How Does The Ear Tube Fall Out?
Some Ear Tubes Can Sponteously Fall Out?
What is an ear tube and what does it do?Ear tubes (tympanostomy tubes, ventilation tubes, pressure balancing tubes) are small, hollow cylinders that are surgically placed in the eardrum, usually made of plastic or metal. An ear tube forms an airway that ventilates the middle ear and prevents fluid build-up behind the eardrum.
Ensuring air transfer to the middle ear with ear tubes (ventilation)Ear tubes provide an alternative airway for air transfer in the middle ear, provide normal drainage and equalize the pressure inside the ear. Tubes are generally used in children with one of the following conditions:
• Fluid trapped behind the eardrum results in inflammation and fluid accumulation (effusion) in the middle ear without bacterial or viral infection. This may occur because fluid accumulation persists even after an ear infection has been thawed. It may also occur due to some dysfunction or non-infectious blockage of Eustachian tubes.
• Hearing loss usually results from otitis media with effusion. Hearing loss can lead to delayed speech development, communication problems, behavioral problems, and poor school performance.
• Middle ear infections are common when there are three or more different sections or four or more episodes per year, usually within six months. Ear tubes can help prevent recurrent infections.
• Chronic middle ear infections are long term infections that do not improve with middle ear antibiotic treatment.
• Chronic suppurative otitis media is a permanent ear infection that causes tearing or perforation of the eardrum.
When are ear tubes used?Ear tubes are usually recommended for children with permanent fluid accumulation behind the eardrum, especially if the condition causes hearing loss and affects speech development. Your child's doctor may also recommend ear tubes if they frequently get ear infections.
Most self-falling ear tubes fall within six to nine months, and the holes are self-closing. Some tubes must be removed (such as T-tubes), which may remain in the membrane for longer periods of time, and may sometimes require surgical closure of the holes in the membranes after the tubes have been dropped or removed.
How does the ear tube fall out?
The ear tubes can be dislodged from the membrane by themselves or in the case of middle ear inflammation (the ear may start if the water is missed). It usually moves from the inside to the outside, along with the natural earwax production and cleaning.
If the ear tube fall out early ...
In one patient, he forgot to protect the outer ear canal from the water, he jumped into the pool and left the tube space after the intense discharge through the ear tube as a result of the middle ear infection that started after intense pool water escape to the ear. In the case of early fall of the ear tube, especially in the eardrum, or chronic serous otitis media (fluid in the middle ear) in patients with ear tube plugs, tube ears in the ear after a few weeks after the closure of the eardrum and the emergence of old disease symptoms can be seen. After the ear tube has fallen, if the ear is still protected from water contact, the hole in the eardrum usually closes within a few weeks.
Symptoms of fall out early of ear ventilation tubes from eardrumIf the ear tube falls spontaneously in children, if the problem in the membrane and the middle ear is improved, there may be no symptoms, and when families incidentally look at the outer ear canal, they can see a few mm diameter ear tubes. If the ear tube falls earlier than the planned time, due to the reappearance of problems in the middle ear and eardrum, ear congestion, pressure sensation, ear pain may be seen after influenza infection pain may not be seen).
Does the ear tube cause pain as it falls?While ear ventilation tubes do not cause any pain while they fall spontaneously; During T-tube removal in office conditions, a small amount of (very short-term) pain may be felt due to the friction of the legs of the tube to the edges of the hole in the membrane or due to the separation of dirt and epithelial tissue between the tympanic membrane and the tube.
What happens if the ear tube does not fall?Although ear tubes remain in place for longer periods than planned, they do not cause serious damage to the eardrum; after removal of the tube, there is a risk that the tube hole in the membrane does not close completely and the eardrum may be punctured. Very rarely, the hole in the membrane may not close completely after removal of the ear tube. It is not only the long-term keeping of the tube; also, the tube hole in the membrane may not close completely due to reasons such as "ear water abduction", "middle ear inflammation and prolonged inflammation of the epidemic through the hole" which may cause damage to living cells at the edges of the tube hole after removal of the tube.
Damages of the ear tubeI would like to summarize the risk and adverse conditions that may arise due to the ear tube as follows (source link: Ear tubes - Mayo Clinic):
• Bleeding and infection.
• Permanent fluid drainage.
• Clogging of ear tubes due to blood, mucus or other secretions
• Scarring or weakening of the eardrum.
• Tubes drop too early or remain too long.
• The eardrum does not close after the tube has been dropped or removed.
Ear tube types
Below, the types of ear ventilation tubes are seen in large photographs (do not look great here, they are only a few mm in size ...):
Shepard Ear Ventilation Tube (Visual source link: Shepard Ventilation Tube – Shippert Medical)
Paparella Ear Ventilation Tube (Visual source link: Paparella Ventilation Tube – Shippert Medical)
Armstrong Mid-Term Ear Ventilation Tube (Visual source link: TradeIndia)
T Tube Ear Ventilation Tube (Visual source link: T-Tube Ventilation Tube – Shippert Medical)
What should be the standard follow-up after ear tube insertion?
If your child does not have any complications after ear tube insertion:
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