Glue Ear and Grommet Insertion: A Patient’s Journey

What is Glue Ear?

Glue ear (otitis media with effusion) is a condition where fluid builds up behind the eardrum in the middle ear. It can cause hearing problems, delayed speech and discomfort, especially in children.

Why does my child have Glue Ear?

Glue ear is common in young children because their Eustachian tubes are smaller and more prone to blockages. It often develops after ear infections or colds.

What Problems Can Glue Ear Cause?

• Hearing Loss: The fluid prevents sound from traveling properly through the ear.
• Speech and Learning Delays: Long-term hearing issues may affect speech development and learning.
• Discomfort or Pain: Pressure or fullness in the ear.
• Recurrent Infections: Fluid buildup can lead to repeated ear infections.

Why has Grommet Insertion been recommended?

A grommet (a tiny tube) may be inserted into the eardrum to:

• Drain the fluid and restore hearing.
• Prevent recurrent ear infections.
• Relieve pressure and discomfort in the ear.
• Allow air to flow into the middle ear, preventing fluid buildup.

Preparing for the Operation

• Fasting: No food for 8 hours before surgery/ No water for 2 hours before the surgery.
• Medication: Inform the doctor about any medications your child takes.
• Comfort: Bring your child’s favorite toy to help them feel at ease.
• Clothing: Dress your child in loose, comfortable clothing for the procedure.

What happens during the operation?

• The procedure is performed under general anesthesia so your child will be asleep.
• A small cut is made in the eardrum, and the built-up fluid is suctioned out.
• A grommet (tiny tube) is inserted to keep the middle ear ventilated.
• The entire procedure typically takes 10–20 minutes.

After the Operation

• Your child will be monitored in a recovery room before being discharged the same day.
• Some mild discomfort or an earache is normal.
• Your child’s hearing may improve within a few days.

What to expect after surgery?

• Improved Hearing – Often noticeable within a few days.
• Mild Ear Discharge – This may occur for a short time.
• Earache – Some discomfort is normal and will improve.
• Water Sensitivity – Avoid getting water in the ears until your doctor advises
  otherwise.

Possible risks of Grommet Insertion

While the procedure is very safe, some risks include:

• Infection – May cause discharge or discomfort.
• Early Grommet Loss – The grommet usually falls out on its own after 6–12 months.
• Scarring of the Eardrum – Rare but possible.
• Persistent Hearing Issues – If there are other underlying conditions.The procedure is very safe, but risks include:

Post-Surgery: Care Instructions

• Follow-Up Appointment – Scheduled to check the grommets and healing progress.
• Hygiene – Keep water out of your child’s ears during bathing or swimming unless advised otherwise. Use earplugs if necessary.
• Pain Relief – Use prescribed medications if your child experiences discomfort.
• Activities – Your child can return to school or daycare the next day unless instructed otherwise.
• Monitor Symptoms – Contact your doctor if your child has a fever, persistent ear pain, or unusual discharge.

Quick Tips for Parents

• Reassure your child that the procedure will help them feel better.
• Follow your doctor’s advice on ear care and follow-up appointments.
• Plan for quiet activities, such as reading or drawing, during recovery.

Consult an ENT Specialist