The AAP recommends that children who have had three ear infections in six months or four in one year be evaluated by an Ear, Nose, and Throat specialist (ENT). An ENT is a surgeon who will first see the child in his or her office. After a thorough evaluation, they will decide with your pediatrician if surgery is necessary. The insertion of tympanostomy tubes is a surgical procedure that would be scheduled at a later date. Not all children with recurrent ear infections require tubes, however, so just seeing an ENT does not guarantee that your child will need tubes.
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