The ear is divided into three parts. The outer ear is the part from the auricle to the eardrum. The middle ear is located behind the auricle, and the inner ear is in the more inward part. Although ear infections can occur in all parts of the ear, they are most common in the middle ear. Ear infections are caused by bacteria or viruses.
The Eustachian tube is a very thin tube between the middle ear and the nasal Decubitus that helps to ventilate the middle ear. In children, this pipe is not fully developed, so it cannot fully perform its task. This weak function makes it easier for children to get middle ear inflammation. In addition, in children, the ‘nasal flesh’ found in the nose can sometimes grow and block the mouth of the Eustachian tube.
Most ear infections pass with antibiotics. But sometimes, if there is persistent fluid behind the eardrum, that is, in the middle ear cavity, or if medications do not prevent the recurrence of the disease, surgery may be required.
“Tympanotomy" is an operation in which the eardrum is examined under a microscope. A small scratch is made on the eardrum to drain the fluid that has collected in the middle ear. After the liquid is drained, a very small ventilation tube is inserted into the membrane because the blocked Eustachian tube cannot do its job. This process allows the Eustachian tube to grow and develop without recurrent inflammations.
Before the operation: By telling the child what to do in the operation room, his anxiety is reduced.
Anesthesia : Anesthesia (narcosis) is a branch of science that allows patients to undergo surgery without pain. Do not be afraid of anesthesia.
After the operation: After the operation, the person stays in his room for the specified period of time. Depending on the general condition of the operation and the patient, the patient can be discharged on the same day or the next days.
The First Two Weeks After The Operation
Pain : Pain occurs as a result of inserting a ventilation tube into the eardrum, it is very rare. When there is pain, take the recommended painkiller. Do not use aspirin or other medicines containing it, because they can lead to bleeding. During this time, your doctor will check your child.
Diet : A slight sensitivity in the stomach may occur after anesthesia. Within the first 24 hours after the operation, juicy and soft foods provide comfort.
Stupor : Rarely there may be a slight stupor. In case of dizziness up to dizziness, inform your doctor.
Discharge : Although not usually, a small amount of bloody discharge may come from the ear.
Physical movement : Children can return to their daily movements very quickly.
Removal of the tubes : The tubes mostly fall off of their own accord within 6 to 12 months. During this time, the Eustachian tube develops enough to do its job. If the ear infections start to recur , the tubes can be reattached.
Maintenance of the tubes : Because the surface pressure inside the tubes is high, liquid cannot pass through the tubes during normal bathing or swimming. But if it is diving deeply or it is too thick in the water, if it is swallowed at this time, the ear should be blocked with a plug or Vaseline cotton.
Recovery process : It takes about 2-3 days to fully recover from the effect of the operation. Some days may be more comfortable than others. In general, it feels better every day
