Glue ear is a common condition in children, whereby a thick fluid builds up behind the ear drum (in the space where the 3 bones of hearing are).

It is common for children (younger than 5) to develop fluid behind their ear drum. In most children, it resolves quickly with little effect on the child’s education, speech or language.

However, in up to 5% of children this fluid becomes persistent (thick consistency giving the appearance of glue) and is called glue ear/ otitis media with effusion.

Thick fluid (glue) behind the drum reduces how well the 3 bones of hearing can vibrate. As such, sound (air vibrations) do not pass easily from the ear drum to the inner ear, and hearing is reduced. Since hearing is vital in the development of speech, glue ear should be suspected in children who are struggling with language. Older children may self-report a reduction in their hearing.

It is important that we restore the child’s hearing if it remains low, to prevent speech, language and educational difficulties. This can be done by hearing aids (in the ear or behind it), or by a quick procedure under general anaesthetic called grommet insertion.

Since glue ear can improve by itself, your specialist may advocate waiting for up to 3 months. Following this, if the glue has not gone and the hearing loss remains, grommet insertion can be planned.

Of note, watchful waiting is not appropriate in children who are striving to develop speech, and hearing aids should be considered. You can discuss which treatment is best for your child with your surgeon.