Glue Ear

Glue ear, medically known as otitis media with effusion or adhesive otitis, occurs when thick, sticky fluid fills the air-filled middle ear cavity. This condition is most common in children aged 1 to 5 years, though adults can also be affected.

The primary symptom is temporary, mild-to-moderate hearing loss, often affecting both ears. Children may talk louder, turn up the TV volume, ask for repetitions, or not respond when called. Other symptoms include earache, ear pressure, tinnitus (ringing/buzzing), popping sensations, and occasional balance problems.

Glue ear typically develops due to Eustachian tube dysfunction, inflammation, or following ear infections. The tube fails to drain fluid properly, allowing thick fluid to accumulate. Prolonged glue ear can impact speech and language development, as well as school performance in children.

Most cases resolve spontaneously within 3 months without treatment. Doctors often recommend "watchful waiting" initially. Autoinflation (blowing a special balloon) may help drain fluid. If hearing loss persists or affects development, treatment options include temporary hearing aids or surgical insertion of grommets—tiny ventilation tubes that drain fluid and equalize pressure. Grommets typically fall out naturally within 6–12 months. In recurrent cases, adenoidectomy may be performed.