What Are Grommets?

Grommets, also known as tympanostomy tubes or ventilation tubes, are tiny tubes inserted into the eardrum to help drain fluid and equalise pressure in the middle ear. They are commonly used to treat persistent middle ear infections (otitis media with effusion) and to improve hearing in both children and adults.

Why Are Grommets Needed?

When fluid builds up behind the eardrum due to infection or poor drainage through the Eustachian tube, it can cause pain, hearing loss and discomfort. Grommets create a small opening in the eardrum that allows fluid to drain and air to enter the middle ear, reducing pressure and preventing repeated infections.

The Procedure

Insertion of grommets is a minor surgical procedure usually performed under general anaesthesia in children and sometimes under local anaesthesia in adults. The surgeon makes a small incision in the eardrum and places the tube to keep the opening patent. The procedure is quick and typically results in immediate relief.

Aftercare and Duration

Grommets generally stay in place for six to twelve months before naturally falling out as the eardrum heals. During this time, it is important to protect the ear from water exposure to reduce infection risk. Regular follow-up appointments help monitor ear health and hearing.

Benefits and Risks

Grommets can significantly improve hearing and reduce the frequency of ear infections. However, potential risks include temporary discomfort, persistent perforation after tube loss, and occasional infections. Most complications are mild and manageable.

Summary

Grommets are small tubes inserted into the eardrum to drain fluid and equalise pressure in the middle ear, helping treat chronic ear infections and improve hearing. The procedure is safe, effective and commonly performed, especially in children.