Eustachian Tube Dilation Surgery

Why does my child need eustachian tube dilation surgery?

Eustachian tube dilation surgery is sometimes recommended for children with Eustachian tube dysfunction that do not respond to non-surgical treatments. The eustachian tube is tube that runs from the back of the throat to the ear and equalizes pressure between the ear and the throat, and children can develop fullness in their ears and other symptoms if the eustachian tube is not functioning properly.

How is surgery performed?

Eustachian tube dilation surgery is performed by an ears, nose, and throat (ENT) surgeon. A small surgical camera is inserted into the nasal cavities. The eustachian tube is identified and a small balloon is used to open up the eustachian tube and allow it to function.

Are there any instructions I need to follow before surgery?

Your child must have a physical examination by their pediatrician or family provider within 30 days before surgery to make sure they are in good health. The doctor you see needs to complete the History and Physical form provided by our office. You must bring the completed form with you the day of surgery.

For your child's safety, it is very important they have an empty stomach when anesthesia medicine is given. Please follow Children’s Minnesota Eating and Drinking Guidelines. If you do not follow these guidelines, your child's surgery will be cancelled.

What can I expect after surgery?

Eustachian tube dilation surgery generally takes about 30 minutes. Your child will wake up in the recovery room after surgery. This usually takes no more than 20 to 40 minutes. When your child is awake, they will be taken to the discharge area to complete the recovery. You can be with your child once they are transferred to the discharge area.

Your child may have:

• Fevers up to 102.0 F are considered normal after surgery. Call your provider for fevers over 102.0 F that do not come down with acetaminophen (Tylenol) and/or Ibuprofen
• Watery, mucus-like, or bloody discharge from the nose for up to 7 days
• Pressure or discomfort in the cheeks or forehead. You can treat this short term discomfort with Tylenol® (acetaminophen) or Children's Motrin® (ibuprofen).

What else do I need to know?

• Your child should avoid vigorous nose blowing, heavy lifting, and strenuous activity for 7-10 days.
• Your doctor may recommend an over-the-counter or a prescription nasal spray.
• You will get a Discharge Instructions sheet before you go home which will indicate how much medicine to give and how often.
• You can expect your child to be back to their regular diet within 24 hours after surgery.

Questions?

The information is not specific to your child and provides general information. The information is for educational and informational purposes only and should NOT be used as a substitute for the advice of your child’s physician.

If you have any questions, please call Children’s ENT and Facial Plastic Surgery Clinic.

Reviewed ENT 1/2025

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