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Condition guide · ENT

Glue Ear

Dulled, muffled hearing — most often in a child — caused by fluid behind the eardrum. What it is, why it happens, and how we can help.

Glue Ear assessment at Bridge House Clinic
What is glue ear?

Glue ear, or otitis media with effusion, is when the space behind the eardrum fills with a sticky fluid, so sound can't pass through as clearly and hearing becomes muffled.

It's very common, especially in young children, and the good news is that most cases clear on their own within a few months. When the fluid lingers and affects hearing, speech or daily life, there are simple, well-established treatments that help.

01Symptoms

Symptoms of glue ear.

Glue ear is often painless, so the first sign is frequently a change in hearing or behaviour rather than a sore ear.

01Muffled or dulled hearingSounds seem quiet or far away — a child may turn the television up, sit closer, or seem not to hear when spoken to.
02Asking for things to be repeatedFrequently saying "what?", mishearing, or appearing to ignore people when their back is turned.
03Speech, learning or behaviour changesIn children, glue ear can show up as slower speech, trouble keeping up at nursery or school, or frustration and tiredness.
04A feeling of fullness or pressureOlder children and adults may describe the ear feeling blocked or "underwater", sometimes with mild balance problems.
Sound familiar?Book an assessment with a consultant and get a clear picture — usually the same or next week.
02Causes & risk factors

Why it happens.

Glue ear happens when the Eustachian tube — which drains and ventilates the middle ear — doesn't work well, so fluid builds up behind the eardrum. A few things make it more likely. It can affect one or both ears.

Following a cold or ear infection
Most common in children under seven
Enlarged adenoids
Frequent coughs and colds
Exposure to cigarette smoke
More common in winter and early spring
03When to get it checked

Don't wait for it to settle.

Early assessment helps you get the right treatment sooner. See a specialist if:

I.Hearing or speech is being affectedIf your child's hearing, speech or progress at school seems to be suffering, it's worth having their ears checked rather than waiting.
II.It hasn't cleared after a few monthsMany cases settle on their own, but fluid that persists beyond around three months usually benefits from an assessment.
III.It keeps coming backRepeated bouts of glue ear, or ongoing blocked, muffled hearing in an adult, deserve a clear picture from a specialist.
Book an assessment
Glue Ear examination by a consultant
Diagnosing glue ear at Bridge House Clinic
04How it's diagnosed

Diagnosed with a straightforward ENT examination.

Glue ear is diagnosed in clinic by examining the ear and looking at the eardrum — its appearance and movement usually make the diagnosis clear, and a hearing check helps gauge how much it's affecting you. Mr Huw Jones, Consultant ENT Surgeon (adult & paediatric), will confirm what he finds and talk through whether the fluid is best left to settle on its own or treated now.

05Treatment

How glue ear is treated.

We start with the least invasive approach — and for many children that simply means watchful waiting while the fluid clears on its own.

01Watchful waiting

Most cases of glue ear clear by themselves within a few months. If hearing isn't badly affected, the sensible first step is often to monitor it and review, rather than treat straight away.

02Myringotomy

A small opening is made in the eardrum to drain the trapped fluid, easing the blockage and improving hearing. A simple, well-established day-case procedure.

03Grommet insertion (one ear)

A tiny ventilation tube is placed in the eardrum to keep the middle ear aired and stop fluid building up again — one of the most common children's ENT procedures.

04Grommet insertion (both ears)

Where both ears are affected, grommets can be fitted to each side in the same procedure.

See ENT consultation options & pricingYour assessment is a £200 ENT consultation with Mr Huw Jones, with every published price upfront — and an honest steer on whether the fluid is best treated now or simply monitored.
Why Bridge House
I.
Same or next-week appointments

Seen in days — not months on a list.

II.
Consultant-led care

A named specialist, not a junior — all the way through.

III.
Transparent, fixed pricing

Every price published and confirmed in writing.

IV.
No NHS waiting list

Seen privately, without the wait.

V.
Private insurance accepted

We bill major UK insurers directly.

07FAQ

Common questions.

Can't find your answer? Call us — a real person picks up.

01244 982032
Will glue ear go away on its own? +

Often, yes. Most cases of glue ear clear by themselves within a few months as the fluid drains away, which is why watchful waiting is usually the first step when hearing isn't badly affected.

Is glue ear painful? +

Usually not. Glue ear is often painless — the main problem is muffled hearing rather than a sore ear, which is why a change in hearing or behaviour is frequently the first thing noticed.

What are grommets, and how much do they cost? +

Grommets are tiny ventilation tubes placed in the eardrum to keep the middle ear aired and stop fluid building up. At Bridge House the cost is £700 for one ear or £900 for both, with a simpler myringotomy (draining the fluid) at £450. An ENT consultation is £200, and every price is published upfront.

Does glue ear affect children's speech and learning? +

It can. Because glue ear dulls hearing, it may slow a young child's speech or make it harder to keep up at nursery or school. That's why we suggest getting hearing checked if it isn't settling — so any effect can be picked up and addressed early.

Take the first step

Don't put up with it.

Book an assessment with a consultant and get a clear picture — and a plan.