DS (16 months) has had recurring ear infections and up to this point the pedi hadn't been too concerned because they were clearing up and he had no residual fluid. The last few have not cleared up and he had a check yesterday and still has fluid. It's been about 5 or 6 weeks and two antibiotics. It doesn't seem to be affecting his hearing, he has a few words and comes or looks at me when I call him, he nods yes and shakes his head no to answer me when I ask him a question (which is adorable in case you were wondering).
Pedi suggested we see an ENT so I made an appt. I know that if he needs tubes it is a minor procedure but of course any kind of procedure makes me nervous as a mom.
Just looking for some experience and what to expect. It seems to only be his one ear that is a problem, but would they put tubes in both? They said they will do a hearing test- how does that work on a 16 month old- what does it entail?
Any other advice or things I should ask the ENT that I am maybe not thinking of?
TIA
Re: TTM about ear tubes
the "hearing test was simple - the put a plug in his ear that was attached to a computer. It measured how the ear drum moved under sound waves. With DS because of the thick fluid behind the eardrum the ear drum was not able to move and therefore they could estimate about 30% hearing loss. they compared that to trying to hear underwater - everything is muffled sounding - which could (and in our case was) affecting language development. DS could hear and respond to our directions but his expressive speech was delayed.
The surgery was quick - 15 mins and they do schedule according to age so youngest kids go first. Just talk to the scheduler to make sure you are on a day where you LO is first one in. We sent DS in his PJs and he was fine. Even walked back to the OR himself with the nurses.
One question you can ask the ENT is when/how do they make the decision to do tubes? Some ENTs like to delay surgery as long as possible, some will go right to tubes. Find an ENT that's policy fits with what you want. Ask about the pros and cons of trying a different antibiotic vs doing tubes. Ask if they have seen other cases like yours and what have their outcomes been with antibiotics vs. tubes.
Our ENT does not like to do surgery as a first course of action but by the time we had seen him we were finishing our third round of antibiotics and he said that cases like DS's usually do not resolve without tubes becasue the fluid has been there too long and is too thick to go away on its own. I felt very comfortable about the decision to do the surgery and have had great results.
Good Luck!
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