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Procedures

Grommet (ventilation tube) insertion

A tiny tube placed in the eardrum to drain fluid and ventilate the middle ear.

A grommet is a tiny ventilation tube placed in the eardrum to treat fluid behind the eardrum (glue ear), persistent Eustachian tube dysfunction, some cases of Meniere’s disease, and a severe retraction pocket in the eardrum.

How it is done

Using an operating microscope, a small hole is made in the eardrum, the fluid is suctioned out, and the grommet is placed in the hole. It is a short procedure, done under general anaesthetic or sometimes with local anaesthetic to numb the ear.

Recovery and risks

  • Usually not very painful; simple painkillers help in the first day
  • A discharging, sometimes bloody or painful ear from infection is the commonest issue, usually settled with antibiotics or ear drops
  • Grommets are not permanent and are pushed out by the ear after 6 to 12 months; symptoms can then recur and need another grommet
  • Swimming is allowed with sensible precautions
  • Permanent damage to the ear is very rare; the eardrum can occasionally fail to heal, more likely after multiple grommets

Long-stay grommets, which remain in place for longer, are sometimes used in recurrent cases.

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This page is general information and not a substitute for individual medical advice. The right treatment depends on your assessment.