Paediatric Ear Conditions
Ear issues are very common in young children, often leading to concerns around infections, hearing loss, and developmental delays.
Early identification and appropriate care of paediatric ear conditions can significantly benefit your child’s overall health, speech development, and quality of life.
Understanding ear problems in children
Children are particularly prone to ear problems due to their anatomy. Their Eustachian tubes, which connect the middle ear to the back of the throat, are shorter, narrower, and more horizontal, making fluid drainage difficult and infections more likely.
Middle ear infections (otitis media)
Otitis media occurs when fluid builds up behind the eardrum, causing infection, pain, and sometimes fever. Common after colds or upper respiratory infections, symptoms typically include ear pain, irritability, and occasionally ear discharge if the eardrum ruptures.
Glue ear
Glue ear refers to the thick, sticky fluid that accumulates behind the eardrum, often following repeated middle ear infections. While not always painful, glue ear can lead to hearing difficulties, affecting speech and language development if untreated.
Outer ear infections (otitis externa)
Also known as “swimmer’s ear,” otitis externa is an infection of the ear canal often caused by trapped moisture or skin irritation. Symptoms include pain, redness, swelling, discharge, and discomfort when touching the ear.
Signs your child may have an ear condition
Common symptoms to watch for
- Frequent tugging or rubbing at ears
- Persistent fever or irritability
- Fluid draining from the ear
- Trouble sleeping or increased crying at night
Developmental and behavioural impacts
- Delayed speech and language development
- Difficulty concentrating or inattentiveness
- Irritability and behavioural changes
- Poor balance or coordination
- Frequently needing louder volumes for speech or TV
Prompt intervention helps prevent these issues from becoming long-term concerns.
Related nasal and sinus issues
Nasal congestion, allergies, and enlarged adenoids can significantly impact ear health.
Conditions causing nasal blockage or chronic sinus problems can obstruct normal drainage pathways, leading to recurring ear infections and persistent glue ear.
Symptoms often include mouth breathing, ongoing nasal discharge, or snoring.
Treatment options and procedures
Treatment strategies vary according to your child’s specific ear condition:
- Watchful waiting
Suitable for mild cases where symptoms might naturally resolve. - Allergy and nasal management
Using nasal sprays or antihistamines to reduce congestion and fluid buildup. - Antibiotics
Typically used for outer ear infections or severe middle ear infections. - Surgical intervention
Recommended when conservative measures fail to resolve persistent glue ear or recurrent infections.
Surgical options offered by Dr Phillips (Grommets)
What are grommets and when are they used?
Grommets are small ventilation tubes placed in the eardrum during a brief surgical procedure, allowing trapped fluid to drain and air to circulate within the middle ear. Ideal for persistent glue ear or frequent ear infections, grommets can significantly improve hearing and reduce the frequency of infections.
Supporting your child’s recovery
Proper care after ear infections and procedures supports optimal recovery:
- Avoid using earbuds or cotton buds to clean ears.
- Keep ears dry, particularly after procedures like grommet insertion.
- Use earplugs during swimming and bathing as advised.
- Regular hearing tests are recommended following grommet insertion or if concerns about speech and language development arise.
Book a consultation
If your child experiences frequent ear infections or you have concerns about their hearing, speak with your GP about a referral to Dr Nicholas Phillips for a paediatric ENT consultation.
