Myringotomy with Grommet Insertion: Relief from Ear Infections
Are you or your child struggling with repeated ear infections, fluid buildup behind the eardrum, or hearing difficulties? These symptoms often signal Otitis Media with Effusion (OME) or chronic ear infections, conditions that can affect hearing, balance, and speech development — especially in children.
Myringotomy with grommet (ventilation tube) insertion is a proven surgical solution that relieves fluid pressure, restores hearing, and prevents recurrent ear infections.
Read on to understand the complete treatment process, recovery, and long-term benefits — and learn how this procedure can bring lasting relief from chronic ear problems.
Understanding the Condition
The ear is divided into three parts — outer, middle, and inner ear. The middle ear is an air-filled cavity behind the eardrum that transmits sound through tiny bones (ossicles). This space connects to the back of the nose through the Eustachian tube, which helps maintain pressure balance.
When the Eustachian tube is blocked or doesn’t function properly (often due to allergies, adenoid enlargement, or infections), fluid builds up behind the eardrum. This condition, called Otitis Media with Effusion, leads to:
Such conditions are effectively managed by our Otology and Neuro-Otology (Ear) specialists at Thanc Hospital, Chennai, who focus on advanced diagnosis and microsurgical treatments for chronic ear infections and hearing loss.
- Muffled hearing or temporary hearing loss
- Recurrent ear infections
- Ear fullness or pressure sensation
- Speech delay (in children)
- Balance issues or irritability
If the condition persists for months despite medications, surgery — Myringotomy with Grommet Insertion — is recommended to ventilate the middle ear and restore hearing.
Recognizing Symptoms That Need Attention
You or your child may need ENT evaluation if you experience:
- Frequent ear infections (3+ in 6 months or 4+ in a year)
- Persistent ear fullness or fluid behind the eardrum
- Hearing loss or delayed speech in children
- Balance problems or dizziness
- Poor response to antibiotics or ear drops
- Recurrent nasal or adenoid-related issues
In children, parents may notice inattentiveness, poor school performance, or frequent “asking to repeat” — signs of hearing loss due to middle-ear fluid.
Diagnosis: How ENT Specialists Confirm the Problem
At the hospital, ENT specialists follow a step-by-step, precise diagnosis to ensure accurate treatment decisions.
1. Detailed Clinical History & Ear Examination
A thorough discussion of infection history, hearing issues, nasal allergies, and environmental factors is conducted, followed by an ear examination using an otoscope or microscope to look for fluid or retracted eardrum.
2. Tympanometry
A painless test that measures middle-ear pressure and fluid presence, confirming Eustachian tube dysfunction or effusion.
3. Audiometry (Hearing Test)
Assesses the level of hearing loss and the improvement expected after the procedure.
4. Nasal Endoscopy (if indicated)
Evaluates the nasal cavity and adenoids, since adenoid hypertrophy is a common cause of Eustachian tube blockage in children.
If fluid persists for over 3 months or hearing loss is significant, surgery is usually advised.
What Is Myringotomy with Grommet Insertion?
Myringotomy is a small incision made in the eardrum to drain trapped fluid from the middle ear.
Grommet insertion involves placing a tiny ventilation tube in this incision to maintain airflow and prevent fluid buildup.
The tube allows the middle ear to “breathe,” equalizing pressure and reducing infection recurrence. Over time (usually 6–12 months), the grommet naturally falls out, and the eardrum heals on its own.
The Procedure: Step-by-Step
Preoperative Preparation
Before the surgery, the ENT team conducts:
- A complete ear and nasal evaluation
- Blood tests and anesthesia fitness assessment
- Review of medications, allergies, and fasting instructions
- Counseling for parents/patients about what to expect
On the Day of Surgery
- The procedure is done under general anesthesia in children and local anesthesia in adults.
- A small incision (myringotomy) is made in the eardrum using a microscope or endoscope.
- Fluid or pus is gently suctioned out.
- A tiny grommet (tube) is inserted into the opening to maintain ventilation.
- No stitches are needed; the incision heals naturally.
The procedure usually takes 15–20 minutes per ear, and most patients can go home the same day.
Concerned about persistent ear infections or hearing loss?
Our experienced ENT specialists at Thanc Hospital Chennai are here to help.
Book a consultation today to find out if Myringotomy with Grommet Insertion is right for you.
Postoperative Care & Recovery
Day 1–3: Immediate Recovery
- Mild ear discomfort or itching may occur.
- Avoid water entry into the ears (no swimming or hair washing for a few days).
- Pain relief and antibiotic ear drops prescribed.
- Resume soft diet and gentle routine after rest.
Week 1–2: Healing Phase
- Fluid discharge (few drops) may occur — normal unless persistent.
- Avoid blowing the nose forcefully.
- Regular follow-up ensures the grommet remains in place and functional.
Months 1–6: Normal Activity
- Hearing improvement is usually noticed within days.
- Regular ENT check-ups every 3–4 months.
- Children can attend school normally.
- Grommet remains functional for 6–12 months before naturally extruding.
Long-Term Benefits
- Clearer hearing and speech development in children
- Reduction in recurrent ear infections
- Relief from ear fullness and pressure
- Better balance and school performance
- Improved sleep and concentration
Parents often report noticeable improvement in their child’s confidence, responsiveness, and learning ability after surgery.
Risks and How They Are Managed
Myringotomy with grommet insertion is considered safe and routine, but potential risks include:
Minor, Temporary Effects
- Mild discharge from ear (for few days)
- Temporary ear blockage sensation
- Ear itching
Rare Complications (<2%)
- Persistent eardrum perforation after grommet falls out
- Early extrusion or blockage of tube
- Ear infection requiring drops or antibiotics
These risks are minimized through:
- Strict aseptic surgical protocols
- Skilled ENT surgical expertise
- Regular follow-ups and patient guidance
Frequently Asked Questions (FAQ)
1. Is the surgery painful?
No. It is done under anesthesia, so there is no pain during the procedure. Mild soreness afterward is easily managed with medication.
2. How long does the grommet stay in the ear?
Usually between 6 to 12 months, depending on tube type and healing.
3. Will it affect hearing permanently?
No — it improves hearing by draining fluid and restoring air balance.
4. Can my child swim after surgery?
Swimming should be avoided unless approved by your doctor. Special earplugs may be used later.
5. Will the hole in the eardrum heal after the tube falls out?
Yes. The eardrum typically closes on its own after the grommet comes out.
6. Can ear infections still happen after surgery?
Rarely, mild infections may occur but are easily treated with ear drops.
Expert ENT Care for Ear Infections at Thanc Hospital, Chennai
✓ Advanced ENT surgical technology
✓ Experienced pediatric and adult ENT specialists
✓ Safe, short-duration daycare procedure
✓ Comprehensive hearing and nasal assessment
✓ Cashless insurance & patient-centered support
Final Thoughts
If persistent ear infections, fluid buildup, or hearing loss have become a recurring problem, timely Myringotomy with Grommet Insertion can offer lasting relief and restore normal hearing.
At Thanc Hospital, Chennai, our ENT team combines medical precision with compassionate care to ensure safe, effective, and lasting outcomes — helping you or your child enjoy a healthier, infection-free life.
