Glue Ear

Glue Ear is a condition in which fluid accumulates in 
the middle ear behind the eardrum. It is the most- Temporary hearing loss: This is the most
common cause of partial deafness in children andcommon symptom.
it is estimated that one in four children are 
affected at some stage in their childhood. It is- A stuffy feeling in the ears. Glue Ear does not
more common in boys with most being affectedcause pain the way middle ear infections (otitis
between the ages of two and five. Howevermedia) can. Children with Glue Ear sometimes
there are chances it may occur at a later stage,have repeated episodes of earache or middle ear
including in adulthood.infections.
Glue Ear mainly occurs in both ears and may be 
difficult to detect, since it is not painfulChanges in behaviors include tiredness and
doesn’t cause symptoms of an ear infection.frustration, not responding when called, falling
Mostly it is due to a problem with the Eustachianbehind at school, preference to staying in isolation.
tube that connects the middle ears to the backDiagnosing Glue Ear.
of the nose and throat.If your child is showing the following symptoms
The Eustachian tube normally plays an importantand you are unclear about their condition, it is
role in maintaining equal air pressure between theadvisable to check with your nearest ENT
outside and inside of the middle ear. When thespecialist.
tube becomes obstructed the air in the middle earOften doctors rely on one or several of the
becomes absorbed, and the resulting vacuumfollowing tests to make the diagnosis. They’re
draws fluid into the middle ear cavity from liningOtoscopy, Audiometry and Tympanometry tests.
of ht ear (the mucosa)Treatment of Glue Ear.
Initially the fluid is thin and watery but eventually itGlue Ear does not always need treatment. Most
becomes thick and tenacious, hence, the namephysician prefer a conservative, or “wait and
“Glue Ear”. Because the middle ear is nowsee”, approach to treat the problem.
filled with fluid rather than air, the haring isThere is some debate about how effective
muffled. Obstruction of the tube may be due tomedical treatments are and the mainstay of
repeated bacterial and viral upper respiratorytreating children with Glue Ear is with ventilation
track infections, enlarged adenoids or nasal allergy.tubes (grommets)
It is important to note that in children theThe decision to operate and insert a grommet in
Eustachian tube is more horizontal and smallerthe eardrum is dependent on many factors such
than in adults and this is one of the reasons whyas the patient’s age, whether there are
Glue Ear is relatively common in children.recurrent middle ear infections, pain speech, delay
Children are especially prone to Glue Ear because.learning or behavioral difficulties.
 It can also depend on the appearance of the
- Of frequent colds and sore throatseardrum. (For instance whether there is a
 retraction pocket, which is a localized area of
- In children, the adenoids (lymph tissues at thescarring that may lead to problem)
back of the nose that help protec againstYoung children with poor language development,
infection) are more likely to be enlarged, blockingpain or recurrent ear infection should have
the opening of the Eustachian tubes.grommets inserted as soon as possible. Older
 children with fewer symptoms can be treated
SOME RESEARCHERS also believe children are atconservatively with regular follow-up visits in the
higher risk if exposed to cooler climes or a smokyoutpatient clinic to monitor their hearing and the
environment. Children with genetic conditions suchappearance of the ear drum
as Downs Syndrome may have smallerThe main objective of grommet insertion is to
Eustachian tubes and are more susceptible to Glueget rid of the fluid in the middle ear by allowing air
Ear.to enter through the grommet, so temporarily by
Symptoms of Glue Ear.passing the problem. Normal hearing is restored
Glue Ear in children can sometimes go unnoticed.once this objective is accomplished.
However, there are few warning signs, such as