Myringotomy and insertion of ventilating tubes (grommets) are done in Jubilee Hospital, Trivandrum, by Dr.K.O.Paulose FRCS Consultant ENT Surgeon. This is done under a general anesthesia.
Glue Ear (Otitis media with effusion) is a build-up of fluid behind the eardrum, in the middle ear. Glue ear is a middle ear disease, associated with poor Eustachian tube function. Common reason for persistent glue ear in children is large adenoids at the back of the nose. Adenoid is a cauliflower-like swelling of the immune tissue at the back of the nose. If they get too big, they cause blockage of the nose and Eustachian tube. In severe cases they can cause obstruction of nose and snoring at night.
If persistent adenoid and glue ear, myringotomy and grommets insertion is highly effective. Removal of the adenoid is also done. A grommet is a tiny plastic tube, shaped like a miniature cotton reel, about 2mm diameter. It is fitted through a small cut in the eardrum (myringotomy). The grommet allows air from the outer ear directly into the middle ear. Provided the grommet remains in position and is not blocked, the hearing returns to normal almost immediately.