomach type of thing is concern about that? Shawn: Is there a concern? It can cause a neuro which will chronically drain and rear times it can cause a hearing loss that usually doesn’t occur and sometimes it does need to be fixed down the road. Male: And how does that fixed? Shawn: It’s fixed with a different surgical procedure which an out-patient surgery is called the tympana class which is a reconstruction of the eardrum. Male: And that usually corrects it mostly. Shawn: It does.

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