The Common Struggle of Child Ear Infections

According to the American Academy of Pediatrics, nearly five out of every six children will have at least one ear infection before their third birthday. For many families, ear infections are a familiar and frustrating part of early childhood.

When ear infections become chronic, they can affect more than just a child’s comfort. Recurring infections or persistent fluid buildup in the middle ear can lead to:

• Temporary hearing loss or muffled hearing
• Delayed speech and language development
• Difficulty focusing or following instructions
• Interrupted sleep or increased irritability
• More frequent visits to the doctor and use of antibiotics

These struggles often leave parents asking why some children seem more prone to ear infections than others and whether family history might play a role.

 

Is Needing Ear Tubes Genetic?

It often can be. Research suggests that some children may be more likely to develop chronic ear infections due to inherited traits. In a study involving over 1,200 children, researchers found clear genetic links between chronic middle ear infections and certain regions of DNA. These genes affect how the immune system responds to infection, how inflammation is controlled and how efficiently the Eustachian tube drains fluid from the middle ear.

When it comes to the question “Are needing ear tubes hereditary?” a yes answer isn’t guaranteed, but genetics can point parents toward better understanding. Understanding the genetic link can offer reassurance and help parents focus on what their child may need next.

 

What Does This Mean for Parents?

If you or your partner had ear tubes or frequent ear infections as children, your child may have a higher risk of facing something similar. It doesn’t mean problems are guaranteed, but inherited differences in immune response or Eustachian tube function can create a predisposition.

Being aware of this possibility can help you recognize early signs and have more informed conversations with your pediatrician or ENT specialist, especially when it comes to newer treatment options like the Hummingbird TTS.

 

Environmental Factors That Could Play a Role

While genetics can increase a child’s risk of developing ear infections, everyday environmental factors can also have their own impact. Understanding these can help parents take small, proactive steps that may reduce the frequency or severity of infections.

• Daycare and group settings expose children to more viruses, especially during cold and flu season. These upper respiratory infections can lead to inflammation and fluid buildup in the middle ear.
• Bottle-feeding while lying down is linked to a higher risk of ear infections. According to pediatric guidance from Children’s Minnesota, feeding a baby on their back can allow liquid to move toward the Eustachian tube, creating a more bacteria-friendly environment.
• Secondhand smoke irritates the lining of the nose and throat, which can impair the natural function of the Eustachian tube and increase inflammation.
• Allergies and frequent colds may also cause swelling that blocks normal drainage pathways in the ear.

Even if ear infections seem unavoidable, understanding and addressing these factors can help reduce their frequency, especially in children who may already be genetically predisposed.

 

Other Signs Your Child Might Need Ear Tubes

Ear infections are common in young children, but when they happen frequently or come with lingering symptoms, it’s likely time to consider ear tubes. Chronic ear issues can interfere with hearing and development, making everyday life more difficult for both children and parents.

Watch for signs like:

• Ear infections that persist even after taking antibiotics
• Hearing difficulties or noticeable speech delays, including trouble learning words or responding to familiar sounds
• Ongoing irritability, ear tugging or restless sleep
• Unsteady movements or trouble with balance, which can sometimes result from fluid buildup affecting the inner ear

If these symptoms are showing up consistently, your pediatrician or ENT specialist may recommend ear tubes to provide relief and reduce the risk of future infections.

 

How Ear Tubes Can Help

Tympanostomy tubes create a small opening in the eardrum that allows air to flow in and fluid to drain out. This helps prevent pressure buildup and reduces the risk of future infections.

Doctors often recommend tubes when a child:

• Has had three or more ear infections in six months, or four or more in one year
• Has fluid trapped in the middle ear for more than three months
• Shows signs of hearing loss or speech delays due to fluid

Tubes can improve hearing and ease the frustration that often comes with untreated fluid, allowing children to move forward with fewer obstacles.

 

Trying an Ear Tube Alternative

The Hummingbird® Tympanostomy Tube System (TTS) offers a gentler alternative to traditional ear tube surgery. Instead of going to the operating room and undergoing general anesthesia, eligible children can have tubes placed in a quick, in-office procedure their parents can stay in the room for.

The Hummingbird® is designed to maximize child comfort and parent peace of mind. With fewer logistical hurdles and a faster recovery, it’s a modern solution that minimizes stress while delivering the same benefits as traditional ear tube surgery.

 

Next Steps

With innovations like the Hummingbird® ear tube procedure, parents can feel confident knowing they’ve chosen an option designed to reduce stress and promote better outcomes regardless of genetics.

If you’re interested in taking the next step, we can help find a provider near you.

Tympanostomy tubes, also known as ear tubes, are tiny cylinders placed in the eardrum to help drain fluid and equalize pressure in the middle ear. These tubes are commonly recommended for children who experience frequent ear infections or persistent fluid buildup that affects their hearing. Preceptis Medical’s Hummingbird® system offers a gentle, in-office solution for placing these tubes quickly and effectively.

Ear tubes allow air into the middle ear, which prevents fluid from accumulating behind the eardrum. This helps reduce the risk of infections and improves hearing. The procedure is incredibly common in pediatrics — ear tube surgery is one of the most frequently performed procedures for children in the United States.

 

How Do Ear Tubes Help Improve Hearing in Children?

Ear tubes help clear fluid in the ear to allow your child to hear clearly again. When fluid builds up in the middle ear, it creates a sensation similar to hearing underwater. Sounds become muffled, and speech may be difficult to understand.

Tympanostomy tubes help in several key ways:

• They allow air to flow into the middle ear
• They drain existing fluid
• They help prevent future fluid buildup

This restores the normal movement of the eardrum, which is essential for accurate sound transmission.

The result can be almost immediate. As Dr. Liu of Cedars-Sinai notes, “The child is feeling and hearing better within minutes” after the procedure.

 

Do Ear Tubes Make Hearing More Sensitive?

Initially, yes, but that’s only because your child will be getting used to hearing “normally” again. Many kids adapt quickly to the restored clarity, but it can feel intense at first, especially if they’ve grown accustomed to muffled hearing.

Ear tubes aren’t amplifying sound, though. They’re simply restoring normal hearing. You may notice your child responding more readily to quieter voices or reacting to sounds they previously ignored. This adjustment period is short and a reassuring sign that the tubes are working!

 

How Soon Does Hearing Improve After Ear Tubes Are Placed?

In many cases, hearing improves the same day the tubes are placed. Once the fluid is drained and the middle ear is ventilated, sound can travel normally through the ear canal and eardrum.

Some parents notice a difference soon after the procedure. They might start responding to voices more quickly, repeating words more clearly or reacting to sounds they hadn’t acknowledged before. For others, it may take a day or two as the fluid continues to drain and inflammation settles.

Here’s a general timeline of how long the muffled hearing lasts after the tubes are placed:

• Day of surgery: Hearing often improves immediately, especially if fluid was causing significant blockage.
• Within 1–2 days: Speech may become clearer, and your child may show greater awareness of their environment.
• Within a week: Most children return to their typical hearing range and communication may noticeably improve.

If hearing hasn’t improved after a week or two, follow up with your ENT to rule out lingering fluid or another issue.

 

What Parents Can Expect After Surgery

After the procedure, your ENT may prescribe antibiotic ear drops to prevent infection. Bath time may also require a little extra care. You’ll want to ask your doctor if earplugs are necessary to keep water out.

Follow-up visits will help ensure that the tubes remain in place and continue working as expected. You can read more about what recovery looks like here.

 

Next Steps

Ear tube placement is a highly effective solution for parents who want to help their child hear clearly. By staying informed and closely following your doctor’s advice, you can help ensure a smooth, comfortable recovery.

With advancements like the Hummingbird ear tube procedure, parents can feel confident knowing they’ve chosen an option designed to minimize postoperative concerns and deliver lasting results.

If you’re ready to take the next step, we can help you find a provider near you.

The Connection Between Ear Infections, Fluid and Delayed Speech

Children learn to speak by hearing the world around them. But when chronic fluid builds up in the middle ear — a condition known as otitis media with effusion — sounds become muffled. According to the American Academy of Otolaryngology, this fluid can prevent a child’s ear from effectively transmitting sound, especially soft, high-frequency sounds that are critical for language development.

In their earliest years, children form connections between sounds and meaning. When that sound input is distorted, it affects how clearly they can hear speech, which in turn can delay how they reproduce those sounds. A child learning to say “ball” or “dog” relies on hearing the initial consonants clearly. Without access to crisp, consistent sound, it’s harder for them to understand the difference between words like “mom,” “bob” and “car.”

 

How Do Ear Tubes Work

Ear tubes, also called tympanostomy tubes, are small cylinders inserted into the eardrum to allow air to enter the middle ear and fluid to drain out. For children who experience frequent ear infections or persistent fluid buildup, tubes can reduce the number of infections and improve hearing clarity.

While traditional tube placement requires general anesthesia and a trip to the operating room, the Hummingbird® system offers an alternative. It allows tubes to be placed in a child-friendly office setting without general anesthesia, helping reduce anxiety for both children and parents while meeting the same clinical goals.

 

Can Eustachian Tube Dysfunction Cause Speech Delay?

Yes, it can. The Eustachian tubes are responsible for equalizing pressure and draining fluid from the middle ear. When they don’t function properly, fluid can accumulate and remain for weeks or months. This chronic blockage interferes with sound transmission and can lead to hearing loss.

A recent review published by the National Institutes of Health emphasized the link between untreated Eustachian tube dysfunction and developmental concerns, including speech delay. The review concluded that in cases where dysfunction causes persistent fluid or hearing issues, medical intervention is often necessary.

The Hummingbird® system is designed to treat middle ear fluid caused by Eustachian tube dysfunction through quick, effective tube placement. Because nobody wants their child feeling constantly confused or in pain.

 

When Should Parents Be Concerned About Speech Delays?

Just like crawling, walking and sitting up, children reach speech and language milestones at different times. Some variation is completely normal. But if your child seems to be significantly behind on speech development, it may be time to talk with your pediatrician.

Common signs to watch for include:

• Your child doesn’t babble using consonants like b, m, d, or n by 9 months
• Your child uses mostly vowel sounds and gestures after 18 months
• Your child’s speech is difficult to understand at age 3
• Your child frequently omits or adds consonants in words at age 3
• Your child is unable to produce most common sounds by age 5 or 6

If you’re noticing these signs, your pediatrician may refer you to an ENT or audiologist. Hearing tests can determine whether fluid is affecting your child’s ability to hear speech sounds clearly. From there, specialists can recommend treatment options, including ear tubes or speech therapy.

 

What You Can Do as a Parent

Early action can make a difference. If you’re worried about your child’s speech, consider tracking their progress month by month. Pediatricians and speech-language pathologists can offer guidance, but you play a key role in creating a supportive environment for language learning.

Simple daily habits can help:

• Read aloud regularly, using picture books with repetition and rhythm
• Narrate daily routines, such as getting dressed or preparing meals
• Respond to your child’s early sounds by repeating and expanding on them

Advocating for your child also matters. If something feels off, ask for an ENT referral. Request a hearing evaluation. Explore speech therapy options if delays continue. You don’t have to wait for things to get worse before seeking answers.

 

How Long After Ear Tubes Will Speech Improve?

Many parents notice a difference in their child’s hearing and speech within a few weeks of tube placement. The American Academy of Otolaryngology notes that improvement can be rapid, especially if fluid buildup was causing a temporary hearing loss.

Each child is different and progress may vary. For children with longer-term delays or additional developmental needs, speech therapy may still be part of the journey. But for many, restoring hearing through ear tubes can help get language learning back on track.

Learn more about how the Hummingbird® Ear Tube System can support speech development by addressing the root cause of chronic ear fluid.

For many parents, the idea of their child undergoing surgery in an operating room is a source of stress and worry. General anesthesia, long recovery times and high costs are common concerns associated with traditional procedures for putting tubes in ears. However, the Hummingbird Tympanostomy Tube System offers a safe, effective alternative: in-office ear tube placement.

 

The Benefits of Avoiding the Operating Room

In-office ear tube placement procedures offer a variety of benefits compared to traditional methods of putting tubes in ears:

• No General Anesthesia. With the Hummingbird, general anesthesia isn’t required. A topical anesthetic ensures the process is comfortable and safe.
• Minimal Recovery Time. Children can return to their normal activities the same day, minimizing disruption to daily life.
• Lower Costs. Depending on insurance, the in-office procedure can significantly reduce out-of-pocket expenses compared to hospital-based surgery due to the lack of anesthesia.

By removing many of the complexities of hospital surgery, in-office treatments can feel less intimidating and more accessible for families.

 

How Do In-Office Ear Tube Placement Procedures Work?

1. In-Office Ear Tube Procedure Preparation

Before the procedure begins, your child is made as comfortable as possible. Depending on their age and comfort level, they’ll either sit in a specialized chair or lie on an exam table. Young children may be swaddled to help keep them still. A topical numbing agent is applied to the eardrum and care staff will gently cradle your child’s head during wax removal and ear tube placement.

2. Ear Wax Removal

Once your child is comfortable, the physician will remove ear wax to ensure good access to the eardrum. Using tools like a microscope, the physician ensures precise visualization of the eardrum, allowing for the most accurate and safe placement of the ear tube.

3. Incision and Tube Placement

The procedure itself is remarkably quick. The physician makes an incision in the eardrum — called a myringotomy — and places the ear tube using a specialized device. If there is fluid trapped in the middle ear, it is sometimes gently suctioned out to relieve pressure.

4. Post-Procedure Care

After the tubes are placed, your child will be monitored briefly to ensure they’re feeling comfortable. Children are able to leave the office shortly after treatment, with no need for prolonged recovery and they can resume their favorite activities on the same day.

Parents will receive easy-to-follow care instructions, such as keeping the ears dry during bathing or swimming and watching for any signs of infection.

 

Are In-Office Ear Tubes Right for Your Child?

The Hummingbird Tympanostomy Tube System is a revolutionary option for families considering ear tube placement. Unlike traditional surgeries that require hospital visits, general anesthesia and long recovery times, this in-office ear tube procedure is quick, minimally invasive and designed with your child’s comfort in mind.

With a less stressful process and a faster recovery, parents can feel confident choosing this innovative alternative for their child’s care.

Find an ENT offering the Hummingbird Procedure near you by filling out our Find a Location form.

As a parent, hearing that your child may need ear tube surgery can bring many questions and concerns. You likely want to know exactly what to expect and how to help your child through the process — exactly the sort of information you’ll find in this article.

 

Why Do Kids Get So Many Ear Infections?

Children’s ears are more susceptible to infections due to their anatomy. Their Eustachian tubes — which help drain fluid from the middle ear — are smaller and more horizontal than those found in adults. When children catch colds or experience allergies, these tubes easily become blocked, which leads to fluid buildup behind the eardrum. The stagnant fluid becomes a breeding ground for bacteria, causing painful ear infections.

If a child shows signs of chronic ear infections, interventional treatments — like ear tubes — are usually the fastest route to relief.

 

Signs It’s Time to Consider Ear Tubes for Your Child

Ear infections are normal for all children to experience — until they become chronic. Signs that it may be time to consider surgical intervention for your child include:

• Multiple infections within a short period, such as three or more in six months
• Fluid that lingers in the ear even after an infection clears
• Symptoms like difficulty hearing, delayed speech development or problems with balance

If these signs are present, an ENT (ear, nose, and throat specialist) may recommend ear tubes to help prevent further infections and improve your child’s hearing.

 

The Ear Tube Procedure: What to Expect as a Parent

 

Before Surgery

The first step is scheduling a consultation with an ENT to assess your child’s condition. Preparing your child for surgery may seem daunting, but it’s made easier by explaining what will happen in a calm, reassuring way and giving them the chance to ask the doctor questions. Depending on your doctor’s recommendation, your child may need anesthesia — either general or local — to keep them comfortable during the procedure.

If the procedure is being done in an operating room, a preoperative visit is required to review anesthesia and surgical details. During this visit, the doctor will go over what to expect on the day of surgery, answer any questions, and ensure your child is ready for the OR setting.

Traditional ear tube surgery in an operating room is the most widely-used option, but it’s not the only one. For many parents and ENTs, the Hummingbird procedure is preferable due to the quickness, lack of general anesthesia and the ability for parents to be present throughout the procedure.

 

During Surgery

The traditional ear tube procedure in an operating room itself is quite short. If general anesthesia is used, it’s applied through a mask in the procedure room.

With Hummingbird, your child is awake and no general anesthesia is used. In many cases, parents can be present during the procedure to provide emotional support. Distractions like a favorite toy or soothing music can help them stay calm during the procedure.

 

How Long Does Ear Tube Surgery Take?

Traditional ear tube surgeries take about 10 to 15 minutes, but the time in the hospital is much longer because of preoperative preparation and post-operative recovery from anesthesia. With alternative methods like the Hummingbird Tympanostomy Tube System, the entire process can be completed within minutes. This alternative helps the experience become much easier to manage for both parents and children.

Interested in learning more about the Hummingbird procedure? Check out answers to commonly asked questions about the procedure or find a provider near you.

 

Immediately After Surgery

If your child undergoes the traditional OR-based ear tube procedure, they will be monitored in the post-anesthesia care unit for 30–60 minutes or longer, depending on recovery. Parents will need to keep an eye on them for the remainder of the day, following the doctor’s guidance.

With the Hummingbird office-based procedure, recovery happens within minutes right in the office, and your child can resume regular activities almost immediately.

 

What Changes After Surgery?

After ear tube surgery, most children experience immediate relief from the symptoms of chronic ear infections. Improved hearing often follows shortly after, leading to better speech development and fewer frustrations both at home and in school. Follow-up appointments with the ENT will monitor how the tubes are functioning and how your child is adapting to them.

While side effects are rare, it’s important to keep a close eye on your child for the immediate days after ear tube surgery. Watch for side effects like persistent ear drainage, bleeding, fever or discomfort — these may indicate infection or complications and should be reported to your child’s doctor.

 

Is Ear Tube Surgery Right for Your Child?

Parents often worry about the risks and benefits of ear tube surgery — which is totally reasonable! Here are some key advantages to consider:

• Drastically decreased risk of infection. With ear tubes in place, the risk of future infections drops significantly.
• Better Hearing and Development. Improved hearing means your child can focus on learning, especially in developmentally critical areas like speech and language.
• Less Use of Antibiotics. Fewer ear infections mean less need for antibiotics, helping your family avoid overuse and any potential side effects.

 

Are Hummingbird Ear Tubes Right for Our Family?

For parents seeking a fast and minimally invasive solution, the Hummingbird Ear Tube Procedure is an appealing option. It’s FDA-cleared, involves no general anesthesia and takes only a few minutes. These features make it a safe and convenient choice for many families.

 

Finding Relief for Your Child

Making decisions about your child’s health can feel overwhelming, but ear tube surgery offers the promise of relief — for you and your child. Procedures like the Hummingbird further simplify the process, offering a faster, easier path to recovery.

The best first step is to talk to your child’s ENT specialist to explore your options and make an informed choice for your family. With the right support, you can confidently navigate this process and help your child move toward a healthier, happier life!

How to Identify Eustachian Tube Dysfunction

Eustachian Tube Dysfunction (ETD) occurs when the eustachian tube — connecting the middle ear to the back of the nose and throat — stops functioning properly. The most common causes of ETD in children are upper respiratory infections, allergies and sinus infections. All these ailments lead to inflammation, which in turn leads to blockage of the tube.

In children, untreated Eustachian Tube Dysfunction can cause significant disruptions in daily activities, making it important to address early signs and seek out appropriate treatment — like ear tubes.

 

What Can Be Mistaken for Eustachian Tube Dysfunction?

Because Eustachian Tube Dysfunction causes pain and impacts both hearing and balance, it can sometimes be confused with other conditions that have similar symptoms. If your child seems to be struggling with ear-related issues, consider a full evaluation to rule out other possibilities.

Common conditions that can be mistaken for ETD include:

• Ear infections (otitis media or otitis externa): Both types of infections cause pain, pressure and hearing changes. While ETD can lead to infections, an infection on its own may be the root cause of your child’s symptoms.
  Wax buildup: A blockage in the ear canal can interfere with hearing and make children seem less responsive, which sometimes mimics the effects of ETD.
• Allergies or sinus congestion: Nasal inflammation can cause pressure in the head and ears, leading to discomfort or popping sensations. These symptoms may appear similar to ETD but stem from different sources.
• Temporomandibular joint (TMJ) issues: Pain or pressure near the jaw can sometimes feel like ear discomfort. Children with TMJ dysfunction may complain of ear pain without showing signs of ETD.
• Speech or developmental delays: If your child isn’t responding to sounds or appears to have difficulty communicating, it can sometimes be due to hearing issues unrelated to the eustachian tube.

If you’re unsure what’s behind your child’s symptoms, a pediatric ENT can help sort through the possibilities. A careful exam and hearing test can provide clarity and help guide your whole family toward lasting relief.

 

Understanding Eustachian Tube Dysfunction

The eustachian tube plays a crucial role in maintaining ear health by regulating air pressure and draining fluid from the middle ear. Because children have shorter, more horizontal eustachian tubes, they’re more vulnerable to dysfunction.

Symptoms parents should watch for include:

• Ear pain or discomfort
• Frequent ear infections
• Temporary hearing loss
• Balance issues or dizziness

Children with ETD may also struggle with delayed responses or seem distracted due to reduced hearing.

 

The Impact of Eustachian Tube Dysfunction on Children

The effects of ETD on children can be substantial causing discomfort, trouble hearing and difficulty concentrating in school. Social interactions can also be affected as children struggle to hear properly, leading to frustration or withdrawal.

Left unaddressed, problems like these can add up — both physically and emotionally. The long-term risks of ETD include chronic ear infections, potential long term hearing loss and speech development delays.

 

What is the Best Way to Fix Eustachian Tube Dysfunction?

How ETD is addressed depends on the severity of the conditions. In mild cases, non-surgical treatments are a good place to start: nasal sprays, decongestants and monitoring to see if the condition clears up without intervention. This approach is usually recommended by doctors in cases where the ETD appears to be temporary and caused by a cold or seasonal allergies.

In persistent cases, surgical options may be necessary — procedures like myringotomy and ear tube insertion are often effective in relieving symptoms long term. Once ear tubes are inserted, they help to prevent fluid build up and regulate pressure within the ear to both provide relief and reduce the risk of future infections.

 

Will Ear Tubes Help Eustachian Tube Dysfunction?

Yes, they will help — ear tubes are a frequent solution for persistent Eustachian Tube Dysfunction in children thanks to the simple, effective way they’re able to restore proper ear function.

One alternative to traditional ear tubes for ETD is the Hummingbird Ear Tube System, which stands out from traditional ear tubes due to being minimally invasive, having a quicker recovery time and providing improved comfort for children. Tubes are inserted with a special device that eliminates the need for surgery under general anesthesia, making the procedure less stressful for both kids and their parents.

If your child is experiencing symptoms of Eustachian Tube Dysfunction, consult with a pediatric ENT to determine whether Hummingbird Ear Tubes could be the right solution.

 

Make Ear Tubes the Solution for Eustachian Tube Dysfunction

Addressing Eustachian Tube Dysfunction in children is crucial for their overall well-being — early intervention with ear tubes can prevent long-term complications and improve your child’s quality of life.

Hummingbird Ear Tubes provide a safe and effective solution to this problem. Parents should feel encouraged to explore this option to ensure their child can hear, play and learn without the challenges of ETD.

Ear tube placement is one of the most common procedures performed on children. As a parent, you might have concerns about what happens after the procedure — and for good reason! Being prepared is the easiest way to ensure an ear tube surgery recovery that’s swift, safe and seamless.

In this guide, we’ll walk you through what to expect in the days, weeks and months following ear tube surgery — offering needed info and peace of mind every step of the way.

 

Post-Surgery Appointments and Timeline

Your child’s recovery journey begins with a series of post-surgery appointments, starting with the first follow-up that’s typically scheduled within 2-4 weeks of the procedure. During this visit, the doctor will examine the ear tubes to monitor healing and ensure they’re correctly placed.

Following this, expect periodic follow-up visits over the next few months. At the first follow-up, your child may also undergo an evaluation to assess how ear behavior and hearing changes after tube placement. The timing of these appointments will depend on your ENT but you can expect to stay in direct contact with them both before and after the procedure to make sure things are progressing as intended.

How Long Does It Take for a Child to Recover from Ear Tube Surgery?

In most cases, children bounce back quickly from ear tube surgery! With traditional ear tube placement, kids need to be observed by parents for 12-24 hours post-procedure due to the use of general anesthesia. With Hummingbird, kids can return to regular activities as soon as the procedure is complete, though some might need a day or two to adjust to any changes in their hearing or balance.

While each child is different, the minimally invasive nature of the Hummingbird procedure allows for a faster, more comfortable recovery compared to traditional methods.

 

Monitoring for Complications

While ear tube surgery is generally safe, it’s essential to stay vigilant for potential complications:

• Signs of Infection: If you notice redness, swelling, drainage from the ear or persistent pain — contact your doctor.
• Ear Drainage: Some drainage after surgery is normal, but if it continues for more than a few days or looks unusual — consult your ENT.
• Ear Tube Displacement: It’s rare for tubes to fall out prematurely, but if this happens, contact your ENT for next steps.

 

What Are the Behavioral Changes After Ear Tubes?

Many parents notice positive behavioral changes in their children after ear tube surgery. These improvements often stem from relief of chronic ear discomfort and enhanced hearing. While every child is unique, here are common behavioral shifts we’ve seen observed post-procedure:

• Increased Happiness and Reduced Irritability: Children who previously experienced frequent ear infections may become noticeably happier and less irritable after surgery. Relief from persistent pain and pressure can lead to a more content demeanor. Parents often describe their child as being “a different kid” post-surgery.
• Enhanced Speech and Language Development: Improved hearing can accelerate speech development. Children may start babbling more and show increased interest in communication. This change is especially notable in toddlers who had delayed speech due to their hearing issues.
• Better Sleep Patterns: Chronic ear discomfort can disrupt sleep. Post-surgery, many children experience more restful nights, leading to better moods and behavior during the day.
• Improved Balance and Coordination: Fluid buildup in the middle ear can affect balance. After tube placement, children often show better coordination and become more confident in physical activities.

It’s important to note that while many children experience these positive changes, the degree and timing can vary. Some improvements may be immediate, while others develop over weeks. Regular follow-ups with your child’s ENT specialist can help monitor progress and address any potential concerns as they arise.

 

Longevity of the Ear Tubes

Most ear tubes remain in place for 6 to 18 months, depending on the type. Eventually, they will fall out on their own. This process is natural and the ear will usually heal without intervention. In rare cases, surgical removal may be required if a tube doesn’t fall out on its own.

What Should I Do if My Child’s Ear Tubes Fall Out Early?

If a tube falls out earlier than expected, don’t panic. All you need to do is contact your child’s ENT to determine if another set of tubes might be necessary. Often your child won’t need them. In cases where infections return, that might change — but your ENT will be able to work with you throughout the process.

 

Water Precautions and Ear Care

After ear tube surgery, your child’s ears will need some extra care, particularly when it comes to water:

• Cleaning Tips: Keep the ears as dry and clean as possible. Your child’s ENT will provide specific advice on necessary precautions and how to do this safely.
• Doctor’s Recommendations: Always follow your doctor’s guidance about water exposure. For more detailed information, check out our post on swimming with ear tubes.

Will My Child Need to Avoid Swimming or Water Activities After Surgery?

Swimming with ear tubes is generally safe, and children can enjoy water activities with minimal precautions. While it was once common to recommend the use of earplugs or special headbands, recent studies show that these measures aren’t always necessary.

For most children, normal swimming and water play don’t increase the risk of infection. If you’d like to be extra cautious, however, consider ear protection in the water if your child meets any of the following criteria:

• Older children who may be more active in the water, especially when submerging the head
• Children who experience pain or discomfort when water enters the ear canal
• Children that swim in lakes or non-chlorinated pools that may have high bacteria concentrations

For more information about swimming with ear tubes, check out our blog: Swimming with Ear Tubes — A Helpful Guide for Parents.

 

Medication Management

After surgery, your child may be prescribed antibiotic ear drops to prevent infection. These drops are easy to use and highly effective. In some cases, depending on the child’s needs and doctor’s preference, oral antibiotics may also be recommended. Over-the-counter pain relievers like acetaminophen can help manage discomfort — however, it’s recommended to always consult your provider before giving any medication.

 

Activity Restrictions and Guidelines

Children can immediately return to normal activities after the Hummingbird procedure. While recovery is swift, allowing your child to rest for a day post-surgery can help ensure a smoother transition back to normal activities, helping them feel their best quickly.

 

Long-Term Care and Monitoring

Maintaining regular ENT visits is essential, even if everything seems fine. These check-ups will monitor your child’s ear health — including hearing and speech development — as the tubes do their job. Although ear infections should be less frequent after surgery, stay alert to any recurring signs — pain, trouble hearing and ear leakage are all worth noting to your ENT during recovery as they can be a sign of problems with the ear tubes.

 

Individualized Care and Education

Every child’s journey is unique, and your ENT will tailor follow-up care to your child’s needs. Don’t hesitate to ask for resources, whether it’s educational materials from your ENT or support from online communities.

DID YOU KNOW? We have a Resource section dedicated to providing parents with the latest updates, information and guidance regarding ear tube placement.

 

Next steps

Ear tube surgery is a highly effective solution for children with chronic ear infections. By staying informed and closely following your doctor’s advice, you can ensure your child has a smooth, comfortable recovery.

With advancements like the Hummingbird ear tube procedure, parents can feel confident knowing they’ve chosen an option designed to minimize postoperative concerns and provide the best possible outcome for their child.

If you’re interested in taking the next step, we can help find a provider near you.

What Are Chronic Ear Infections?

Ear infections happen when fluid builds up behind the eardrum, leading to inflammation and pain. Chronic infections are diagnosed when a child experiences either a.) three or more infections within six months or b.) four infections within a year. These recurrent infections can cause long-term problems, including hearing difficulties and developmental delays. Chronic ear infections are especially common in young children because of their still-developing immune systems — it’s not unreasonable for parents to be concerned about them.

The Impact of Chronic Ear Infections on Your Child

Chronic ear infections cause significant discomfort and pain for children. Beyond physical discomfort, they can cause more serious impacts on hearing, speech development and balance. If left untreated, repeated infections can:

• Impact a child’s ability to hear clearly, which is essential during critical periods of language development
• Lead to balance issues, as the inner ear plays a crucial role in coordination
• Cause sleep disruptions, increased irritability and missed activities due to ear infections which in turn can take an emotional toll on both child and family.

Treatment Options for Chronic Ear Infections

There are three main options available to parents when it comes to treating chronic ear infections:

• Antibiotics. The traditional approach to treating ear infections often involves antibiotics. Traditionally, ear infections are treated by antibiotics. This works for one-off infections but when they become chronic things become a bit more complicated. While they can be effective in clearing up bacterial infections, overuse may lead to antibiotic resistance which causes some children to experience recurring infections despite treatment.
• Home Remedies. Parents may also manage symptoms with home remedies like warm compresses or over-the-counter pain relievers. These options may provide comfort in the moment but don’t address the underlying cause of frequent infections.
• Ear Tubes. For children who experience chronic ear infections, ear tubes are a common treatment. These small tubes are inserted into the eardrum to help ventilate the middle ear, preventing fluid buildup that can lead to infection.

How Many Ear Infections Before Ear Tubes?

When a child has experienced either three ear infections within six months or four within a year, ear tubes are often recommended. It’s different for each child, however — pediatricians and ENT specialists play a key role in determining whether or not they’re necessary by conducting an exam. They look for things like persistent fluid in the ear, hearing loss or other complications that indicate a need for intervention.

How Do Ear Tubes Help with Ear Infections?

Ear tubes help chronic ear infections by making it harder for bacteria to grow in the ear and cause inflammation. They allow for proper ventilation and draining, preventing the problematic fluid build up that causes frequent infections. Many parents notice immediate improvements in their child’s hearing, balance and overall comfort after the tubes are placed alongside a significant reduction in the number of infections.

The Benefits of Hummingbird Ear Tubes

The Hummingbird Ear Tube procedure offers a more advanced, less invasive alternative to traditional ear tube surgery. This method can be performed quickly in a doctor’s office without the need for general anesthesia. In contrast, traditional ear tube surgery often requires a hospital visit, fasting and anesthesia, which is often stressful for both the child and the parents. Further reducing stress, parents can be present during the procedure, which only takes a few minutes.

The Hummingbird procedure has a shorter recovery time — kids can return to normal activities immediately following the procedure! This alternative approach minimizes the financial, emotional and physical burden of surgery. All these factors make it a popular choice for many families.

Is There A Way to Prevent Chronic Ear Infections in Children?

Yes and no. While things like practicing good hygiene can help defer sickness in general, there are some things that can cause your child to be more predisposed to the condition, like:

• Anatomy of the ear. Some children are more prone to ear infections due to the structure of their Eustachian tubes. In younger children, these tubes are shorter, more horizontal and narrower — which can make it harder for fluid to drain properly, leading to infections. If your child was born premature, they could have underdeveloped Eustachian tubes that similarly make them more likely to face repetitive ear infections.
• Genetics. A family history of ear infections can make a child more susceptible. Genetics may influence the shape and function of the Eustachian tubes or affect the immune system’s ability to respond to infections. Specifically, mutations of the FUT2 gene — which influences the secretion of antigens in bodily fluids — can impair immune defense in the ear, increasing the risk of chronic ear infections by allowing bacteria to more easily colonize there.
• Biological sex. Boys are at a higher risk for chronic and recurrent ear infections compared to girls. This may be due to anatomical differences — such as smaller and less developed mastoid air cells — that lead to poor ear drainage. Additionally, variations in immune system responses between boys and girls, particularly in early childhood, could make boys more susceptible to bacterial infections that result in ear infections. These gender-related factors have been observed in multiple studies, suggesting that biology can play a role in this increased risk​.

Taking Action for Your Child’s Health

Chronic ear infections can have long-term effects on any child’s health and development, but there are effective treatments available. Exploring all options — including the innovative Hummingbird Ear Tube procedure — can provide relief and improve your entire families’ quality of life.

Ensuring optimal ear health in children is paramount — not only for their comfort but also for crucial aspects of their development, including speech and language acquisition. When a child experiences persistent ear issues like infections or fluid buildup, it can directly impact their ability to hear, process and understand clearly. This in turn may affect social and self-confidence as well as academic performance — nothing any parent wants their child to experience.

Sometimes, ear tubes can help alleviate some of these struggles. Below, learn more about who makes a good candidate for ear tubes, what common signs of needing them are and why addressing ear health early is essential for your child’s well-being.

What are the signs of my child needing ear tubes?

The main signs to look out for if you’re concerned about your child needing ear tubes are recurring ear infections, persistent fluid buildup and unpredictable, unexplained ear pain. These often indicate underlying issues related to the Eustachian tube dysfunction that can typically be relieved by ear tube placement. Ear tubes may help alleviate ear pressure, promote drainage and reduce the frequency and severity of infections — ultimately safeguarding your child’s hearing and overall well-being. It can be a little harder to spot these signs in infants, but if you notice your baby crying or being more irritable than usual, pulling at their eyes, having difficulty sleeping or running a fever it’s recommended to check with your doctor about the risk of chronic ear infections.

When should I be concerned about chronic ear infections?

Persistent ear infections can disrupt your child’s daily life and potentially affect their hearing and overall health. Keep an eye out for frequent earaches, fevers and drainage from the ear. If your child experiences multiple ear infections within a short span, it’s time to consult a healthcare professional who can determine if they’re a good candidate for ear tubes.

What are signs of fluid buildup I should be looking out for in my child?

Fluid buildup in the ear — often referred to as otitis media with effusion (OME) — can cause discomfort and impact your child’s hearing. Watch for signs such as difficulty hearing, complaints of pressure or fullness in the ear and trouble staying balanced. Persistent fluid in the ear can affect speech and language development, so identifying and addressing the issue promptly is recommended.

What are the signs of hearing loss I should be looking out for in my child?

Hearing loss in children can sometimes go unnoticed, but its consequences can be significant. Pay attention to signs like unresponsiveness to sounds, difficulty following directions and speech delays. Undiagnosed hearing loss can hinder your child’s academic performance and social interactions. Early intervention, including the consideration of ear tubes if necessary, may mitigate these risks and support your child’s healthy development.

How does ear pain impact my child’s balance?

Ear pain can disrupt your child’s balance by causing discomfort or affecting the function of their vestibular system, which is responsible for maintaining equilibrium. This can be especially concerning for younger children who are still developing these skills. If your child complains of ear pain, experiences dizziness or imbalance or demonstrates clumsiness, it’s essential to investigate the underlying causes. Ear tubes might be a solution to alleviate their discomfort and restore their balance.

 

Assessing Your Child’s Candidacy for Ear Tubes

Medical Evaluation and Diagnosis

When considering ear tubes for your child, a thorough medical evaluation and diagnosis are crucial. Pediatricians play a vital role in this process, conducting examinations to assess your child’s ear health and determining the need for further evaluation. This may include audiograms and tympanograms, which provide valuable insights into your child’s hearing abilities and the condition of their middle ear. In cases where specialized care is required, pediatricians may refer you to an Ear, Nose, & Throat (ENT) specialist who will conduct a comprehensive assessment detailing if your child is a good candidate for ear tubes.

Key Factors in Determining Candidacy

Several key factors influence the decision to proceed with ear tubes for your child. Age considerations can play a role — optimal timing for ear tube placement varies depending on individual circumstances with kids aged between 1 and 3 as the most common candidates. Health conditions and allergies should also be carefully disclosed, as they can impact the procedure and post-operative care. By addressing these factors proactively, parents and healthcare providers can make informed decisions to ensure the best possible outcome for the child’s ear health.

Why do toddlers get tubes in their ears?

Toddlers often get tubes in their ears because they’re managing recurring ear infections, fluid buildup and pain. These problems can arise due to factors like immature Eustachian tubes — the small tubes that connect the middle ear to the back of the throat. When these tubes aren’t functioning properly, fluid can accumulate that leads to infections and discomfort. Ear tubes help alleviate these issues by providing ventilation and drainage, reducing the frequency of infections to improve hearing and overall ear health in toddlers.

Traditional Ear Tube Surgery

Some of the positives of traditional ear tube surgery include:

• Improved Quality of Life. Ear tubes can significantly improve a child’s quality of life by reducing the frequency and severity of ear infections, alleviating pain and improving hearing.
• Long-Term Benefits. Ear tubes can provide long-term benefits, such as reducing the need for antibiotics and preventing potential complications associated with untreated ear issues.

Alternative to Ear Tube Surgery

All the benefits you’ll find with traditional ear tube surgery are also present when using Hummingbird TTS. The Hummingbird offers additional benefits that make a difference for families, too.

• It Saves Time. The process of inserting Hummingbird TTS takes just minutes. Pre-operative testing, post-recovery care and at-hospital monitoring is not required with the Hummingbird.
• It’s Safe. It doesn’t require general anesthesia and eliminates potential anxiety and stress that can come with having to put your child under anesthesia.
• It Costs Less. Parents are able to reduce costs and increase savings through elimination of anesthesia, pre-operative testing and facility fees. Research has shown that costs may be reduced up to 68% with the Hummingbird as compared to traditional surgery.
• It’s More Convenient. No anesthesia means no fasting, so you don’t have to worry about eliminating food prior to surgery. Insertion is simple and can be done within the ENT surgeon’s office, removing the hassle of a hospital visit.

Interested in learning more about a safer, simpler approach to pediatric ear tube placement? Read about The Hummingbird procedure — and see how we can help you find a nearby surgeon to administer the procedure.

Traditionally, ear tubes had to be placed in a hospital operating room under general anesthesia. This technique is generally safe and reliable, but it does involve the inherent challenges that accompany hospital operating rooms — not to mention costs that can be significant. The Hummingbird procedure provides an option that reduces or eliminates these issues:

 

How Tubes Are Traditionally Put In Ears

The most common process of tube placement, known as myringotomy with tube insertion, can be a full-day process and is performed in a hospital operating room. For children, tympanostomy tubes are most often put in their ears while they are under general anesthesia.

Preparation for the Surgery

In preparation for ear tube placement surgery, patients typically need to undergo tests depending on a physician’s recommendations. Fasting before the procedure is also required.

How are Tubes Placed in Ears?

Traditional tube placement occurs under general anesthesia for children and frequently local anesthetic for adults. The process generally follows these steps:

• Anesthesia is given
• An incision is made in the eardrum
• Fluid that is trapped is suctioned out or drained
• The tube is inserted into the incision

Post-Procedure Expectations

After tube placement, patients generally require between a half and full day for recovery. Anesthesia can take time to wear off, with grogginess and nausea being the most common side effects.

Once at home, patients often experience mild discomfort, itchiness and drainage for a short period of time. Sometimes antibiotic ear drops are prescribed to counteract infection.

Risks and Complications

Traditional tube placement with surgery is generally very safe, but there are individuals who may react negatively to anesthesia or experience persistent ear draining, tube blockage, bleeding or eardrum scarring.

Aftercare and Recovery

The surgeon will request periodic follow-up visits to check how the eardrums are healing and if the tubes are functioning properly.

 

How Hummingbird Places Ear Tubes

The Hummingbird procedure is a simplified approach to traditional ear tube surgery — it typically takes minutes to complete. Additionally, the procedure allows a Ear, Nose & Throat (ENT) surgeon to perform the ear tube insertion in their office using only a topical anesthetic, meaning the patient doesn’t have to go through the typical preparation for general anesthesia, including fasting. For children, the procedure can be performed while parents or caregivers are present.

Pre- and post-operative care is simplified for those undergoing the Hummingbird procedure. There is no pre-operative testing or fasting, and the patient can resume normal activity immediately after the tubes are placed. Many of the inherent costs of traditional ear tube placement are eliminated with the Hummingbird, reducing the cost of tube placement by up to 68%.

The Hummingbird procedure is simple, following just three steps:

1. Ear Wax Removal — First, ear wax is removed to clear the area and create an unobstructed path for the surgeon.
2. Apply Topical Anesthetic — The topical anesthetic is applied only to the eardrum. The numbing effect takes effect quickly.
3. Tubes are Placed — The Hummingbird device is used to safely and quickly insert the tubes in the eardrum in a single pass.

Want to learn more? Read more about the Hummingbird tube placement process.

 

Why Choose Hummingbird?

The Hummingbird process is FDA-cleared for children six months and older and offers a less invasive and lower cost approach to tympanostomy tube placement. In addition to avoiding the challenges and costs of general anesthesia, hospital operating and recovery rooms, the Hummingbird method allows patients to immediately return to normal activities

Are you interested in the Hummingbird procedure? Find a location near you to get started.

 

 

¹Overall procedure times vary
²The actual ear tube procedure is commonly covered by insurance. In instances where the Hummingbird device is not part of this coverage, some families may be required to pay the device cost. Overall total costs for ear tube placement may be less with the Hummingbird through the elimination of general anesthesia and facility fees associated with traditional surgical approaches. The Hummingbird may qualify for HSA or FSA account coverage.