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Ear Tubes

| Raymond J. Brown, MD | Ear & Hearing | Reviewed Mar 2026

Ear tube placement is the most common pediatric surgical procedure in the United States, with over a million procedures performed each year. These tiny tubes — placed in the eardrum — provide ventilation to the middle ear and help prevent the buildup of fluid that leads to recurring infections.

Who Needs Ear Tubes?

Ear tubes are most commonly recommended for children who experience:

  • Three or more ear infections within six months, or four or more in a year
  • Persistent fluid in the middle ear lasting three months or longer, especially with associated hearing loss
  • Hearing difficulties that may be affecting speech or language development

Adults can benefit from ear tubes as well, particularly those with eustachian tube dysfunction caused by allergies, chronic sinus problems, or anatomical issues.

How the Procedure Works

The procedure itself takes about 10 minutes. For children, a brief general anesthesia is used — just long enough to place the tubes. Adults may have the option of local anesthesia. During the procedure, your ENT surgeon makes a tiny opening in the eardrum, removes any trapped fluid, and inserts the tube. There are no external incisions and no visible scarring.

What to Expect After

Most patients notice an immediate improvement in hearing. Short-term tubes (the most common type) are designed to stay in place for 12 to 18 months before falling out naturally on their own. Long-term tubes, sometimes recommended for patients who need multiple sets, can remain in place for two to four years.

Routine swimming in clean water is generally safe without ear protection for most patients. Your ENT doctor will provide specific guidance based on your situation.

If your child is dealing with frequent ear infections or you're concerned about hearing, our specialists can evaluate whether ear tubes are the right solution. Ear tube placement is covered by most major insurance plans.

This article is for educational purposes only and does not replace an in-person evaluation. Every patient is unique — schedule a consultation to discuss your specific symptoms and treatment options.

Raymond J. Brown, MD

Dr. Brown is a board-certified ENT specialist who provides comprehensive care for patients of all ages. He has a special interest in treating nasal and sinus disorders, as well as obstructive sleep apnea. He was honored by his peers as a 2024 and 2025 Austin Top Doctor for his commitment to excellence in ENT care.

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