If fluid accumulation in the ear does not respond to treatments, your doctor may need to perform surgical treatment to remove fluid from the middle ear, that is, insert a tube.

In patients with recurrent acute otitis media, middle ear fluids that do not heal themselves or with medical treatment, eardrum collapses, barotrauma during flight or diving, in patients with down syndrome, such as cleft palate or eustachian tube, the insertion of small tubes into a hole in the eardrum is called tubulation.Thanks to this procedure, the accumulation of fluid in the middle ear is prevented and both the hearing status of the child is improved and long-term problems related to this fluid accumulation are prevented.

In this process, microsurgical techniques are advanced and the liquid in the middle ear is pulled out of the hole through a vacuum in the scratched eardrum.Then, by means of special instruments, the tube is placed with one end on the outer ear and the other end on the middle ear. There can be no external changes to the person’s ear after this procedure. There is no need to make an incision in the skin in this operation performed under general anesthesia.

The ear tube usually remains in the eardrum for 6-12 months. It then falls into the ear canal spontaneously and the hole closes in the eardrum in which the tube is inserted.

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