While the child is under general anesthesia, a small incision is made in the eardrum. The fluid is suctioned out. A small tube will be inserted through the eardrum incision. The tube allows air to flow in, and fluid to continuously flow out, of the middle ear. The incision heals on its own, without the need for sutures. The hole closes and the ear tubes usually fall out naturally, after an average of 14 months or so.
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