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Ear Tube Insertion
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PerfectRose79 posted:
I am 4 days post-op for "T" tube insertion in both ears. I have had several sets of "spool" type tubes over a couple of years and found they only worked for so long before they would fall out. My ENT thought it would be better for me to have the longer more permanent tubes put in under anesthesia The first couple of nights it was difficult to sleep as I had a low pulsating sensation in my left ear. I do have meds for vertigo as I am prone to it since a severe middle ear infection some years ago. That seemed to have helped to settle the pulsating. It still hurts a bit if I yawn too hard and my hearing is still a bit muffled. I also have a slight ache to my ears. I am wondering if anyone else out ther has had "T" tubes put in and experienced the same issues, how long it took to completely heal. BTW I am 52. I have a 6wk appt post op but can go in sooner for a re-check if I have any concerns.
Thanks
Reply
 
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Rod Moser, PA, PhD responded:
It is not the type of tubes, but the tube insertion procedure that is likely the cause of your symptoms. Things should settle down in a few weeks, but call you ENT for some patient specific advice since he/she is familiar with your particular case.
 
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PerfectRose79 replied to Rod Moser, PA, PhD's response:
Hi Dr Moser
I did reply before but clicked the "post" button instead of reply...I am new to posting on these communities. I noticed it went to the "post list" instead. (oops)
Will be following up with my ENT's office tomorrow and will let you know what they say.
Thanks for your help.
 
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Rod Moser, PA, PhD replied to PerfectRose79's response:
I often hit the "CANCEL" button when I am trying to submit a response. I blame it on age....
 
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PerfectRose79 replied to Rod Moser, PA, PhD's response:
I spoke to my ENT's nurse and gave her my concerns. She spoke to him and called me back. He feels that since these are bigger tubes than the "spool" types they can be causing some of the symptoms I've been having and should settle down over time. Guess will just have to be patient.
Thanks again
 
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Rod Moser, PA, PhD replied to PerfectRose79's response:
The T-tubes are bigger, but that alone should not account for the differences in your two experiences.
 
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PerfectRose79 replied to Rod Moser, PA, PhD's response:
Hi Dr Moser
Just wanted to update you on how things are. I just had my 6 wk check-up the other day. It took awhile for the symptoms I had to settle down. My ears feel great now and there is no more pulsating and my hearing is much clearer than what it was after the surgery. From time to time I have sensations of
pressure change in my left ear that changes my hearing in
that ear for a brief second. My ENT said that my ears look
good and didn't feel it was a major issue with the sensations
I get.He also said that the T tubes should stay in for alot longer even up to 2yrs but to come see him if I had any problems.
I think most of problems I have had over the years have
to do with the pressure in my ears and eustachian tubes not
draining like they should. So far all is well and is looking good
for the long term. I have read other posts where some patients
are thrown about the symptoms after having tubes. My advise
from one thats going through it...I had to learn to be patient
and wait for them to heal...it will get better!
Thanks for your help and support.
 
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Rod Moser, PA, PhD replied to PerfectRose79's response:
Thank you so much for your update. I am so pleased that you are doing so well.

Part of the problem that some people experience after tube insertion would be unreasonable expectations, perhaps thinking they will have an instant cure. I blame the ENTs for not spending enough time preparing people for what they may experience in the post surgical period.

Feel free to jump in on any posting if you would like to comment.
 
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danihart3 replied to Rod Moser, PA, PhD's response:
Hi there Dr. Moser,
My name is Danielle and I would like some of your advice in regards to my T-Tube.

In August 2011, I have a septoplasty (to correct an injury that occured at a very young age),as well as had a T-tube insert into my left ear for another injury that occured at a young age. The surgey and recovery was pretty tough, I ended up getting an infection, but since recovering from that I have not had ANY problems at all with my ear. Until recently, I have been having quite a bit of pressure in my ear that has the T-tube, when I try to release that pressure it releases temporarily, then returns within a few seconds. This past weekend I noticed it was actually bleeding. Now, I moved from the city in which I had the surgery so I cant go back to that doctor and I am in the process of looking for a doctor. I was just wondering if you knew what could cause this. I have no pain, just the feeling of pressure but it does not hurt. I have had some allergies lately and I'm wondering if its related to that. Do you have any advice?
 
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Rod Moser, PA, PhD replied to danihart3's response:
Since neither one of us has the ability to look inside your ear to check the status of your t-tube, we will have to blindly guess.

T-tubes tend to stay in quite a while, but they can extricate (fall out) at any time. If it falls out, it will just lie in the ear canal unnoticed, and the hole will try and heal. T-tubes can clog with cerumen (wax) and other debris. Special eardrops and other solutions may help open it again, but you would need to see an ENT or a knowledgeable medical provider to know if any of these possibilities exist.

And, yes, allergies can be playing a causative or contributory role.
 
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danihart3 replied to Rod Moser, PA, PhD's response:
Thank you very much for your response!!!
I tried the ear drops and washer bulb to rinse out my ear and it has definitely helped a lot. If the symptoms return though I will head to a doctor and have them take a peek in there.

Again thank you very much!
 
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Rod Moser, PA, PhD replied to danihart3's response:
I don't recommend washing out your ear with that bulb syringe when you have tubes......but, I am glad you are feeling better.
 
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PerfectRose79 replied to Rod Moser, PA, PhD's response:
Hi Dr Moser
Hope all is well with you.
Its been 2 & 1/2 mths since my surgery. I have been feeling pretty good over all and the symptoms I had settled down after awhile. I still have a bit of pulsating in the Lt ear from time to time but nothing I can't get used to. I do have a full feeling in the Lt ear and my hearing is a way off that has not gone on its own for about a wk. I have a appt to see ENT for to check and make sure there is not a problem.

Just wondered if you have heard of this happening before, if its normal? I know you can really tell without seeing something like this in person...just curious is all.
Thanks
 
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PerfectRose79 replied to Rod Moser, PA, PhD's response:
I agree with Dr Moser...I have had "T" tubes in since April 2012 and "bobbin" style tubes for 2 yrs prior to that and have religiously used silicone swimmer's type ear plugs to keep water out as directed by my ENT. I've always been told that you never put anything smaller than your elbow in your ears. I hope you are still feeling better and have gotten rechecked by a Dr.