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What are Tympanostomy Tubes ("Tubes")? Tympanostomy tubes are small plastic or silastic tubes that are inserted into the ear drum (tympanic membrane) to help ventilate the ear and prevent fluid from building up (OTITIS MEDIA WITH EFFUSION). In this way, tubes help prevent infections in the ear (OTITIS MEDIA). These tubes allow the pressure in the middle ear to be equal to the pressure outside the ear. This is why they are sometimes called PE tubes or "pressure equalization" tubes. When are tubes a consideration? Tympanostomy tubes may be suggested when your child's ear infection has failed to improve with antibiotics or has fluid which will not clear after an appropriate length of time. Tubes are especially helpful in reversing the hearing loss due to fluid trapped behind the ear drum. What is involved with Tympanostomy tube placement? Placement of tubes occurs through the ear canal under a brief (five to ten minutes) general anesthetic, and rarely requires a blood test or IV. A tiny hole (myringotomy) is made in the eardrum, through which fluid is suctioned. Then a tiny tube (the pressure equalizing or PE tube) is placed in the hole allowing air to enter the middle ear. The procedure is painless and allows your child to resume normal activity upon leaving the hospital. Tubes usually fall out of the ear (as the ear drum grows) within one to two years unless specified by your doctor.