Our Summary
This study looked at patients who were getting surgery for chronic ear disease. They used a type of scan called a Valsalva computed tomography (CT) before the surgery, and during the surgery, they tried to look at a specific part of the Eustachian tube (which connects the middle ear to the back of the nose) to see if it was blocked. They compared this to the same part of the Eustachian tube in 19 cadaver ears.
The results showed that before the surgery, in 51 out of 53 ears, the far end of the Eustachian tube was open. During the surgery, they could see this specific part of the Eustachian tube in 31 out of 53 ears, and out of these, 21 ears had a blockage.
The conclusion was that in people getting surgery for chronic ear disease, it was more likely that this part of the Eustachian tube was blocked compared to the cadaver ears. But the likelihood of a blockage in the far end of the Eustachian tube was the same in patients and the cadavers.
FAQs
- What is the purpose of a Valsalva computed tomography (CT) scan before ear tube surgery?
- What were the results of the study regarding blockages in the Eustachian tube?
- How does the study compare the condition of the Eustachian tube in patients undergoing surgery with that of cadaver ears?
Doctor’s Tip
A doctor might tell a patient that ear tube surgery is a common and relatively safe procedure that can help alleviate symptoms of chronic ear disease. They may also explain that the surgery involves placing a small tube in the eardrum to help ventilate the middle ear and prevent fluid buildup. It is important for the patient to follow post-operative care instructions, such as keeping the ears dry and avoiding activities that may increase the risk of infection. The doctor may also discuss the potential risks and benefits of the surgery and answer any questions the patient may have.
Suitable For
Patients who are typically recommended ear tube surgery include those who have chronic ear disease, recurrent ear infections, fluid buildup in the middle ear that does not go away on its own, hearing loss due to fluid buildup, and frequent ear infections that do not respond to other treatments. These patients may benefit from ear tube surgery to help drain fluid from the middle ear and prevent future infections. Additionally, patients with Eustachian tube dysfunction, which can lead to fluid buildup and ear infections, may also be recommended for ear tube surgery.
Timeline
Before ear tube surgery, a patient may experience chronic ear infections, fluid buildup in the middle ear, hearing loss, and frequent ear pain. They may also have difficulty equalizing pressure in the ear, leading to discomfort during activities such as flying or scuba diving.
During ear tube surgery, the patient will undergo general anesthesia. The surgeon will make a small incision in the eardrum and insert a tiny tube to help ventilate the middle ear and prevent fluid buildup. The procedure usually takes about 15-20 minutes and is typically done as an outpatient procedure.
After ear tube surgery, the patient may experience temporary drainage from the ear, mild discomfort, and improved hearing. They may also notice a decrease in the frequency and severity of ear infections. The tubes will eventually fall out on their own, usually within 6-12 months, and the eardrum will heal without scarring. If necessary, additional ear tube surgery may be performed in the future.
What to Ask Your Doctor
- What is the purpose of ear tube surgery?
- What are the potential risks and complications associated with ear tube surgery?
- How will the surgery be performed and what can I expect during the procedure?
- How long is the recovery process after ear tube surgery?
- Will I experience any pain or discomfort after the surgery, and what can I do to manage it?
- How long will the ear tubes stay in place and will they need to be replaced in the future?
- What are the potential long-term effects of having ear tubes?
- Are there any restrictions or precautions I should take after the surgery?
- How will ear tube surgery improve my condition and overall ear health?
- Are there any alternative treatments or options to consider before proceeding with ear tube surgery?
Reference
Authors: Tarabichi M, Najmi M. Journal: Laryngoscope. 2015 Nov;125(11):2572-5. doi: 10.1002/lary.25330. Epub 2015 May 9. PMID: 25958818