What is insertion of ventilation tubes for glue ears (grommets & T-tubes)?

Insertion of ventilation tubes for glue ears, also known as myringotomy and tympanostomy tube placement, is a surgical procedure to insert small tubes into the eardrums of children with glue ears. Glue ears, also known as otitis media with effusion, is a condition in which fluid builds up in the middle ear behind the eardrum. This can cause hearing loss and other problems.

How is insertion of ventilation tubes for glue ears done?

The procedure is typically performed under general anesthesia. The surgeon will make a small incision in the eardrum and insert the ventilation tube. The tube will stay in place for several months to a year, and then fall out on its own.

Common practice/results of this service

Insertion of ventilation tubes for glue ears is a very common procedure and is generally safe and effective. Most children experience a significant improvement in their hearing and other symptoms after the procedure.

Why do people need insertion of ventilation tubes for glue ears?

Children may need insertion of ventilation tubes for glue ears if they have:

• Hearing loss
• Frequent ear infections
• Delayed speech and language development
• Fluid in the middle ear for more than 3 months

Who is suitable for insertion of ventilation tubes for glue ears?

Insertion of ventilation tubes for glue ears is typically suitable for children who have met the following criteria:

• At least 6 months old
• Hearing loss of at least 25 decibels in the affected ear(s)
• Fluid in the middle ear for more than 3 months
• No other medical conditions that would make the surgery unsafe

Insertion of ventilation tubes for glue ears is most commonly performed on children between the ages of 1 and 3 years old. However, it can be performed on children of all ages.

Benefits of insertion of ventilation tubes for glue ears

The benefits of insertion of ventilation tubes for glue ears include:

• Improved hearing
• Reduced risk of ear infections
• Improved speech and language development
• Improved quality of life

Insertion of ventilation tubes for glue ears can help to improve hearing and other symptoms associated with glue ears. However, it is important to note that the tubes do not prevent glue ears from happening again. Lifestyle changes, such as avoiding smoking and secondhand smoke, can help to reduce the risk of glue ears.

The Procedure

Insertion of ventilation tubes for glue ears is typically performed in a hospital or outpatient surgery center. The procedure usually takes about 30 minutes.

Pre-surgery – getting ready for surgery

Before insertion of ventilation tubes for glue ears, Mr Khatwa will give you instructions on how to prepare for the surgery. These instructions may include:

• Fasting for a certain number of hours before the surgery
• Giving your child certain medications
• Avoiding certain medications, such as aspirin and ibuprofen

Post-surgery – what to do after surgery

After insertion of ventilation tubes for glue ears, your child may experience some discomfort in their ear(s). This is usually mild and goes away on its own within a few days. Mr Khatwa will give you instructions on how to care for your child after the surgery. These instructions may include:

• Giving your child pain relievers, such as acetaminophen or ibuprofen
• Keeping your child's ears dry
• Avoiding swimming and diving
• Seeing Mr Khatwa for follow-up appointments

If you are considering ventilation tubes for Glue ears, be sure to book an appointment with Mr Khatwa to talk about the risks and benefits and whether it is right for your child. Mr Khatwa can also help you to prepare for surgery and to understand what to expect after surgery.