ear tubes in adults pros and cons

ear tubes in adults pros and cons

Reduced risk of infection: Ear tubes can reduce the risk of recurrent middle ear infections, which can be painful and can lead to hearing loss if . The Top 5 Pros of Ear Tubes Ear tubes can help improve the quality of life of patient and their family in many ways. And if youre already thinking about it after that third or fourth ear infection, you can explore your options and meet with an ENT. Jefferson ND, Hunter LL. The seismic growth of this industry is attributed to the code of trust and credibility that governs online marketplaces. The Iowa Clinic, 2023. The eustachian tube is a small passageway that connects your throat to your middle ear. In many cases, inflammation of the mucous membranes in and around the Eustachian tube produces . Using a microscope, we start this simple in-office procedure by placing a drop of a numbing agent on the eardrum itself. Every medication or surgical procedure has its benefits as well as side effects. Your kid is back to their old self. Parents must weigh the pros and cons. Tubes are generally reserved for advanced, recurrent cases or when children are developing speech delay or hearing loss. https://www.uptodate.com/contents/search. The scarring impact the functioning of the eardrum. When does my child need to start fasting? If there is a lot of fluid in the eardrum, your healthcare provider may use a small suctioning device to remove it. Ear tubes are hollow tiny cylinders that are inserted into the eardrum through a surgical procedure. They have to undergo surgery. by Featured Provider Danielle Liudahl on Thursday, June 10, 2021. peter macari age. Before heading to ear tubes in adults pros and cons, one should know everything about them. Negative rating. As parents, including a pediatric anesthesiologist, the founders of Preceptis Medical understood the stress and costs associated with putting young children to sleep for surgery.Preceptis' FDA Cleared Hummingbird Device provides a new option for ENTs . If the medicine fails, myringotomy is best. Abnormalities in an adult's ear anatomy, often present from birth, can contribute to the development of these conditions as well. On average, an ear tube stays in for a year. The ears should be kept clean, as earwax can buildup around the tubes and cause infection. Accessed Feb. 22, 2021. Most kids need the surgery because of their anatomical development. The tubes can get contaminated, thus leading to infections. Both artificial intelligence and large amounts of data were used to confirm all the information collected. General anesthesia in neonates and children: Agents and techniques. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. If repeated hearing loss can occur with multiple incision in the ear drum. Ear drops are typically prescribed after surgery to treat any remaining infection behind the ear drum and also to rinse away fresh blood so it does not clot and block the tube. If your child had hearing loss before the procedure, the doctor will also order a hearing test (audiogram) to evaluate hearing afterward. Ongoing enlargement of the adenoids can block the eustachian tube, which connects the ears to the nose and drains fluid from the middle ear. In the fall of 2014 Stella's pediatrician made the recommendation that we get a consultation about Stella needing ear tubes. There are 2 ways of treating glue ear surgically: Inserting grommets, which are tiny plastic tubes placed in the eardrum. Doctors may suggest ear tube surgery for those with multiple infections or a hearing loss or speech delay. In: Miller's Anesthesia. The following are the major advantages of ear tubes, Although inserting ear tubes in the middle ear is considered a safe effective and efficient treatment for ear infections but just like any other medication it also has its side effects. Common reasons adults receive ear tubes are: 1. Ear tubes help in passing ventilation into the ear and also the drainage of ear fluid. Ear tubes. See Pricing. The function of an ear tube is simple it creates an opening that allows excess fluid or infection to drain out from the middle ear into the ear canal. But if your child is in a lake, ocean, river or pond, they should wear earplugs. Thats what is supposed to happen. If you experience any discomfort, over-the-counter pain relievers, such as Tylenol (acetaminophen) or Advil (ibuprofen) should help. Remember to bring your insurance paperwork and identification to the appointment. You need pros and cons of ear tubes in adults to provide high-quality support. Powered by. We have a final level of filtering in place, with reader satisfaction as our primary concern. The primary benefit of ear tubes is that they can help to reduce the occurrence of ear infections. 3. A child may develop drainage from the ears that looks like common cold when the child has it. Buying legal Tamoxifen online in Australia: # OpinionVP Lets take Nolvadex from the Valencian Public Health. The Iowa Clinic may provide links to outside sources for additional resources or information and is in no way responsible for the information provided by other organizations or sources. Whats neat about that is that the eardrum is healing itself while simultaneously pushing the tube out.. Ear tubes reduce the frequencies of ear infections. While ear tubes can be effective in relieving symptoms and reducing the risk of recurrent middle ear infections, there are also some potential downsides to consider: Risks associated with surgery: As with any surgical procedure, there is a small risk of complications such as bleeding, infection, or allergic reactions to anesthesia. Please notify office upon scheduling if you require an interpreter. Ear tubes, also known as tympanostomy tubes, are small, cylindrical devices that are surgically inserted into the eardrum to relieve pressure caused by fluid buildup in the middle ear. Disclaimer: The content on this website is written and/or reviewed by a qualified medical doctor and great care is taken to provide accurate general information. Ear tube placement surgery in adults is a quick procedure with fast recovery time. AskMayoExpert. RIC styles also boast a thin, electrical wire instead of an ear hook or tubing, which when combined with a small, translucent ear dome makes them barely visible to others. Learn more about Dr. Cuthbertson. https://www.enthealth.org/be_ent_smart/ear-tubes/. Ear tube placement surgery is a procedure to implant synthetic ear tubes into the ear drum or tympanic membrane. After the procedure, its important to take steps to ensure the ear tubes are cared for properly. These tiny tubes have a secondary function. Ear tubes are tiny, hollow cylinders that are surgically inserted into the eardrum. Most tubes last about 6-18 months, allowing many children to outgrow their ear problems. Patients can get back to normal immediately following the procedure. What Are Ear Tubes? Preparing for surgery: Kids' checklist. But there are pros and cons and goods and bads about all life decisions. Go to: Research on ear tubes The average age for ear tube insertion is 1 to 3 years, but babies can get ear tubes as young as 6 months. The inside of the ear goes completely numb within 10 seconds. Its important to discuss the risks and benefits with your doctor, as well as follow their advice for proper aftercare. Twitter. How long is recovery from ear tubes for adults? Alpine SwimSafe The Alpine SwimSafe earplugs come in children or adult sizes. 1. Completely in the canal (CIC): Fits entirely in the ear canal. The tube usually falls out on its own within six months to two years. The patient is given general anesthesia to minimize discomfort during the procedure. The surgical placement of ear tubes is a relatively simple procedure that involves making a small hole in the tympanic membrane (eardrum)with a scalpel or lasera procedure called amyringotomyand then inserting a synthetic tube. Recovery time is generally quick and most people can return to normal activities within a few days. Reduced risk of infection: Ear tubes can reduce the risk of recurrent middle ear infections, which can be painful and can lead to hearing loss if left untreated. Many physicians recommend using ear drops after surgery. Acute otitis media and otitis media with effusion. So if youre hovering around that magic number, its within reason to wait and see if the ear problems go away as your child grows. Any content, product or service is not intended to be a substitute for professional medical advice, diagnosis or treatment. Where to look for reliable information about pros and cons of ear tubes in adults. And about a month after surgery, we make sure the hearings okay.. Tympanic membrane grafting may be required. She has had NINE ear infections in the past nine months. Location in the ear canal reduces interference from using your phone or whistling due to the wind The location of the device also ensures excellent sound quality overall Cons: Battery life may be lacking due to size Can cause wax or moisture buildup May only be suitable for mild to moderate hearing loss Types of Hearing Aids and Costs Your email address will not be published. The crummy thing would be if your child still needs it. Whether its a fever, fussiness or unsoothable cries, its frustrating for parents and painful for kids. Initially, she was drawn to the field of otolaryngology (Ear, Nose & Throat Surgery) because of the complexity of the head and neck and the diversity of pathology. This type is appropriate for people of all ages and those with almost any type of hearing loss. You may think that a child is suffering from a common cold but even after wearing tubes he can suffer from ear infections. After a brief recovery in a post-operative unit, most children will be sent home the day of surgery. The kids are normally back to themselves the following day and they feel better. Its then held in place with a tiny anchor. Your healthcare provider will examine your ears and ask you to tilt your head so your ear is facing up and numbing drops will be placed in your ear. for Parents. Accessed Feb. 24, 2021. baseball font with tail generator. What drugs can he or she take before surgery? We have an Omniaire negative pressure air filtration system unit in our procedure room. These may include hearing damage, scarring of the ear drum, and infection. Make a donation. Dont be alarmed when an ear tube comes out on its own. CONS: They still get ear infections. The Eustachian tube helps to drains the ear and helps to relieve internal ear pressure. Middle ear infection with ear tubes (ages 1 to 12 years old): Place 5 drops into the affected ear(s) twice daily for 10 days. No middlemen to facilitate the buying process. Theyre really tiny tubes, which is great. Often, the benefits outweigh the risks. Botox for TMJ: The Doctors Guide to Using Botox to Relieve Jaw Pain and Tension, 7 Treatment Options for Mild Obstructive Sleep Apnea, How to Find a Qualified Botox Doctor Near You. The buildup of fluid within the ear puts pressure on the eardrum and causes pain. PROS: Least visible; easy to use with phone; outer ear acts as a funnel, helping with sound location. Facebook. . Explain that the procedure will help make his or her ears feel better or make it easier to hear. Fitness Vi Arcane Full Body Workout. Always consult your doctor regarding health concerns before deciding any course of medical action. For more information: Artificial Nutrition and Hydration. Current guidelines state that children with three bouts of otitis media (medical-speak for the common ear infection) in six months or four ear infections in a year are candidates for ear tube surgery, Dr. Liudahl says. Typical dosing for ofloxacin (ear drops) Outer ear infection (swimmer's ear): Ages 6 months to 13 years of age: Place 5 drops into the affected ear(s) once daily for 7 days. Ear tubes allow pus and mucus buildup from ear infections to drain out of the ear without causing pain or increasing the risk of related complications. Theres no need for the procedure to take place under general anesthesia in an outpatient surgery center for adults. There are things we can see along the way to know if your child has outgrown these issues or if theyll need to do it again.. Holes in the eardrum can still occur even if the ear tubes have come out off the ears of the child voluntarily. We enjoy it., Learn More About: If they find the tube no longer works, they can insert a new one. They are also better for those with trouble hearing at low frequencies. If there aren't any complications, your child will be able to go home within a few hours. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Your child may be prescribed antibiotic eardrops to prevent infection after surgery. Cleveland Clinic. Ear Tubes: Information, After Ear Tube Surgery: What's Normal, What's Not, Patient Instructions: How to Manage Ear Drainage, Tubes falling out or being unable to come out, The hole may not close after tube removal and may require a second procedure to repair the eardrum, Continuous ear draining, a condition known as otorrhea, Abnormal-colored or foul-smelling discharge. Children's Minnesota. However, it is for informational purposes only and is not to be taken as a substitute for medical advice from your own physician who is familiar with the details of your medical history. Cold is a major problem for children but due to cold ears are very rarely infected. For this reason, I have made a compilation of the top 15 best earplugs for swimming. Whatever the reason, the ear isnt working as it should. There are many people who struggle to find the perfect pros and cons of ear tubes in adults for themselves. All Rights Reserved. The ear tube is used to remove ear wax but some children having the side effect of using it. In this article, we discuss the pros and cons of ear tubes, as well as what to expect during and after the procedure. Other reasons for ear tubes include hearing loss due to chronic ear infections, ear pain, and balance problems. Since a plugged ear tube is unable to drain fluid or infection, the pre-tubes symptoms and discomfort may return. This is a quick, five-minute procedure. Most ear tubes are temporary and will fall out . In: Cummings Otolaryngology: Head & Neck Surgery. Use all the medication as directed even if there's no drainage or other signs of infection. Black SA, et al. 3. For some patients, allergies or infection causes blockage in the nose due to inflammation. This is common in the first few days after the procedure and usually not cause for concern. For other patients, it may stay in too long. Ear tubes help protect your child from ear infections, middle-ear fluid (liquid behind the ear drum) and the hearing problems that go along with them. What does ear drainage after ear tubes look like in adults? When a patient cannot obtain their own nourishment, feeding tubes become the only way of ensuring that they receive all of the essential vitamins and nutrients. If the procedure was performed due to hearing loss, your healthcare provider may perform an audiogram after the ears have drained to see if it helped. Cons: Prone to feedback. If both ears require tubes, the procedure is repeated on the other side. It can improve hearing loss. Another determining factor is whether you have had previous radiotherapy of the head or neck. Kristin Hayes, RN, is a registered nurse specializing in ear, nose, and throat disorders for both adults and children. Ear tubes are prepared for the improvement in ear infections and to prevent hearing loss in an individual but actually, it is not 100% capable of treating such conditions. Ear infections can also occur with ear tubes. Kristin Hayes, RN, is a registered nurse specializing in ear, nose, and throat disorders for both adults and children. 2. The type of tube used will depend on your condition and how your ear canal and eardrum are shaped. There should be air in there instead of fluid or infection," Dr. Liudahl explains. The surgical team places several monitors on your child's body to be sure heart rate, blood pressure and blood oxygen remain at safe levels throughout the procedure. This condition is known as glue ear or otitis media. Using a microscope, we start this simple in-office procedure by placing a drop of a numbing agent on the eardrum itself. Chronic conditions can cause the eustachian tube to become blocked and builds pressure behind the eardrum. Eustachian tube dysfunction is estimated to occur as a chronic condition in approximately 4% of adults worldwide, but it is an intermittent problem in an unknown higher percentage ( Clin Otolaryngol. But every kid is different. Possible risks include: Surgery for ear tube placement usually requires general anesthesia. The pros of Eustachian tube balloon dilation include: Painless: There is no cutting or removal of bone required. This content does not have an Arabic version. Accessed Feb. 22, 2021. Several types of synthetic ear tubesexist and they vary in the materials they are made of as well as the design of the tubes. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Ear infections are typically treated by oral antibiotics, ear antibiotic drops, ear wicking and surgery. Your email address will not be published. ear tubes in adults pros and consteams work better when the organizational structure. It is typically performed in your healthcare provider's office under local anesthesia and takes approximately 15 minutes. The use of tubes may avoid or delay the next round of drugs, but tubes cost more and introduce small risks (anesthesia, refractory otorrhea, tube blockage . Clinical practice guideline: Tympanostomy tubes in children. Explore Mayo Clinic studies of tests and procedures to help prevent, detect, treat or manage conditions. During this procedure, a small opening is made in the ear drum in order to insert the tube. In the past, it was recommended to wear earplugs or otherwise keep water out of your ears for the duration of having tubes, however, research shows no benefit in keeping your ears dry. They wont even feel the tubes in there! Dr. Liudahl says. For some patients, one tube placement is enough to solve the issue. This is your ultimate guide to buying the pros and cons of ear tubes in adults. It is much helpful for the family as it reduces their anxiety and depression. Ear tubes reduce the severity of ear infections including fussiness, ear pain, hearing loss, ear fluid secretion, and more. Nov 28, 2022 admin Comment on Vi Arcane Full Body Workout. Then, we make a small incision in the eardrum and place the tube within the incision. Read our. Conditions that may require a myringotomy with ear tube insertion include: It is possible to have more than one of these conditions at the same time. 2. Ear tubes in adults. Ear tubes. Is there an alternative to ear tubes for adults? The tube, which looks like a small grommet, is made of soft rubber in order to be minimally traumatic to the eardrum. Do they need tubes? Ear tubes also improve hearing and reduce ear pain, as well as help to restore balance. How to search for high resolution images on google? About 1 month after they put tubes in I started babbling more but as a child and adult I notice . Most times, its done the same day a quick hearing check before ear tube surgery. terry nicholas bryk illness; ear tubes in adults pros and cons . You must wear a mask while in our office. This ear glue accumulation gets better within a few days or weeks on its own. The use of ear tube can prevent or cause surgery that includes the risks of anesthesia and allergic reactions to your baby. But do you know that adults can also use ear tubes for the treatment and prevention of different ear diseases? When the fluid of the tympanic cavity does not have any way to remove so it impacts the hearing capability. What are ear tubes? The surgeon will often place the same drops in the ear following the placement of the tubes. The ear tube insertion surgery is performed under general anesthesia and takes on average eight to 15 minutes. If the infections are especially hard to treat or theres some other factor that complicates it, we may not need that many, she adds. Please bring your own, even if it is homemade. A tube connects the hearing aid to a custom earpiece called an ear mold that fits in your ear canal. You May Have a Deviated Septum, Sort Through Your Sore Throat Symptoms to Find the Right Remedy. If someone feels that the treatment is not working for them only then they should opt for the surgical insertion of an ear tube. Cons Cochlear implant surgery is a generally safe procedure. Pros and Cons of Texturizing Natural Hair, Pros and Cons of Tattoos in The Workplace, Pros and Cons of Micro Bead Hair Extensions, Pros and Cons of Silicone in Hair Products, Pros and Cons of Shaving Your Head as a Woman, Pros and Cons of Shaving Tour Face as a Woman, Pros and Cons of Shaving Female Pubic Hair, Pros and Cons of Cropping Great Dane Ears, Pros and Cons of Green Light Laser Surgery, Pros and Cons of Beverly Hills MD Dermal Repair Complex, Pros and Cons of Japanese Hair Straightening. Isaacson GC. Copyright 2023 Bosa Travelers Blog. If there are no complications, standard care includes the following: Reasons to see your child's ear, nose and throat specialist outside of regularly scheduled follow-up appointments include: Ear tubes help restore ventilation and drainage of the ear. Otolaryngol Head Neck Surg. You dont need a referral for it, but a lot of parents are referred by their pediatrician because its something theyve been watching, Dr. Liudahl says. These monitors include a blood pressure cuff on your child's arm and heart-monitor leads attached to your child's chest. The tube keeps the eardrum from closing, allowing it to vent over time. How to unscramble digital cable channels? PROS: Barely noticeable; large enough for directional microphones and volume control. When a child or an adult is incapable of hearing it becomes a huge stress for the caregivers. No eating 6 hours before surgery. Learn how we can help 5.8k views Reviewed >2 years ago Thank Dr. Luis Villaplana and 2 doctors agree 2 thanks All information offered on The Iowa Clinic website is intended to serve as general educational information only. Most tubes fall out by themselves. The benefits of ear tubes include the following: 1. A lot of parents are surprised to learn that ear infections can cause hearing loss. In the doctor's office, a device is used to deliver numbing medication to your child's eardrum and ear tubes are inserted. A proportion of patients will need to continue tube feeding in the community after their admission and will require a gastrostomy tube. Mayo Clinic does not endorse companies or products. The tubes allow fluid to drain from the ear, preventing the buildup of bacteria and other infectious agents. Fortunately, theres an easy fix: ear tubes. In this article, we will discuss what are ear tubes, and their advantages as well as disadvantages in both children and adults. Each year, close to 1 million children undergo ear tube procedures, called a tympanostomy, under general anesthesia in the United States. But most children tend to outgrow ear infections around their 5th birthday. If someone wants to take out their ear tubes then your physician may also assist you. But they can take Tylenol or ibuprofen if needed.. Language interpreting services available upon request. Ear tube placement often results in: Even with ear tubes, your child may still get an occasional ear infection. Patient & Family Education Materials. Not a cure: Ear tubes do not cure the underlying condition that is causing the fluid build-up in the first place, they only help to drain the fluid. There is a saying that you get what you pay for. Looking for the best pros and cons of ear tubes in adults? Cons-you have to be very careful to NOT get water in her ears. Ear tubes remain popular with an estimated 700,000 insertions a year in the United States despite subsequent well-planned studies that challenged many of the assumptions that long . Risk of dislodgement: Ear tubes can become dislodged, which can lead to further ear infections or complications. Gropper MA. If needed, grafts are usually taken from a vein or fascia (muscle sheath) tissue on the lobe of the ear. There should be air in there instead of fluid or infection, Dr. Liudahl explains. Dome-style hearing aids are best for people with mild to moderate hearing loss. Nevertheless, consumers usually choose the brand with which they have the longest relationship. This device meets the Centers for Disease Control specifications for a negative pressure Airborne Infection Isolation Room and has 12 complete room air exchanges per hour to remove disease causing microbes like Covid-19. Therefore, there are some factors that you need to consider before you start your research. Anytime theres inflammation in the nose, the fluid drains back into the ear. With the right care and monitoring, ear tubes can be a safe and effective way to improve hearing and reduce ear infections. There is low risk of permanent perforation, discharge, skin cyst formation, or pain. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Once inserted, it vents the ear, acting as a pressure valve to compensate for the lack of function from the eustachian tube. Additionally, there is a small chance that the tubes may not stay in place and may need to be replaced. Theyre seated in the eardrum to restore normal function to the ear. The only reason we opt for a different setting for kids is to keep them from making sudden movements while we attempt to place the tube, which may cause damage to the ear. If you do not do this, the effects of ear tubes can be opposite to what you have expected. The opening is so small that it doesnt take a big chunk of wax or debris to land just right and clog it. Elsevier; 2021. https://www.clinicalkey.com. Ear tubes are inserted during an outpatient surgical procedure called a myringotomy with tympanostomy tube insertion. Dr. Cuthbertson is a physician at Ear Nose & Throat Associates of Lubbock. An ear tube creates an airway that ventilates the middle ear and prevents the accumulation of fluids behind the eardrum. While ear tube placement surgery is a safe and common procedure, some complications may arise, including: Ear tubes are typically temporary and the procedure may need to be repeated. Theres little to worry about once ear tubes are in place. The function of an ear tube is simple it creates an opening that allows excess fluid or infection to drain out from the middle ear into the ear canal. A myringotomy refers to a small incision made in the ear drum or tympanic membrane, which is most often done under a surgical microscope with a small scalpel. In adults, it may be done for people who are having trouble hearing because of a buildup of fluid in the middle ear or have experienced barotrauma due to extreme air pressure changes. Which erp vendor acquired peoplesoft and siebel? 5. There are a few questions you should ask yourself to determine the direction of your research into pros and cons of ear tubes in adults: It is the year 2022 and the best source of information and research can be found on the internet. Bloody drainage from the ear is normal. The chance of a tube falling in, instead of out, is very rare. How to make a halo reach clan website for free? Nov 28, 2022 admin Comment on Ear tubes in adults pros and cons. Check with the respective seller for the specifications and prices listed in pros and cons of ear tubes in adults. They are often recommended for individuals who have chronic middle ear infections or recurrent episodes of fluid buildup in the ear, which can cause hearing loss, ear pain, and other symptoms. Why did the boy wear glasses in math class? Usually, eardrops will be given to you the day of surgery. The middle ear is the space behind the eardrum that contains three tiny vibrating bones. The ear tubes come out within 6 to 18 months. We let the body slowly heal that eardrum and naturally push that tube out into the ear canal. Merck Manual Professional Version. Keep an eye out for signs of infection and call your healthcare provider if you experience: Your healthcare provider will give you instructions regarding when it is safe to submerge your head underwater or get your ears wet. The tympanic cavity is usually empty and consists of air but during the infection, the mucus membrane secretes excessive fluid into the tympanic cavity. Most ear tubes fall out within four to 18 months, and the holes heal shut on their own. Usually, the ear tube is placed in the child if 3 episodes of ear infection already occurred within 6 months or 4 episodes have occurred during 12 months. Enteral feeding (or 'tube feeding') is a very common inpatient intervention to maintain nutritional status where the oral route is inadequate, unsafe or inaccessible. Thanks. For example, adults with a blocked eustachian tube may benefit from a procedure in which a tiny balloon is inserted into the tube to equalize air pressure. Although the risks of anesthesia are very low in otherwise healthy children, possible problems include: You'll receive instructions from the hospital on how to prepare your child for surgery to place ear tubes. Need for additional surgery: In some cases, ear tubes may need to be removed or replaced if they become dislodged or if they do not alleviate symptoms as expected. Well save you time by eliminating all but the most important reviews. Let your child pick out a favorite comfort toy, such as a blanket or stuffed animal, that you can take to the hospital. The ventilation provided by ear tubes keeps the air in the middle ear refreshed. Ear tubes reduce the severity of ear infections including fussiness, ear pain, hearing loss, ear fluid secretion, and more.

Robin Zasio Husband, My Heart And My Soul Belongs To Zeta Phi Beta, Atlas Missile Silo For Sale, Has Anyone Ever Been Buried Alive In A Coffin, Articles E

0 0 votes
Article Rating
Subscribe
0 Comments
Inline Feedbacks
View all comments

ear tubes in adults pros and cons