Understanding Ear Tube Placement for Adults

The ear is a sensory organ responsible for hearing and balance.

While ear tubes are commonly associated with children, many adults also experience middle ear problems that may require this procedure. Ear tube placement, or tympanostomy, can offer significant relief for adults suffering from chronic ear infections, fluid buildup, or Eustachian tube dysfunction. Understanding why this procedure might be necessary and what to expect can help you make informed decisions about your ear health.

In This Blog: 

  • What are Ear Tubes?
  • Why Adults Might Need Ear Tubes
  • Symptoms That May Indicate a Need for Ear Tubes
  • The Ear Tube Procedure: What to Expect
  • Life After Ear Tube Placement
  • Potential Risks and Complications
  • When to See an ENT Specialist

What Are Ear Tubes?

Ear tubes are small, hollow cylinders usually made of plastic or metal. An ENT (ear, nose, and throat) specialist places them in the eardrum to ventilate the middle ear and prevent the accumulation of fluids. These tubes help balance air pressure and allow fluid to drain, reducing the risk of recurring infections and improving hearing.

Why Adults Might Need Ear Tubes

Although less common in adults, certain conditions can make ear tube placement necessary:

  • Chronic otitis media with effusion (persistent fluid behind the eardrum)
  • Recurrent ear infections, especially if they interfere with daily life or hearing
  • Barotrauma from frequent air travel or scuba diving
  • Eustachian tube dysfunction, where the tube connecting the middle ear to the back of the throat doesn’t open properly
  • Sudden hearing loss caused by fluid or pressure changes

Symptoms That May Indicate a Need for Ear Tubes

Adults experiencing any of the following should consult an ENT specialist:

  • Ongoing ear pain or pressure
  • Muffled hearing
  • Frequent ear infections
  • Fluid drainage from the ear
  • A feeling of fullness or “popping” in the ears

The Ear Tube Procedure: What to Expect

Ear tube placement is a minimally invasive, outpatient procedure:

  1. Preparation: The ENT specialist will examine your ears and may order hearing tests or imaging.
  2. Procedure: Under local anesthesia (or general, depending on the case), a small incision is made in the eardrum, and the tube is inserted. The procedure typically takes less than 15 minutes per ear.
  3. Recovery: Most adults return to normal activities within a day. Some may experience minor discomfort or drainage, which usually resolves quickly.

Life After Ear Tube Placement

After the tubes are placed, most patients experience immediate relief from pressure and improved hearing. Here’s what to expect:

  • Improved middle ear ventilation and reduced infections
  • Better hearing, especially if fluid was affecting sound conduction
  • Regular follow-up visits to ensure the tubes are working correctly
  • Tubes usually fall out naturally within 6 to 12 months, though some remain longer and may need to be removed

Potential Risks and Complications

While ear tube placement is generally safe, it carries some risks:

  • Persistent drainage
  • Blockage or displacement of the tube
  • Perforation of the eardrum after the tube falls out
  • Scar tissue formation

These risks are rare and are often manageable with follow-up care.

When to See an ENT Specialist

If you’re an adult experiencing ongoing ear discomfort, infections, or hearing changes, don’t assume it’s something to “live with.” An evaluation by an ENT specialist can help determine if ear tubes, or another treatment, can provide relief and protect your long-term hearing health.

Conclusion

In conclusion, while ear tube placement is more commonly associated with children, it can be a highly effective solution for adults dealing with chronic ear infections, fluid buildup, or Eustachian tube dysfunction. This simple outpatient procedure can provide lasting relief, improve hearing, and enhance overall ear health. If you’ve been struggling with persistent ear problems, consulting with an ENT specialist can help you explore whether ear tubes are the right treatment option for your needs.

If you’re struggling with chronic ear issues or hearing difficulties, our experienced ENT team is here to help. Schedule a consultation at Anne Arundel ENT today to learn whether ear tube placement is right for you.

Lee A. Kleiman a doctor at Anne Arundel ENT

Dr. Lee A. Kleiman is a double board certified ENT & plastic surgeon at Anne Arundel ENT in Annapolis, Maryland known for his superior clinical outcomes in all Surgical and Non-Surgical ENT, specializing in Sinus Care, Voice and Swallowing, Rhinoplasty and Revision Rhinoplasty, and Facelifts and Non-surgical Aesthetic. He also continues to attend conferences internationally and nationally to keep abreast of the latest treatments and technology.