In-office Tympanostomy Tube Placement in Children.

Tympanostomy tube placement is routinely performed in adults in the office setting without sedation and with only topical or locally applied anesthetic. Innovative tools are now available to facilitate placement of tympanostomy tubes in children in the office, rather than under general anesthesia. We discuss the current state of an in-office approach to tympanostomy tube placement in children. An experienced team and a well-defined workflow are key to the successful placement of tympanostomy tubes in children without sedation. Shared decision-making between clinicians and caregivers will help determine the most appropriate setting for their child's ear tube placement.