Grommets

Grommets are small, tube-like devices made of plastic or metal that are inserted into the eardrum to help drain fluid from the middle ear.

What are grommets used for?

Grommets are used to treat a condition called otitis media with effusion (OME), also known as glue ear. This is a common condition in children where fluid builds up in the middle ear behind the eardrum, causing hearing loss and discomfort.

How do grommets work?

Grommets work by allowing air to enter the middle ear and helping to drain fluid that has built up. They are inserted into a small incision made in the eardrum, and the tube is left in place for several months to allow the fluid to drain out.

Types of Grommets

There are two main types of grommets:

• Short-term grommets: These are designed to stay in place for a short period, usually around 6-12 months. They are smaller and more suitable for younger children.
• Long-term grommets: These are larger and designed to stay in place for longer, usually around 1-2 years or more. They are often used for older children or adults who require ongoing treatment.

Procedure for inserting grommets

The procedure for inserting grommets is typically performed under general anesthesia and takes around 15-30 minutes to complete. The steps involved are:

1. A small incision is made in the eardrum.
2. The fluid is suctioned out of the middle ear.
3. The grommet is inserted into the incision.

Aftercare and follow-up

After the procedure, it's essential to follow the doctor's instructions for aftercare, which may include:

• Avoiding getting water in the ear.
• Using ear drops as prescribed.
• Attending follow-up appointments to check on the grommet and the middle ear.

Risks and complications

As with any surgical procedure, there are risks and potential complications associated with grommets, including:

• Infection.
• Bleeding or discharge from the ear.
• Perforation of the eardrum.
• Scarring or adhesions in the middle ear.

Removal of grommets

Grommets usually fall out on their own after several months, but in some cases, they may need to be removed by a doctor. This is typically done under general anesthesia and is a quick and straightforward procedure.