Ear Tubes: Concerns and Long-Term Effects

Q: Ear Tubes: Concerns and Long-Term Effects

Hello, regarding your inquiry： The purpose of the ear tube you had placed was to drain fluid from the middle ear. <br>Typically, it will fall out on its own within about 6 to 12 months. <br>If it does not fall out and is not affecting your hearing or causing persistent discharge,

Eustachian tube

Hello Doctor: I have had an extra tube in my ear since childhood, and occasionally there is a discharge that has a foul smell, sometimes it is solid.
I am concerned that if this is not addressed over time, could it lead to serious consequences?

Xiao Xiao, 20~29 year old female. Ask Date: 2002/07/02

Dr. Xu Jiazhen reply Otolaryngology

Hello, regarding your inquiry: The purpose of the ear tube you had placed was to drain fluid from the middle ear.
Typically, it will fall out on its own within about 6 to 12 months.
If it does not fall out and is not affecting your hearing or causing persistent discharge, it is generally okay to leave it alone.
However, if you are very concerned, my recommendation is to come to the clinic to see if it is necessary to remove it.

Reply Date: 2002/07/02

More Info

Hello! Thank you for your question regarding ear tubes and the concerns you have about their long-term effects. It’s understandable to be worried about any medical condition, especially one that has persisted since childhood. Let’s break down your concerns and provide some clarity on the matter.

Ear tubes, also known as tympanostomy tubes, are small tubes inserted into the eardrum to allow air to enter the middle ear and prevent the accumulation of fluids behind the eardrum. They are commonly used in children who experience recurrent ear infections or persistent fluid in the middle ear, a condition known as otitis media with effusion. The primary purpose of ear tubes is to alleviate pressure, reduce the frequency of infections, and improve hearing.

1. Concerns About Discharge: The discharge you mentioned, which sometimes has an unpleasant odor, could be a sign of an infection or a buildup of fluid in the ear. It’s essential to monitor this discharge closely. If it is persistent, increasing in volume, or accompanied by pain, fever, or hearing loss, it is crucial to consult an ear, nose, and throat (ENT) specialist. They can assess whether the discharge is due to an infection or if the ear tubes are functioning correctly.

2. Long-Term Effects: Generally, ear tubes are considered safe and effective for treating ear-related issues. Most tubes fall out on their own within 6 to 12 months, and many children do not experience any long-term complications. However, there are potential risks associated with ear tubes, including:
- Persistent Ear Drainage: Some individuals may experience ongoing drainage from the ear even after the tubes have been removed.

- Scarring: The insertion of tubes can sometimes lead to scarring of the eardrum, which may affect hearing.

- Recurrent Infections: In some cases, the presence of tubes can lead to recurrent ear infections, although this is less common.

3. Potential Serious Consequences: If left untreated, chronic ear infections or fluid buildup can lead to more severe complications, such as:
- Hearing Loss: Prolonged fluid in the middle ear can lead to temporary or, in rare cases, permanent hearing loss.

- Eardrum Perforation: Chronic infections can cause the eardrum to rupture, leading to further complications.

- Cholesteatoma: This is a growth of skin cells in the middle ear that can occur due to chronic ear infections and may require surgical intervention.

4. Recommendations: Given your history of having ear tubes and the symptoms you described, it is advisable to schedule a follow-up appointment with an ENT specialist. They can perform a thorough examination, possibly including a hearing test, to assess the current state of your ears and the function of the tubes. They will also be able to determine if any treatment is necessary, such as cleaning the ear or prescribing antibiotics if an infection is present.

In conclusion, while ear tubes can be beneficial in managing ear-related issues, it is essential to monitor any symptoms closely and seek medical advice when necessary. Regular check-ups with an ENT specialist can help ensure that any potential complications are addressed promptly, allowing you to maintain good ear health and hearing function. Thank you for your inquiry, and I hope this information helps alleviate some of your concerns!

Similar Q&A

Long-Term Eustachian Tube Dysfunction: Impact on Hearing and Symptoms

Several years ago, I went to the hospital for a hearing test, and the doctor diagnosed me with Eustachian tube dysfunction. After taking the prescribed medication, there was no improvement. The doctor suggested creating a small hole in my eardrum, but I was afraid and decided aga...

Dr. Li Jiaxuan reply Otolaryngology
It is recommended to visit an otolaryngology clinic to measure ear pressure and hearing. Wishing you good health.

Understanding Eustachian Tube Dysfunction and Its Impact on Ear Health

Hello Doctor, thank you for your response. Actually, I know that the feeling of fullness in my ears is due to my excessive muscle tension when I get anxious. Whenever I feel tense, my ears feel very blocked. Although I often tell myself not to be too tense, it's hard to chan...

Dr. Zheng Jueyi reply Otolaryngology
Hello: 1. Long-term dysfunction of the Eustachian tube can lead to negative pressure in the ear, potentially resulting in otitis media or middle ear effusion, but this typically occurs only after prolonged issues. 2. Chronic Eustachian tube dysfunction leading to middle ear effus...

Does Eustachian Tube Dysfunction Affect Hearing Loss?

Dr. Zheng, does the patency of the Eustachian tube affect hearing or lead to hearing loss?

Dr. Zheng Jueyi reply Otolaryngology
Hello: Eustachian tube dysfunction typically does not directly affect hearing, unless it leads to middle ear effusion or infection, which can cause persistent hearing deterioration. Wishing you peace and good health. Sincerely, Dr. Jue-Yi Cheng, Director of the Department of Otol...

Understanding Ear Problems: Eustachian Tube Dysfunction and Tinnitus

1. Due to the left ear's Eustachian tube dysfunction persisting for over a year, the physician recommended the placement of a ventilation tube. However, there is a possibility of developing tinnitus as a long-term side effect. Is it true that tinnitus can occur? 2. For the ...

Dr. Zheng Jueyi reply Otolaryngology
Hello, 1. Eustachian tube dysfunction can indeed lead to tinnitus. The use of a ventilation tube may improve symptoms for some individuals, but due to the multifactorial nature of tinnitus, it is also possible that tinnitus may persist even after surgery. 2. You may want to c...