Grommets (ear tubes)

Who this is for

Mostly children with glue ear (fluid behind the eardrum) that has lasted several months and affects hearing, speech or learning, or with frequent middle ear infections. Adults occasionally need grommets too. Many cases of glue ear settle on their own, so a period of watchful waiting is common.

How we assess

The surgeon examines the ears and reviews a hearing test and tympanogram (a test of how the eardrum moves). Adenoids may also be assessed, as large adenoids can contribute to glue ear.

The procedure

Under a short general anaesthetic (for children), a tiny opening is made in the eardrum, the fluid is cleared and a small tube is placed to let air into the middle ear. No external cuts are made. Adenoids are sometimes removed at the same time.

Risks

• Discharge from the ear, which is usually treated with ear drops

• The grommet coming out early or, less often, staying in too long and needing removal

• A small hole remaining in the eardrum after the grommet comes out, which occasionally needs repair

• Scarring of the eardrum (usually without effect on hearing)

• Glue ear returning and further grommets being needed

• Risks of general anaesthetic

Recovery (typical)

Most children go home the same day and return to normal activities within a day or two. Your surgeon will advise on water precautions. Grommets usually fall out on their own within about 6 to 18 months. Follow-up appointments check the ears and hearing.

Where

Consultations at Bella Vista (near Norwest) and Parramatta.

Related pages: Hearing Loss · Tonsillectomy

Referral: To see a specialist and claim a Medicare rebate you need a current referral from your GP or another specialist. Please talk to your GP first; they can email the referral to admin@entsurgeons-sydney.com.au. New referrals are usually seen within 1–2 weeks.

Fees: Private fees apply. A Medicare rebate is available with a valid referral, and bulk billing may be offered in some circumstances. Our rooms will explain consultation and any procedure fees before your appointment.

Contact: Sydney ENT Surgeons, Suite A11, Level 1, 24–32 Lexington Drive, Bella Vista NSW 2153 · (02) 8883 5368 · admin@entsurgeons-sydney.com.au. Parramatta consultations at Agios Health, 3/23 Hassall Street, Parramatta NSW 2150 · (02) 8608 2262.

This page is general information only and is not a substitute for advice from your own doctor. Any surgical or invasive procedure carries risks. You are welcome to seek a second opinion from another appropriately qualified practitioner before deciding on treatment.

In an emergency, call 000 or go to your nearest emergency department.