Otovent Autoinflation Device - Clinically Effective Treatment for Glue Ear

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A small hole (perforation) of the eardrum occasionally persists in the eardrum after the grommet has come out. This usually heals without treatment but occasionally a small operation is needed to fix it. Minor damage and scarring to the eardrum may occur but this is unlikely to cause any problems. Williamson I, Vennik J, Harnden A, et al. Effect of nasal balloon autoinflation in children with otitis media with effusion in primary care: an open randomized controlled trial. CMAJ. 2015 Jul 27. pii: cmaj.141608. NICE. Surgical management of otitis media with effusion in children. [CG60]. London: National Institute for Health and Care Excellence; 2008. As autoinflation has to be done several times a day, it's not usually recommended for children under 3 years old.

The new generation of devices have a face mask that is used to cover the nose and mouth of a child. The mask is connected to a tube with a balloon on one end and a one-way valve on the other that allows air to enter. A discharge (occasionally blood-stained) may occur for a couple of days immediately after the operation. After this time there shouldn’t be any discharge. If there is, you should see your GP for advice and antibiotic drops. Any prolonged discharge from the ear should be assessed by your ear, nose and throat (ENT) doctor. This is a plain English summary of an original research article. The views expressed are those of the author(s) and reviewer(s) at the time of publication. One study (n=85) reported significant improvement in middle ear function, as assessed by tympanometry and pneumatic otoscopy, at 1, 2 and 3 months in those using Otovent with a compliance of more than 70% when compared with the control group.Although glue ear usually resolves on its own, it can last for many months. During this time, most children receive no treatment and have to face the consequences of considerable hearing loss for weeks or months at an important stage of their development. You may be able to treat your child’s glue ear at home. Glue ear exercises you can have your child try to temporarily clear their middle ear include: Valsalva maneuver

Keep out of reach of children. The treatment of children should always be supervised by an adult. Never use toy balloons in performing the Otovent method as toy balloons do not give the proper inflation pressure and may cause treatment failure. Ear, nose and throat. Oxford handbook of general practice. Oxford Medicine Online. oxfordmedicine.com, published June 2020 Children who use the nasal balloon also had fewer days with symptoms and better quality of life than children who had watchful waiting after 3 months.

What is Otovent?

Glue ear in adults also usually clears up on its own. Your GP may refer you to a specialist for further investigation and treatment if it doesn’t. All doctors who are listed practitioners with the British Homeopathic Association are registered with the General Medical Council and have undertaken training in homeopathy at a faculty-accredited postgraduate teaching centre. Osteopathy Treatment involves your child blowing up a medical balloon with their nose 3 times a day for 1 to 3 months or until the fluid has cleared and their hearing has returned to normal. The Otovent method can be divided into two phases. Both phases allow the opening of the Eustachian tube.

Have cleft palate, or other reasons for altered facial development such as Down's syndrome which can affect how well the eustachian tube works. NICE has developed a medtech innovation briefing (MIB) on the Otovent nasal balloon for otitis media with effusion. The maturation of the tube and its function is a gradual process during growth, which explains the high prevalence of glue ear in young children.

Grommet Surgery

After the surgery, a certain amount of discomfort can be expected. Patients may also notice that their breath smells, which is normal and will go away after a week. How Probiotics Can Help Osteopathy is a system of diagnosing and treating conditions, concentrating on the body's structure. This treatment can help to realign muscle tissue, bones and joints, allowing the body to function effectively and in doing so, may relieve pain and ailments.

Hearing aids are devices designed to make sounds louder. They are used on a temporary basis for glue ear while waiting either for the glue ear to resolve or for grommet surgery. For children who have repeated problems with glue ear or are unable to have grommet surgery, hearing aids can be very helpful. finding it hard to concentrate or seeming tired and irritable because it's harder for them to listen Glue ear affects the middle part of the ear behind the eardrum, which is a waterproof structure. Consequently, any water that enters the ear while swimming can’t make it into the middle part of your child’s ear. There is, therefore, no reason why your child can’t continue swimming while they have glue ear. Swimming doesn’t worsen the symptoms of glue ear or increase the likelihood of your child developing it. Myth twoOther parents reported problems continuing treatment over a longer period. Parents tried to make the treatment fun for the children: In the UK, xylitol can be found in small amounts in some types of chewing gum, children's vitamins and toothpaste. Other xylitol products currently available in the United States include granules, nasal sprays and sweets. A nasal spray containing xylitol has been developed and is available from health food and vitamins and supplements suppliers and online. You can also try over-the-counter nasal sprays that contain steroids. These can also be prescribed by your GP. The use of a simple nasal balloon can help restore hearing in children aged 4 to 11 with glue ear.After 3 months, this non-surgical treatment restored normal hearing to 49.6% of children with glue ear compared with 38.3% receiving usual care. Children inflate the balloon by blowing it up with their noses rather than their mouths. The activity which is done three times a day can be taught by nurses in a GP surgery. Few non-surgical treatments exist for children with glue ear. Some, such as antibiotics, are used despite evidence they don’t work. It is hoped using the nasal balloon may help reduce this unnecessary use of antibiotics and reduce the number of children requiring surgery, the last choice for symptoms persisting past three months. The NICE guideline recommends the use of autoinflation during the observation period for children who are likely to be able to use the procedure.