Ear Tubes Not Always Needed

Medically Reviewed by Dominique Walton Brooks, MD, MBA

Berman, who is a pediatrician at Children's Hospital in Denver, tell WebMD that as many as 70% to 80% of children who get tubes in the U.S. have persistent fluid buildup without repeated infections.

"About 400,000 tubes are put in a year [in the U.S.] at a cost of between $3,500 and $5,000 each," he says. "I would think that maybe half of these surgeries could be avoided. That money could be redirected to interventions that would actually impact child development."

Such programs would include those designed to promote language and learning skills among low-income children, he says.

"We know that poverty is independently associated with an increased risk for language and learning delays and these kinds of ear problems," he says. "The interpretation has been that the [ear problems] were causing the learning delays.

Show Sources

SOURCES: Paradise, J.L. The New England Journal of Medicine, Jan. 18, 2007; vol 356: pp 248-261. Jack L. Paradise, MD, professor emeritus, University of Pittsburgh. Stephen Berman, MD, pediatrician, Children's Hospital, Denver; professor of pediatrics, University of Colorado School of Medicine.

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