Ear Grommets

Glue Ear

Glue ear, also known as otitis media with effusion, is a condition where the middle ear fills with a sticky fluid, affecting hearing as it can't move freely. This condition is common in children under the age of seven, particularly between the ages of two and five, and can lead to speech and language development problems due to the associated hearing issues.

When Does Surgery Become Necessary

Surgery becomes necessary when glue ear causes persistent hearing loss, speech delay, or recurrent ear infections. The primary objective of the surgery is to prevent build-up of the fluid behind the eardrum, which should improve the child's hearing and speech.

Overview of the Surgical Procedure

The surgical procedure, known as myringotomy, involves the insertion of tiny tubes called grommets into the eardrum. These grommets allow air to pass through the eardrum, keeping the air pressure on either side equal. The operation is performed under general anaesthesia and typically takes about 15 minutes.

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Related Concerns

Glue ear can lead to hearing problems, speech and language development issues, and recurrent ear infections. If left untreated, these issues can have long-term impacts on a child's development.

Causes of the Issues

The exact cause of glue ear is unknown, but it is often seen in children following a cold, making it more common during the winter months.

Treatment Approaches

Treatment options for glue ear include the use of nasal sprays, hearing aids, and surgery. The surgical option involves the insertion of grommets into the eardrum to allow air to pass through and prevent the build-up of fluid.

Service Overview

The Paediatric Ear Grommets Insertion service provides a comprehensive solution for children suffering from glue ear. The procedure is simple, safe, and effective in improving hearing and preventing recurrent ear infections.

Step-by-Step Guide to Myringotomy

1. The child is put under general anaesthetic.
2. The surgeon makes a small incision in the eardrum.
3. A grommet is inserted into the incision to allow air to pass through.
4. The procedure is completed within 15 minutes, and the child can usually go home the same day. ### Conditions Warranting Myringotomy Myringotomy is recommended for children with persistent glue ear, which can cause hearing loss, speech delay, and recurrent ear infections. The surgery may also be considered for children who experience frequent ear infections or have a history of ear infections that do not respond well to medication. ### Benefits of Myringotomy The potential benefits of myringotomy include improved hearing, reduced risk of recurrent ear infections, and better speech and language development. The procedure can also help prevent long-term complications associated with untreated glue ear. ### Risks of Myringotomy The risks of myringotomy include infection, bleeding, and scarring of the eardrum. In rare cases, the grommets may become dislodged or fall out prematurely, requiring a repeat procedure. ### Preparation for Surgery Before surgery, the child may need to undergo a hearing test and have a physical examination. Parents should discuss any medications the child is taking with the surgeon, as some medications may need to be stopped before the procedure. ### Pre-surgery Procedures and Checks At the hospital, the child will be assessed by the anesthesiologist and the surgical team. The child's vital signs will be monitored, and any necessary preoperative medications will be administered. ### Postoperative Care After surgery, the child will be monitored in the recovery room until they are awake and stable. Parents will receive instructions on how to care for the child at home, including keeping the ears dry and administering any prescribed medications. ### Recovery and Rehabilitation The recovery timeline for myringotomy is typically short, with most children returning to normal activities within a few days. Physical therapy and exercises are generally not required for this procedure. ### Alternatives to Surgery Non-surgical treatment options for glue ear include watchful waiting, nasal sprays, and hearing aids. However, these options may not be as effective as surgery in resolving the condition. ## References
5. Great Ormond Street Hospital. (2023). Treatment of glue ear with grommets.
6. Oxford University Hospitals. (2023). Grommets surgery for glue ear.
7. NHS. (2023). Glue ear.
8. Healthdirect. (2023). Grommets.
9. The Royal Children's Hospital. (2023). Ear infections and glue ear.

• Great Ormond Street Hospital. (2023). Treatment of glue ear with grommets.
• Oxford University Hospitals. (2023). Grommets surgery for glue ear.
• NHS. (2023). Glue ear.
• The Royal Children's Hospital. (2023). Ear infections and glue ear.