Grommet insertion (adult) | Better Health Channel

Summary

Glue ear is a common condition that usually gets better without any surgery. Surgery is recommended when the condition lasts longer than three months and the hearing loss is causing problems.

What is glue ear?


Glue ear is a common condition where fluid collects in your middle ear behind your eardrum (see figure 1). It can cause deafness and repeated earache or infections, resulting in a discharge from your ear.

Blocking of the eustachian tube (Figure 1)

What are the benefits of surgery?


A grommet (small plastic or metal tube) allows air to enter your middle ear, preventing fluid build-up.

Are there any alternatives to surgery?


The condition almost always gets better but it is not always possible to say when this will happen.

Surgery is recommended if the glue ear continues for longer than three months and is causing problems with poor hearing or repeated ear infections.

What does the operation involve?


The operation is usually performed under a general anaesthetic but a local anaesthetic can be used. The operation usually takes about 20 minutes.

Your surgeon will make a small hole in your eardrum and remove the fluid by suction (myringotomy). They will place a plastic or metal grommet in the hole.

What complications can happen?


1 General complications


2 Specific complications


How soon will I recover?


You should be able to go home the same day.

Other than swimming, you should be able to return to normal activities after one to two days.

Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising ask the healthcare team or your GP for advice.

The grommet will fall out of your ear by itself, after 6 to 18 months depending on the material and design of the grommet.

Acknowledgements


Author: Miss Ruth Capper MD FRCS (ORL-HNS)
Illustrations: LifeART image copyright 2012 Wolters Kluwer Health, Inc.-Lippincott Williams & Wilkins. All rights reserved

This page has been produced in consultation with and approved by:

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Issued: June 2015
Expires: July 2016

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