Grommet Removal (Adult)

What is grommet removal (Adult)?

Grommet removal is a straightforward procedure to extract small ventilation tubes (grommets) that were previously placed in the eardrum to treat middle ear issues. Although grommets usually fall out naturally, some adults may need a planned removal if the grommet hasn’t come out on its own, is causing problems, or requires replacement.

Why might you need grommet removal?

Grommets are typically used to manage conditions like glue ear, recurrent ear infections, or pressure problems in the middle ear. They usually fall out naturally within 6 to 12 months as the eardrum heals. However, removal may be needed if:

• Grommet hasn’t fallen out naturally: It remains in place longer than expected.
• Infection or discharge: Persistent ear infections or discharge develop.
• Discomfort or irritation: The grommet causes ongoing discomfort.
• Replacement required: If the ear condition hasn’t resolved, a new grommet may be needed.
• Persistent perforation: The eardrum hasn’t healed properly around the grommet.

What preparation is required?

Prior to grommet removal, certain steps are necessary to ensure the procedure is safe and successful:

• Medical assessment:
  Your doctor will examine your ear and review your medical history to confirm the need for grommet removal.
• Anaesthesia discussion:
  Depending on your needs, the procedure may be done under local or general anaesthetic. Your doctor will discuss the best option for you.
• Medication review:
  Inform your doctor of any medications you’re taking, particularly blood thinners, as these may need adjustment.
• Post-procedure care:
  Arrange for someone to accompany you home if anaesthesia is used, as you may feel drowsy afterward.

What does the procedure involve?

Grommet removal is a minor procedure, usually completed within 10 to 20 minutes. It involves:

• Accessing the grommet:
  The doctor examines the ear with specialised instruments to locate the grommet.
• Removing the grommet:
  The grommet is gently removed from the eardrum.
• Assessing the eardrum:
  After removal, the eardrum is checked for perforation or scarring. If necessary, a small patch may be applied to aid healing.

This minimally invasive procedure ensures comfort throughout.

What are the benefits of grommet removal?

If you’re experiencing problems related to a retained grommet, removal can improve your ear health and comfort. Benefits include:

• Resolving infections or discharge.
• Relieving discomfort caused by a retained grommet.
• Preventing long-term complications, such as eardrum scarring or perforation.
• Preparing the ear for further treatment, such as replacement grommets or other interventions.

What are the possible risks and complications

Grommet removal is safe, but as with any procedure, there are potential risks:

• Infection: Rare, but treatable with antibiotics.
• Persistent perforation: Occasionally, the eardrum may not fully heal, requiring further treatment.
• Scarring: Minor scarring of the eardrum can occur but rarely affects hearing.

Your doctor will explain these risks and answer any questions you may have.

What to expect after surgery

Hospital stay:
Grommet removal is typically a day-case procedure, meaning you can go home the same day.

Recovery:

Recovery from grommet removal is usually quick and straightforward. Most people can return to normal activities within a day or two. Here's what to expect and how to care for your ear post-surgery:

• Mild discomfort:
• • Some soreness or a feeling of fullness in the ear is normal and should improve within a few days.
  • Over-the-counter pain relief, such as paracetamol or ibuprofen, can help manage discomfort.
• Water precautions:
• • Avoid getting water in your ear until your doctor confirms the eardrum has fully healed.
  • Use earplugs or a shower cap while bathing or swimming to protect the ear.
• Hearing changes:
• • You may experience temporary hearing changes as your ear adjusts, but hearing typically improves as the eardrum heals.
• Follow-up care:
• • Attend follow-up appointments to monitor healing and address any concerns.
  • Notify your doctor immediately if you experience:
  • • Persistent pain
    • Discharge or bleeding from the ear
    • Hearing issues that don’t improve

With proper aftercare and monitoring, you’ll soon experience improved ear health and relief from any related symptoms.