Grommets

What are grommets?

Grommets (or tympanostomy tubes) are small devices used to maintain a hole in the eardrum to allow drainage of fluid from the middle ear (the space behind the eardrum) or to aid delivery of medication (antibiotic drops). They are temporary and the ear will push the grommet out over time. In rare cases, the grommet may fall out too soon or get blocked meaning another tube needs to be inserted.

Post Operative Instructions

Most people recover very quickly after having grommets placed.

Eating and drinking
There are no restrictions on eating or drinking after surgery, however, eating too much initially may result in some nausea and vomiting as the anaesthetic medication is still in your system.

Activity
You may return to normal activities the day after surgery. Travel on airplanes is generally ok after the first 72 hours. Please let Dr. Jefferson know if you plan to travel.

Getting the ears wet
There are no water precautions necessary after grommet placement. This is based on the best available evidence. While there is a slight chance of developing an ear infection, this can typically be managed with antibiotic drops. If there are repeated infections, please contact the office on (02) 4955 8044.

Bleeding
You may notice a small amount of blood-tinged drainage or even clots for the first few days but do not be alarmed; this is normal. If these symptoms lasts longer than 4 days, please call our rooms 4955 8044.

Pain
Nearly all people undergoing a grommet insertion will have some mild pain/irritability on waking. This should settle down quickly.

Pain control
Panadol and Nurofen are recommended for pain relief.

Antibiotics
You will be given drops for some Ciloxin drops. Please apply 3 drops, 3 times per day for 3 days.

Post-op follow up
You will typically have a follow up appointment 2-3 weeks after surgery, then every 6 months until the grommets are out, the hearing has returned and the eardrum has healed. For people living long distances away, you have the option of following up with your local GP and contacting us if there are any concerns.

Infections
You can still get infections with grommets in. This will be apparent with foul-smelling discharge from the ear. If this occurs, contact your GP and start some topical antibiotic drops (Ciloxin) to the affected ear. Use the drops for 3-5 days. If the discharge persists beyond 5 days, please contact Dr Jefferson’s rooms on (02) 4955 8044.