Chronic ear infections
Recurrent ear infections, also known as recurrent otitis media, are a common issue in young children. These infections occur when fluid builds up in the middle ear and becomes infected by bacteria or viruses. Children are particularly prone to ear infections due to the structure and function of their Eustachian tubes, making it easier for germs to reach the middle ear. Symptoms often include ear pain, fever, irritability, and difficulty hearing. Some children may experience multiple infections within a short period, which can lead to concerns about long-term hearing and speech development.
Medical management typically includes antibiotics to clear the infection and sometimes preventive measures like avoiding secondhand smoke or managing allergies that may contribute to fluid buildup.
When a child has three or more ear infections within six months or four or more in a year, doctors may consider referral to our specialists at ENT for Kids for surgical intervention may be recommended. The most common surgical option is the placement of tympanostomy tubes, often referred to as “ear tubes.” This minor procedure involves inserting tiny tubes into the eardrum to allow air to enter the middle ear and prevent fluid buildup. Ear tube placement is done under general anesthesia, but it is usually a quick and safe outpatient procedure. The tubes typically fall out on their own within 12 months.
Ear tubes can significantly reduce the frequency and severity of infections and improve hearing in children who have fluid behind the eardrum. After surgery, parents may notice an immediate improvement in their child’s hearing and comfort. Follow-up visits with ENT are important to ensure the tubes are functioning properly and the ears are healthy. In some cases, children may need a second set of tubes if infections persist or if the tubes fall out too soon.
Understanding the causes and treatment options for recurrent ear infections can help parents feel more confident in managing their child’s health. While most children outgrow ear infections as their immune systems mature and their Eustachian tubes develop, timely intervention—whether medical or surgical—can prevent complications and support healthy development. If you’re concerned about your child’s ear health, please reach out to us to arrange a consultation.