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Myringotomy Grommet


A grommet is a miniature plastic tube that is placed inside an especially created hole in the eardrum so as to let the air get in and out and improve ventilation of the middle ear. Myringotomy with grommet insertion is conducted in patients suffering from a condition called glue ear (secretory or serous otitis media) i.e. fluid accumulation in ear, or those with a retracted eardrum.

Such conditions afflict children more than they do the adults and have an adverse effect on hearing and speech faculties of the patient. Grommets can remain inside the ear for 6 months to a year (sometimes longer). As the eardrum grows, grommets fall out by themselves and this extrusion is rarely noticed. This surgery is mostly performed under a short-duration general anaesthesia. While the grommet can cause some scarring in the eardrum, it has no adverse effect on the hearing ability.

Conditions treated


  • Secretory or serous otitis media or glue ear which can also cause hearing loss in children.
  • A disease affecting the middle ear can damage its three tiny bones (collectively known as the ossicles) and affect hearing. The reconstructive surgery to restore this bone conducting mechanism is called an ossiculoplasty.

  • Why this surgery?

  • Not every case of glue ear requires a myringotomy with grommet insertion as quite a few such cases take some time but self-heal by themselves. The doctor gives 3 months to a patient for a chance to self-heal.
  • If the glue ear is causing hearing, speech or infectious problems, the surgeon may decide to perform a myringotomy with grommet insertion.
  • Benefits

  • Short term ventilation results in immediate improvement in hearing.
  • It rectifies any hearing loss caused by fluid accumulation or infection behind the eardrum.
  • Behavioural problems often improve, with improvement in speech, language, and learning.