Grommet Insertion (Glue Ear Treatment)
What is it?
Grommet insertion, also referred to as tympanostomy tube placement, is a common surgical procedure conducted primarily to address glue ear, known as otitis media with effusion, particularly in children. Glue ear is a condition characterised by the accumulation of fluid within the middle ear, leading to hearing impairment, discomfort, and potential developmental challenges. Grommets, which are small tubes, are placed into the eardrum to enhance ventilation, allowing the fluid to drain, and preventing recurrent fluid build-up.
What does it involve?
Grommet insertion is typically carried out as an outpatient procedure in the UK. The surgery involves making a small incision in the eardrum and inserting a tiny tube, known as a grommet, into the opening. Various types of grommets are available, each tailored to specific cases.
During the procedure, the surgeon examines the ear canal and eardrum to confirm the presence of glue ear and assess the suitability for grommet insertion. The grommet tube is then carefully placed into the eardrum, establishing a ventilation pathway that facilitates fluid drainage from the middle ear. This procedure aids in equalising pressure, restoring hearing, and reducing the risk of recurring infections.
Further Information
How to prepare?
Before the surgery, detailed instructions will be provided by your healthcare provider. These may include fasting for a specific duration before the procedure, arranging transportation for after the surgery, and discussing any medications your child might be taking. It’s essential to inform your healthcare team about any allergies, medical conditions, or medications.
How long does it take?
Following the surgery, your child will be taken to a recovery area to wake up from the anaesthesia. Some children might experience mild discomfort, fluid drainage from the ear, or slight ear pain in the days following the procedure. If necessary, your healthcare provider may prescribe pain relief medication. It’s important to keep water out of the ears during the recovery period to avoid affecting the efficacy of the grommets.
In many instances, grommets will naturally fall out over the course of several months to a year as the eardrum heals. Throughout this period, attending follow-up appointments is crucial to monitor your child’s progress and ensure that the grommets are functioning as intended.
