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Ear grommet insertion (myringotomy with tubes)
Category: Minor Procedures, Injections & Pain Relief · All minor procedures, injections & pain relief
What it is
Grommets (ventilation tubes) are tiny tubes inserted through the eardrum after a small cut (myringotomy) to let air into the middle ear, equalise pressure, drain fluid and prevent recurrent infections. They are commonly used in children with persistent glue ear.
Why it is done
Indications include glue ear (otitis media with effusion) lasting three months or more with hearing loss affecting development or schooling, recurrent acute ear infections, and adults with eustachian tube dysfunction causing persistent fluid.
How to prepare
Children usually have a general anaesthetic as a day case; adults may have local anaesthetic. You fast if general anaesthetic is planned. Tell the team about allergies, blood thinners and any hearing test results.
What happens during the procedure
Under anaesthetic, the surgeon makes a tiny cut in the eardrum, suctions out fluid, and inserts the grommet — it takes about 10 to 15 minutes. Both ears are usually done in the same session when needed.
Afterwards — recovery & results
Hearing often improves immediately once fluid drains. Keep ears dry while grommets are in (ear plugs or a headband for swimming; baths with care). Grommets usually fall out by themselves within six to twelve months as the eardrum heals; some need removal or replacement. Follow-up hearing tests are arranged.
Risks & considerations
Risks include discharge from the ear, infection (treated with drops), the tube falling out early or staying in too long, a small perforation after the tube falls out (usually heals), scarring of the eardrum and, rarely, needing a repeat procedure.
Watch: Ear grommet insertion (myringotomy with tubes) videos
Real procedure videos from the MedicalVideos.com library. Some clinical footage is graphic — that is the nature of a medical video library.
Frequently asked questions
Will glue ear get better without grommets?
Often yes — many cases resolve within three months with watchful waiting. Grommets are offered when it persists and affects hearing, speech or schooling.
Can my child swim with grommets?
Surface swimming with ear protection is usually fine; diving and dunking the head are avoided. Your ENT team will give exact guidance.
Related procedures — Minor Procedures, Injections & Pain Relief
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