What is Glue Ear?

The glue ear is typical when fluid accumulates in your child's middle ear, which is behind the eardrum. The medical term doctors use to describe glue ear are otitis media with effusion (OME) or secretory otitis media. Glue ear can occur in one or both of your child's ears. Glue ear frequently occurs after an ear infection but can occur for other reasons. The condition is normally temporary, but long-term glue ear can impact your child's hearing.

Who is the glue ear most likely to affect?

Glue ear is most likely to occur in babies and children under 6 years of age, but it can also happen in adults.

What are the symptoms of glue ear?

Hearing loss is the most typical sign of a glued ear in both adults and children. It is possible for both ears to be affected at the same time. It could seem like you are using earplugs to block out the sounds around you. Long-term hearing loss can affect your child's speech delay and language development. For instance, individuals could have trouble pronouncing words correctly.

Your youngster may also have tinnitus, a buzzing or ringing sound, or earache. When swallowing, they could experience a sensation of fullness, pressure, or popping in their ears.

Young children cannot tell you they can't hear, so you'll have to observe signs of the condition. Glue ear symptoms in your toddler or baby might include:

  • Changes in their behavior.
  • Sleepiness.
  • Lack of concentration.
  • Preferring to play alone.
  • Failure to respond when you call out their name.
  • Asking you to repeat the words you speak.
  • Asking you to turn up the sound on the television.
  • Speaking loudly.

What causes glue ear?

Glue ear often happens when there has been an ear infection. This is because the fluid accumulating during the infection stays behind once it clears. Glue ear, however, is not always a result of ear infection. Your child's Eustachian tubes are blocked and cause the condition for a variety of reasons. Blockages can result from:

  • Cold and flu.
  • Allergies.
  • Swollen adenoids are glands found close to your child's ears where their nose meets their throat.
  • Irritants, including secondhand cigarette smoke.
  • Genetic syndrome like Down syndrome.
  • Cleft palate.
  • GERD (long-term acid reflux).
  • Drinking and lying down, such as feeding your baby.
  • Altitude and pressure changes, including air travel or scuba diving.

Wax in the ear doesn't lead to glue ear. Water entering the ear when showering or swimming doesn't cause it.

How does Otitis Media with Effusion impact my child's body?

Your child needs clear, air-filled middle ears to hear normally. Air comes through your child's Eustachian tubes, which link your child's middle ears to your child's throat. The Eustachian tubes allow fluid to drain out and keep it from filling up in your child's ears. The fluid drains out of the Eustachian tubes and your child swallows it automatically.

Children's Eustachian tubes are bigger and more level than those in adults, so they don't function as efficiently. When there is a blockage in your child's Eustachian tubes, air cannot reach their middle ears. This is how "glue ear" got its name.

If fluid fills your child's middle ears, it might be more difficult for their eardrums to vibrate and transmit sound to their inner ears. It may be harder for your child to hear.

How is glue ear diagnosed?

Your child's doctor will check your child's ears for glue ear. They'll examine your child with a small scope to see if there is fluid in your child's ears.

Your child's doctor can ask you to monitor your child's condition and watch whether or not it improves on its own. If your child's symptoms last for many months, they'll tell you to come back in for tests and treatment.

What tests are used to diagnose glue ear?

If your child's doctor wants you to get tested, they will refer you to a specialist like an audiologist or an ear, nose and throat specialist.

The expert will check your child's ears with a tympanometry test. This kind of test determines how well your child's eardrums can move. They'll insert a special microphone and sound source device into your child's ear canal. Sound waves reflect off your child's eardrum as the device compares the pressure in their ear canal. If your child has fluid in the middle ears, their eardrums will not move properly. The expert uses a graph referred to as a tympanogram to observe the outcomes.

The expert might also take a hearing test. The hearing test will examine whether the fluid impacts your child's hearing. Hearing tests can assess the extent of any loss of hearing and why it is happening.

How is glue ear treated?

The glue ear usually resolves itself without treatment. Usually, your child's doctor will wait a few months to see if the fluid goes away on its own. The following are some potential therapies if your child's symptoms don't go away on their own:

  • Antibiotics: Your child may have an ear infection if they are experiencing pain in addition to the fluid buildup. To treat it, their physician will then recommend an antibiotic.
  • Myringotomy: Your child's doctor can do a procedure known as myringotomy. The doctor will cut a small opening in your child's eardrum so fluid can drain from the middle ear. The doctor can put a small, hollow ear tube in the opening. The tube balances the pressure in their eardrum with the pressure in their middle ear. It also brings drainage from your child's middle ear to their outer ear. The tube will typically fall out by itself within one year.
  • Adenoidectomy: In the case of a glue ear caused by enlarged adenoids in your child, their specialist may do an adenoidectomy. Specialists usually carry out this operation together with a myringotomy. During adenoidectomy, your child's specialist will remove the enlarged adenoids of your child.
  • Hearing aids: Hearing aids are instruments that amplify sound. To assist with temporary hearing loss, your child's doctor might recommend hearing aids. Kids have a tendency to use them while waiting for the glue ear to clear up. They do use them when a myringotomy isn't an option./li>

Are there any risks of complications after glue ear surgery?

Your child will probably not have any problems after a myringotomy. You might notice a discharge from your child's ear for a few days following glue ear surgery. If discharge persists for more than a few days, contact your child's doctor.

How can I treat my child's glue ear naturally?

You might be able to sort out your child's glue ear at home. Glue ear exercises you can get your child to do to clear their middle ear temporarily are:

  • Valsalva manoeuvre: The Valsalva manoeuvre is a breathing trick that your child can do to attempt to unclog his/her ears. To execute the maneuver, ask your child to pinch their nostrils and keep their mouth shut. Next, instruct them to attempt forcefully blowing out through their nostrils. Your child should experience the ears "popping."
  • Otovent nasal balloon: Otovent® glue ear treatment allows fluid to be drained from your child's ears. Your child inserts a nasal balloon nozzle up one of their nostrils while covering their other nostril with a finger. They then try to blow the balloon up with their nose. By pushing air into their middle ear from the back of their throat, this could be able to drain their Eustachian tube.

How can I prevent Otitis Media with Effusion?

By reducing the likelihood of an ear infection, you can prevent your child from getting sticky ear. You can reduce your child's risk of developing an ear infection by:

  • Breastfeeding: Breast milk contains essential nutrients that your baby uses to fight infection. Studies have revealed that breastfed babies are less likely to develop glue ear.
  • Feeding your baby sitting up: Whether you breastfeed or bottle-feed, feed your baby sitting up, not lying flat. This can possibly stop fluid from entering their eustachian tubes while they are being fed.
  • Keeping cigarette smoke away: Kids who are exposed to cigarette smoke are more likely to develop glue ear. Do your best to keep smoke out of your home and car.
  • Testing for allergy: There are several of common allergens that are also known causes of Eustachian tube swelling. Some of these are pollen, fur and dust mites. Talk to your child's doctor about testing for allergy if you believe this could be the reason why your child has glue ear.
  • Cleaning and disinfecting: Educate your child on proper hand-washing techniques. Make them wash their hands with soap and water for a minimum of 20 seconds. Also, clean surfaces and toys regularly.

What can I expect if my child has Otitis Media with Effusion?

Glue ear is a very prevalent condition that typically goes away by itself. But if the symptoms persist for months, your child will have hearing loss. This may impact their speech and language skills. These complications can cause learning issues as well as communication and socialization issues. But even if fluid stays in your child's ears for months, they typically won't have long-term hearing loss.

How long does glue ear last?

The majority of glue ear resolves by itself in two to three weeks. In some instances, the condition may last for several months. If it has not cleared up by itself after three months, discuss proper treatment with your child's doctor.

Can a child with a glued ear swim or take a bath?

If your child has tubes, their doctor might suggest keeping their ears dry for two to four weeks following surgery. That is, no swimming or showering. Your child can bathe as long as their ears do not get wet. Beyond that period, your child should have no limitations on bathing or swimming pools.

Some children might need to be extra careful if they are at increased risk of infection. If this is the case, your child's doctor might suggest:

  • Not diving or jumping into water.
  • Earmuffs and a swimming cap for swimming.
  • Not getting into lakes and non-chlorinated pools.
  • Care to keep water out of your child's ears when they wash their hair.

Is it all right if my child flies if they have a Otitis Media with Effusion?

Most children won't experience any issues with flying if they have glue ear. But you'll want to check with your child's doctor about your child's specific condition. Fluid in your child's middle ears can expand during take-off and landing, which can cause discomfort. This is called airplane ear. Eating and drinking during take-off and landing can help open your child's Eustachian tubes, which can prevent discomfort.

What should I ask my child's doctor?

If your child has glue ear, you may have many questions regarding the condition. Your child's doctor can answer any concerns you may have. Questions you might like to ask your child's doctor are:

  • Why does my child have fluid in their ears?
  • Does my child need treatment?
  • What kind of treatment is my child going to need?
  • How can I prevent this condition in the future?

Why Tender Palm Super-Speciality Hospital for Glue Ear treatment in Lucknow, India?

Tender Palm Super-Speciality Hospital has the most trusted team of ENT Specialist and surgeons with advanced diagnostic equipment care for Glue Ear or Otitis Media with Effusion treatment in Lucknow, India. Our ENT department follows international safety standards and has years of experience in successfully managing ear related disease and conditions like Glue Ear (Otitis Media with Effusion).

To seek an expert consultation for Otitis media with Effusion Treatment in Lucknow, India

Call us at +91-9076972161
Email at care@tenderpalm.com

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Dr. Rajeev Gupta
Dr. Rajeev Gupta
Consultant - ENT

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