Child with glue ear by sdfgsg234


									l   Teach and encourage your child to blow his     Myringotomy and grommets
    or her nose
                                                   Myringotomy involves draining the fluid

l   Take extra care with traffic                   through a tiny cut in the ear drum. Then the                           Patient Information for the
                                                   doctor usually inserts a small plastic tube                     Gloucestershire Health Community
l   Treat earaches, if brief, with children’s

    painkillers rather than with antibiotics       (grommet ) looking like a minature cotton

                                                   reel 2mm long. The grommet lets air into the
N.B. It is essential to keep appointments at
                                                   middle ear, not fluid out. If the ear leaks after
ear, nose and throat clinics or audiological
                                                   treatment, you should take your child to your

                                                   General Practitioner (GP) as soon as possible.

Tell the school or nursery of your child’s
hearing loss so that they can arrange the          Hearing aids
necessary educational advice and support.
                                                                                                             Child with 'glue ear'

                                                   Low-powered hearing aids are sometimes
                                                   appropriate as an alternative to surgical
Treatment of persistent glue ear                   treatment. They are generally needed only

                                                   as a temporary measure until the hearing
Most cases of glue ear get better without any      improves.
formal treatment. In severe cases, medical
treatment may be necessary.                        If you need more advice, contact your GP

                                                   or Health Visitor.
Medical treatment

l   Allergy treatments such as antihistamines      Common causes of glue

    or nasal sprays
l   ‘Otovent’ nasal balloons are particularly
    helpful in milder cases                        l   Congestion of the nose , causing
                                                       blockage of the eustachian tube

l   Antibiotics are sometimes appropriate,
    especially with frequent or recurring ear      l   Frequent colds or ‘flu’ (glue ear is
                                                       more common in winter)

l   Decongestant medicines do not usually          l   Allergy/ hay fever
    help                                           l   Enlarged adenoids
                                                   l   Smoking in the household
Surgical treatment
                                                   l   Sinusitis
The following operations are usually
carried out when the child is asleep (under        l   Recurrent ear infections from an early age
anaesthetic). They are usually on a daycare                           GHPI0510_04_05
basis with no overnight stay, and are relatively                     Author: Audiology
painless.                                                          Review due: April 2007
What is glue ear?                                   Organ of
                                                                        'Glue'                   The natural course of glue ear
                                                                        in the
The medical term for glue ear is otitis media       balance                                      Glue ear is most common between the ages

                                                                        middle ear
with effusion (OME). It is the name given to                                                     of three and six. Over half of all children
catarrhal hearing loss.                                                                          will get it at some time, particularly after a

                                                                                Ear              cold. It usually clears up after a few weeks
Glue ear is a build-up of sticky fluid or

                                                                                canal            or months at most and needs no treatment.
mucus behind the ear drum. The space
behind the ear drum (middle ear) is                                                              Glue ear is unusual after the age of eight

normally full of air, allowing the drum                                                          and rarely has any harmful long-term
to vibrate. Air gets into the middle ear                                   Ear Drum              effects. If the hearing loss is persistent and

                                                Nerve of
through the eustachian tube which leads to      hearing                                          affects the child’s speech, behaviour or
the back of the nose, close to the adenoids.                                                     education, then treatment may be necessary.

The eustachian tube opens when you                         Organ of      Eustachian
                                                           hearing       tube
swallow, yawn or blow your nose. In
                                                           (cochlea)                             What parents can do to help

children it often does not work very well
and air cannot get into the middle ear,                                                          l   Get your child’s attention before starting
which fills up with fluid instead. This                                                              to speak
fluid, the ‘glue’ of glue ear, causes mild      Symptoms of glue ear
                                                                                                 l   Keep your voice up

to moderate hearing difficulty (usually         Glue ear affects children in different ways.
mild and not always noticed by parents                                                           l   Speak clearly but do not shout
                                                You may notice some of the following:
and others) by stopping the eardrum from                                                         l   Try to be close to your child when

                                                l   Varying hearing loss
moving properly.                                                                                     speaking

                                                l   Brief episodes of earache, lasting 2 -3
There is nothing wrong with the inner ear,                                                       l   Allow your child to see your face when
                                                    hours, often at night
the actual organ of hearing itself. The                                                              speaking
problem is how the ear drum conducts            l   Inability to listen or pay attention
                                                                                                 l   Talk a lot to your child about what you

sound to the inner ear. For this reason, the    l   Tendency to daydream                             are doing, or what your child is doing or
hearing loss is called ‘conductive.’            l   Behavioural problems/ tantrums                   looking at

                                                l   Recurrent ear infections                     l   Cut out any background noise
                                                l   Speech problems, usually mild,               l   Turn off the TV when talking
                                                    especially in younger children               l   Be patient, do not get angry when your
                                                l   Difficulty in pronouncing some of the            child keeps saying ‘what?’ or ‘pardon?’
                                                    quiet consonant sounds, such as ‘v’ and      l   Tell everyone involved with your
                                                    ‘n’ and in developing use of language            child, such as teachers, grandparents,
                                                    generally                                        playgroup, about his or her condition
                                                l   Poor balance                                 l   Do not smoke at home near your child

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