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Tympanostomy Tubes

Kris Jatana, MD and Ann Dietrich, MD
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17:52
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Tag ENT

Ann and Kris discuss the indications for tympanostomy tube placement, complications of tympanostomy tube placement and treatment of ear drainage following tube placement.

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Paul H. -

Can the presence of fluid in the middle ear space, over time, lead to irreversible hearing loss not resolved by PET placement?

Solomon B., MD -

Hi Paul- thanks for your question- here is what Dr Jatana had to say:
"The presence of chronic middle ear fluid (serous to mucoid), does not cause permenant sensorineural hearing loss (inner ear), but rather a reversible conductive hearing loss (middle ear), that may range from 10-25 dB that improves after drainage and tympanostomy tube placement. If fluid doesn't clear by 3 months, it is likely to viscous/thick to get out through the eustachian tube. Certainly recurrent acute infections within the middle ear (purulent effusions that cause inflammation of tympanic membrane and middle ear) in some circumstances cause adhesions and stiffening of hearing bones that contributes to an additional conductive type hearing loss."

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