The commonest problem is known as "Glue Ear". This is caused by a build-up of fluid behind the ear drum. If untreated this will cause a significant hearing loss and also affect a child's speech development. Glue ear is more common in children with cleft palates because there is abnormal function of the Eustachian tube. This tube connects the ear to the back of the nasal cavity and normally allows air to enter the ear cavity.

Treatment involves drainage of the fluid through a small incision in the ear drum, a small tube known as a Grommet is usually placed in the ear drum at the same time. The grommet helps to stop the fluid from re-forming. A grommet stays in the ear drum for about six months; normally it falls out by itself. Most children will grow out of the problem as they get older.

The actual insertion of a grommet involves a ten minute operation under a general anesthetic. A child can come in, have the operation and go home the same day. If the Plastic Surgeon is planning an operation then the ear operation can be performed at the same time.

Ear infections are the result of poor drainage. Poor drainage leads to a build-up of fluid. When bacteria grow in that fluid then an infection occurs. If there is no release the infection will burst - either out the eardrum, or into the brain. Encephalitis can occur if the infection bursts toward the brain. If the Eustachian tubes are not working properly, grommet insertion is advisable- not only to improve hearing and to relieve pain, but also to prevent potential tragedy.