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Just as with all other aspects of human biology, there is a broad range of Eustachian tube function in children- some children get lots of ear infections, some get none.
Allergies are common in children, but there is not much evidence to suggest that they are a cause of either ear infections or middle ear fluid.
Ear infections are not contagious, but are often associated with upper respiratory tract infections (such as colds).
Acute otitis media (middle ear infection) means that the space behind the eardrum - the middle ear - is full of infected fluid (pus). Any time the ear is filled with fluid (infected or clean), there will be a temporary hearing loss. The poor ventilation of the middle ear by the immature Eustachian tube can cause fluid to accumulate behind the eardrum, as described above. Ear wax (cerumen) is a normal bodily secretion, which protects the ear canal skin from infections like swimmer's ear.
Ear wax rarely causes hearing loss by itself, especially if it has not been packed in with a cotton tipped applicator. In the past, one approach to recurrent ear infections was prophylactic (preventative) antibiotics. For children who have more than 5 or 6 ear infections in a year, many ENT doctors recommend placement of ear tubes (see below) to reduce the need for antibiotics, and prevent the temporary hearing loss and ear pain that goes along with infections. For children who have persistent middle ear fluid for more than a few months, most ENT doctors will recommend ear tubes (see below).
It is important to remember that the tube does not "fix" the underlying problem (immature Eustachian tube function and poor ear ventilation).
Adenoidectomy adds a small amount of time and risk to the surgery, and like all operations, should not be done unless there is a good reason. In this case, though, the ventilation tube serves to drain the infected fluid out of the ear.


The most common problem after tube placement is persistent drainage of liquid from the ear. In rare cases, the hole in the eardrum will not close as expected after the tube comes out (persistent perforation). I see my patients with tubes around 3 weeks after surgery, and then every three months until the tubes fall out and the ears are fully healed and healthy.
If a child has a draining ear for more than 3-4 days, I ask that he or she be brought into the office for an examination. Once the tube is out and the hole in the eardrum has closed, the child is once again dependant on his or her own natural ear ventilation to prevent ear infections and the accumulation of fluid. About 10-15% of children will need a second set of tubes, and a smaller number will need a third set. Children who have ear tubes in place and who swim more than a foot or so under water should wear ear plugs.
Deep diving (more than 3-4 feet underwater) should not be done even with ear plugs while pressure equalizing tubes are in place. We have compiled the following information to help you and your loved ones understand the importance of otolaryngology services in all of our lives and provide you with some answers to your ears, nose, and throat related questions. The most common causes of sinus inflammation (sinusitis) are irritants, allergens, and the common cold.
While most cases of sinusitis will resolve with rest and at-home treatment, you should make an appointment with one of our ear, nose, and throat doctors if you’ve been sick for three or more days, have a fever with your symptoms, or have a history of frequent sinus infections.
Stuffy NoseA stuffy nose isn’t usually cause for alarm, but sometimes it can indicate an underlying illness. Sinusitis TreatmentsWhether you’re suffering from an acute sinus infection or chronic sinusitis, our certified head and neck doctors can help you find relief. Lost Sense of SmellA loss of smell that persists for more than a few weeks may indicate a chronic infection, a structural problem, or even a nasal tumor.


The best treatment option is a microscopic ear examination and clearance of all the debri in the ear canal followed by the application of an appropriate anti-biotic or anti-fungal cream in addition to the use of appropriate ear drops. Reconstructive middle ear surgery or Tympanoplasty is advised in patients with a ear drum perforation with intact cochlea function.
However, patients with cholesteatoma need surgery to convert an unsafe ear to a safe ear to prevent intra-cranial complications. If maximal medical therapy fails, a ventilation tube or gromet tube is inserted into the ear drum.
Adhesive Otitis Media is more difficult to treat as the eustachian tube is not functioning well. If the ossicles are not damaged, the end result is usually good should the cochlea not be damaged. Our goal is to provide you with the best possible ears, nose, throat, and hearing services based upon your individual needs.
Any one of these can attack our sinus membranes, causing them to swell and trap mucus in the sinus cavity. If you have a fever or nasal discharge that doesn’t improve within three days, please contact any of our locations to schedule an appointment.
Perhaps, the most distressing is the sense of detachment created by increased difficulty of communication that is often experienced in one's closest personal relationships.



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01.08.2014 admin



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