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Grommet Tubes for Children

Ear infections and fluid build-up in the middle ear are common problems in children, especially between the ages of 1 and 6. Persistent fluid behind the eardrum or recurrent ear infections can affect hearing, speech development, and overall comfort. For children with these issues, grommet tubes (also called ear tubes or ventilation tubes) are a safe and effective treatment option.

Table of Contents

What Are Grommet Tubes?

Grommet tubes are tiny ventilation tubes inserted into the eardrum to help drain fluid and equalize pressure in the middle ear. They are typically used for children who have:

The goal of grommet tube insertion is to restore normal hearing, prevent repeated infections, and improve speech and language development.

How Is Grommet Tube Surgery Performed?

The procedure is called myringotomy with grommet tube insertion. It is usually performed under general anaesthesia in children.

The steps include:

The surgeon uses an operating microscope to see the eardrum clearly.

This allows fluid to drain from the middle ear.

A tiny ventilation tube is inserted into the incision to keep it open and allow air to flow into the middle ear.

Any fluid remaining in the middle ear is gently suctioned out.

The procedure typically takes about 15–20 minutes, and most children can go home the same day.

How Long Do Grommet Tubes Stay in Place?

Grommet tubes are designed to stay in the eardrum for a few months, usually 6–12 months, depending on the type of tube used.

  • The eardrum heals naturally after the tube falls out.
  • Most tubes are expelled on their own, and the ear continues to function normally.
  • Rarely, a second set of tubes may be needed if fluid returns or infections persist.

Benefits of Grommet Tubes

Grommet tube insertion can help children by:

  • Reducing the frequency of ear infections
  • Improving hearing and speech development
  • Relieving pressure and discomfort in the ear
  • Improving sleep and overall well-being

After Surgery: What Parents Should Know

  • Follow-up – children usually have a follow-up appointment to check tube placement and eardrum healing.
  • Water precautions – most surgeons recommend avoiding swimming in non-clean water or using ear plugs while the tube is in place.
  • Ear drops – if prescribed, use ear drops as directed to prevent infection.
  • Watch for symptoms – fluid discharge, persistent ear pain, or fever should prompt a check-up.

Are There Any Risks?

Grommet tube insertion is generally safe and well-tolerated, but like all procedures, it has some risks:

  • Ear infection while the tube is in place
  • Early extrusion (tube falling out too soon)
  • Rarely, scarring of the eardrum

Most complications are minor and treatable with medication or, occasionally, repeat tube insertion.

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When Is Grommet Tube Surgery Recommended?

Grommet tubes are usually considered for children who have:

  • Persistent fluid in the middle ear lasting more than 3 months
  • Hearing loss due to fluid
  • Frequent ear infections (e.g., 3 or more in 6 months or 4 in a year)
  • Complications affecting speech or school performance

Early intervention can prevent developmental delays and improve quality of life.

Our Paediatric ENT Specialists in Singapore

Dr Dawn Teo

Medical Director, Consultant Paediatric ENT Surgeon

Dr Low Mei-Yi

Consultant Paediatric ENT Surgeon

Disclaimer:

The information on the The Children’s Eye & ENT Centre website is intended for educational use. It should not be considered or used as a substitute for medical advice, diagnosis or treatment from a qualified health professional.