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Ear tubes are often recommended when a person experiences repeated middle ear infection (acute otitis media) or has hearing loss caused by the persistent presence of middle ear fluid (otitis media with effusion).
1 A fiber optic endoscope may be used, the instrument of which is inserted through the nose to see if any enlarged tissues are blocking the auditory tube. 2  A tympanometry is another specialized instrument that can measure the air pressure in the middle ear, with a high pressure reading indicating auditory tube dysfunction.