Recurrent Ear Infections
As a parent, having a child with recurrent ear infections can be very frustrating. The anatomy of a child up to 3-4 years of age makes them more likely to have recurrent or chronic ear infections. The more horizontal angle of the Eustachian tube in infants and young children often does not allow for adequate drainage and ventilation.
In response to viral illness or allergies, mucus is produced and gets trapped in the middle ear space. As the mucus sets there bacteria begins to grow then a middle ear infection ensues. Sometimes fluid and infection remains in the middle ear despite multiple courses of antibiotics.
When conservative management fails we consider placing pressure equalization tubes in the tympanic membrane (ear drum). When the tubes are placed, a small incision is made in the tympanic membrane through which the tube is placed. At this time any infection or fluid is suctioned from the middle ear space.
The tubes can stay in place from 8 months to 2 years. While the tubes are in place it is important to keep bacteria infested water out of the ear. We will examine the child’s ears every 4-6 months to ensure tubes are in place and functioning properly.
Ideally by the time the tubes extrude the child’s Eustachian tubes are more mature. A normal functioning Eustachian tube will keep pressure equalized and prevent fluid from collecting in the middle ear space.