Will the eardrum be damaged when removing a tympanostomy tube?

Whether removing a tympanostomy tube damages the eardrum depends on the procedure technique and the individual patient's condition. If in doubt, it is recommended to consult a professional otolaryngologist. The detailed analysis is as follows:

When the procedure is performed properly and the patient’s eardrum condition is favorable, removal of the tympanostomy tube generally does not damage the eardrum. Experienced physicians use specialized instruments to gently separate any adhesions between the tube and the eardrum, then smoothly remove the tube along its natural alignment. If the tube is well-positioned without significant impaction, and the patient remains cooperative, the procedure is quick and gentle, with the tube opening in the eardrum typically closing spontaneously after removal.

However, improper technique or specific patient factors may lead to eardrum injury during tube removal. Rough handling, incorrect instrument use, or prolonged tube placement causing tight adhesion or even embedding into the eardrum tissue can result in tearing during extraction. Additionally, sudden patient movement during the procedure, an inherently thin eardrum, or pre-existing chronic inflammation increase the risk of injury.

Prior to complete healing of the tube site, avoid water entering the ear canal; use waterproof earplugs when showering. Do not clean the ear canal yourself or blow your nose forcefully, to prevent bacterial invasion and potential infection. Keep the ear canal dry and clean, and use prescribed ear drops as directed to prevent inflammation. Seek immediate medical evaluation if symptoms such as ear pain, discharge, or hearing loss occur.