Glue,Ear,Normal,MicrosoftInter health Glue Ear

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Normal 0 MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable{mso-style-name:"Table Normal";mso-tstyle-rowband-size:0;mso-tstyle-colband-size:0;mso-style-noshow:yes;mso-style-parent:"";mso-padding-alt:0pt 5.4pt 0pt 5.4pt;mso-para-margin:0pt;mso-para-margin-bottom:.0001pt;mso-pagination:widow-orphan;font-size:10.0pt;font-family:"Times New Roman";} Normal 0 MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable{mso-style-name:"Table Normal";mso-tstyle-rowband-size:0;mso-tstyle-colband-size:0;mso-style-noshow:yes;mso-style-parent:"";mso-padding-alt:0pt 5.4pt 0pt 5.4pt;mso-para-margin:0pt;mso-para-margin-bottom:.0001pt;mso-pagination:widow-orphan;font-size:10.0pt;font-family:"Times New Roman";}Glue Ear is a condition inwhich fluid accumulates in the middle ear behind the eardrum. It is the mostcommon cause of partial deafness in children and it is estimated that one infour children are affected at some stage in their childhood. It is more commonin boys with most being affected between the ages of two and five. Howeverthere are chances it may occur at a later stage, including in adulthood.  Glue Ear mainly occurs inboth ears and may be difficult to detect, since it is not painful doesn’t causesymptoms of an ear infection. Mostly it is due to a problem with the Eustachiantube that connects the middle ears to the back of the nose and throat. The Eustachian tube normallyplays an important role in maintaining equal air pressure between the outsideand inside of the middle ear. When the tube becomes obstructed the air in themiddle ear becomes absorbed, and the resulting vacuum draws fluid into themiddle ear cavity from lining of ht ear (the mucosa)  Initially the fluid is thinand watery but eventually it becomes thick and tenacious, hence, the name “GlueEar”. Because the middle ear is now filled with fluid rather than air, theharing is muffled. Obstruction of the tube may be due to repeated bacterial andviral upper respiratory track infections, enlarged adenoids or nasal allergy.  It is important to note thatin children the Eustachian tube is more horizontal and smaller than in adultsand this is one of the reasons why Glue Ear is relatively common in children.  Children are especiallyprone to Glue Ear because. Of frequent coldsand sore throats In children, theadenoids (lymph tissues at the back of the nose that help protect againstinfection) are more likely to be enlarged, blocking the opening of theEustachian tubes. SOME RESEARCHERS alsobelieve children are at higher risk if exposed to cooler climes or a smokyenvironment. Children with genetic conditions such as Downs Syndrome may havesmaller Eustachian tubes and are more susceptible to Glue Ear.    Symptoms of Glue Ear.  Glue Ear in children cansometimes go unnoticed. However, there are few warning signs, such as Temporary hearingloss: This is the most common symptom. A stuffy feelingin the ears. Glue Ear does not cause pain the way middle ear infections (otitismedia) can. Children with Glue Ear sometimes have repeated episodes of earacheor middle ear infections. Changes in behaviors includetiredness and frustration, not responding when called, falling behind at school,preference to staying in isolation.   Diagnosing Glue Ear.  If your child is showing thefollowing symptoms and you are unclear about their condition, it is advisableto check with your nearest ENT specialist.  Often doctors rely on one orseveral of the following tests to make the diagnosis. They’re Otoscopy,Audiometry and Tympanometry tests.    Treatment of Glue Ear. Glue Ear does not alwaysneed treatment. Most physician prefer a conservative, or “wait and see”,approach to treat the problem.There is some debate abouthow effective medical treatments are and the mainstay of treating children withGlue Ear is with ventilation tubes (grommets)  The decision to operate andinsert a grommet in the eardrum is dependent on many factors such as the patient’sage, whether there are recurrent middle ear infections, pain speech, delaylearning or behavioral difficulties.  It can also depend on theappearance of the eardrum. (For instance whether there is a retraction pocket,which is a localized area of scarring that may lead to problem)  Young children with poorlanguage development, pain or recurrent ear infection should have grommetsinserted as soon as possible. Older children with fewer symptoms can be treatedconservatively with regular follow-up visits in the outpatient clinic tomonitor their hearing and the appearance of the ear drum The main objective ofgrommet insertion is to get rid of the fluid in the middle ear by allowing airto enter through the grommet, so temporarily by passing the problem. Normalhearing is restored once this objective is accomplished.  Grommets are available in many different shapes and sizes. On average,a grommet will stay in place between six to 12 months and will then fall out asthe healing eardrum pushes it out into the ear canal. If the child redevelopsGlue Ear it may be necessary to re-insert another grommet. The operation toinsert a grommet s usually performed as day-case surgery under general anesthesiaand it is the most common ear nose throat procedure.