Ear infections are a common condition for children and can sometimes become a recurring problem. When infections arise frequently and fluid remains trapped behind the eardrum, ear tubes can help reduce the severity and frequency of the infections. These tiny devices require a surgical procedure to insert but often fall out on their own. Let’s take a look at what happens when an ear tube falls out and what we do if it doesn’t fall out naturally.
When Is It Time To Remove Ear Tubes?
In most cases, children do not need surgery to have their ear tubes removed. The eardrum gradually heals around the tubes and eventually pushes them out naturally. This process usually happens within about six months to two years.
Once a tube comes out, it typically moves into the ear canal and exits the ear on its own. Your child may not even notice when this happens.
Sometimes, a tube can become trapped in earwax instead of falling out. If that occurs, we can remove it during an office visit using specialized instruments. Rarely, a tube may move into the middle ear. Our specialists can determine whether it needs to be removed.
What Happens if Ear Tubes Stay in Too Long?
Although ear tubes usually fall out without assistance, some remain in place longer than expected. If a tube has not come out after two or three years, your ENT specialist may recommend removing it using special tools.
Following removal, there is a chance that the eardrum won’t heal right away. If the opening does not close on its own, we may recommend a procedure called a myringoplasty. During a myringoplasty, we’ll place a small graft over the opening to encourage the eardrum to heal. The graft may consist of a medical material, such as gel foam or surgical paper, or tissue or cartilage from the body.
In some cases, ear tubes may need to be placed again if fluid buildup or frequent infections return after the original tubes fall out. Your ENT specialist can help determine whether another set would benefit your child.
Schedule an ENT Consultation
Ear tubes can help children who struggle with recurring ear infections or persistent fluid behind the eardrum. Most fall out naturally, but some children may need additional care if their tubes remain in place for too long.
If your child experiences repeated ear infections or you have concerns about existing ear tubes, contact ENT for Children to schedule an appointment with one of our ENT specialists. We can evaluate your child’s ears, discuss treatment options and recommend the next steps for their needs.
Source
Cleveland Clinic. (2026). Ear infection (otitis media). https://my.clevelandclinic.org/health/diseases/8613-ear-infection-otitis-media