Category
Threshold Criteria
Eligibility
| LLR ICB will fund the insertion of grommets in adults in the following circumstances Otitis Media with effusion OME that meets the following criteria – Persisting after a prolonged period of watchful waiting / active observation of at least four months (NB watchful waiting is not appropriate if malignancy is suspected. Refer via 2 WW) – There is a definitive diagnosis of OME and – It persists OR – Severe pain due to air pressure changes when flying or in hyperbaric treatment. The severity and frequency of flying should be discussed with the patient and balanced against the possible complications associated with grommets OR – Reinsertion of ventilation tubes – where it’s been inserted and fallen out – 2nd or 3rd grommet may be inserted if they still meet one of the above criteria |
Guidance
| ARP 50 Review Date: 2026 |
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