Otitis media with effusion (glue ear) occurs when fluid collects in the middle ear, usually because the Eustachian tube is blocked — often by enlarged adenoids or after colds. It is painless, so it is often noticed only as poor hearing or inattention.
Ear Condition
Glue Ear (Fluid Behind the Ear Drum)
Sticky fluid behind the ear drum, common in children, causing muffled hearing and sometimes speech delay.
Overview
Common symptoms
- Child not responding when called
- Turning up TV volume
- Speech delay or unclear speech
- Poor attention at school
- Repeated ear infections
Common causes
- Enlarged adenoids
- Frequent colds and allergies
- Recent ear infection
- Exposure to smoke
How it is diagnosed
Ear examination
Tympanometry (flat curve suggests fluid)
Age-appropriate hearing test
Assessment of adenoids
Treatment
Many cases clear on their own within 3 months, so a period of watchful waiting is often advised. If fluid persists and affects hearing, myringotomy with or without a grommet is done, often together with adenoidectomy.
Surgical treatment options
See a doctor promptly if you have:
- Hearing concerns lasting more than 3 months
- Speech or learning delay
- Frequent ear infections
Frequently asked questions
Usually not — that's why it is often missed.
In most children hearing returns to normal once the fluid is cleared.
This page is for general patient information and does not replace a medical consultation. The right treatment depends on your examination and test results.
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