Surgery Packet for Ear Tube Placement:

(Also known as Tympanostomy Tube or Pneumatic Equalization Tube Placement)

Consider Bookmarking this page for future reference.

This information may be of use, but should not be considered medical advice unless specifically directed by your doctor.

Financial Information

• Estimating your cost for a surgical procedure.

Consent Form

• Tympanostomy Tube consent (form “C-AJ”)

Instructions - Before Surgery

• instructions before surgery, including medications to avoid. (Very important!)

• Labs, tests, pre-operative clearance

• Eating & drinking before surgery: children and infants less than 4 years old | patients 4 years and older

• Adults should complete their Advance Directive forms.

Maps and Directions

• to The Center for Outpatient Medicine (TCOM) | 2502 East Empire Street, Bloomington, IL 61704 (south east side of building) | (309) 662-6120 | street view photo | map | website

• to the BroMenn Comfort & Care Suites (adjacent to TCOM) | 2502 East Empire Street, Suite D, Bloomington, IL 61704 (north east side of building) | (309) 662-6120 | map | website

• to Carle BroMenn Hospital | parking structure address for your GPS: 606 W Virginia Ave, Normal, IL 61761 | (309) 454-1400 | street view photo | map | website

Instructions - After Surgery 

• Instructions after ear tube surgery • Form “PO-B”