Otitis Media with Effusion ( Glue Ear ) - middle ear condition

Question 1

What is Otitis media with effusion

Answer 1

Can be described as accumulation of fluid with the middle of the ear without signs of infection . Glue ear can develop after an episode of otitis media

Question 2

Causes of Glue Ear

Answer 2

Occurs when the Eustachian tube is narrow , blocked or the valves of the tube do not open actively.

The middle ear fills with fluid which over time becomes thicker and reduces vibrations of the ear drum and ossicles in the middle ear. This may be visible as bubbles behind the ear drum when performing otoscopy.

Question 3

Presenting Symptoms

Answer 3

Reduced Hearing which can lead to speech and development problems in young children.

Potential tinnitus and balance issues

Earache and systemic upset such as fever are not usual

Question 4

Risk factors associated with the development of glue ear

Answer 4

Age
Genetics
Episode of acute otitis media
Exposure to smoking or pollution
Reflux Disease

Question 5

Typical Management

Answer 5

Watchful waiting. Spontaneous resolution of the condition is common

Auto inflation exercises to ventilate the middle ear.

Surgical insertion of a grommet in the ear drum to maintain middle ear ventilation. It is safely expelled from the ear 6-12 months after insertion