Policy for Myringotomy with or without Grommets – Children Only

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Category

Threshold Criteria

A myringotomy is an operation to make a tiny cut in the eardrum. Any glue is sucked from the middle ear and if required a grommet is placed in the eardrum. This is to relieve pressure in the ear, caused by a build-up of fluid, drain pus out of the ear.

The procedure is carried out using a short general anaesthetic. The operation is sometimes suggested for children who have hearing problems, keep getting ear infections, have a build-up of mucus in their middle ear, called glue ear.

The guidance applies to children with recurrent ear infections.

Eligibility

LLR ICB will fund this procedure if the following is met
 
Referral process for Myringotomy with or without grommets:
·       Children with suspected OME
·       Children with Down’s syndrome
·       Children with cleft palate

Care pathway 1: Children with suspected OME

Care Pathway 2: Children with Down’s syndrome

Care Pathway 3: Children with cleft palate

Guidance

Overview | Otitis media with effusion in under 12s | Guidance | NICE
ARP 73 Review Date: 2026

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