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SURGERY If an infection does not go away with the usual medical treatment, or if a child has many ear infections over a short period of time, their provider may recommend ear tubes: If a child more than 6 months old has had 3 or more ear infections within 6 months or more than 4 ear infections within a 12-month period If a child less than 6 months old has had 2 ear infections in a 6- to 12-month period or 3 episodes in 24 months If the infection does not go away with medical treatment In this procedure, a tiny tube is inserted into the eardrum, keeping open a small hole that allows air to get in so fluids can drain more easily (myringotomy)

The habit may alienate you from friends and family who don't use tobacco, and the ongoing expense of purchasing a dip can add up significantly over time

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10.1007/s00382-012-1652-1 24 HallegatteS.GreenC.NichollsR.Corfee-MorlotJ