OBJECTIVE: This field research aims to examine whether complaints of changes in the learning process together with complaints of hearing loss and respiratory allergies are the result of tube dysfunction or other related changes. MATERIALS AND METHODS: Twenty-five 8-year-old girls who had complaints of changes in the learning process were selected. They were referred a priori to an ENT for complete clinical evaluation. Otoscopy, audiometry, impedanciometry, screening of spontaneous writing, and imaging were conducted. RESULTS: The evaluation found that 64% of the patients showed changes in imaging, 76% showed changes in otoscopy, and 24% showed no changes. Audiometric assessment showed normal findings in 44% of the patients, discrete hearing loss in 52%, and mild hearing loss in 4%. Acoustic impedance was detected as type A in 20%, type C in 24%, type B in 4%, and residual negative volume (RNV) in 36%. CONCLUSION: Along with the existing literature and research, we agree that the changes in the learning process may be due to the malfunction of the auditory tube, that is, "tube dysfunction." The extent of changes may contribute negatively to the child's progress, whether in school or in any environment where they need to pay attention and listen well.