Grommet surgery is a medically necessary treatment for chronic ear infections and hearing loss caused by fluid in the middle ear. At Melbourne ENT in St Kilda East, ENT surgeons Dr Stephen Kleid and Dr Simon Braham provide grommet insertion for both children and adults. We offer personalised care in a supportive, professional setting. Each patient is thoroughly assessed, and surgery is only recommended if clearly beneficial, with all options discussed.
What is Grommet Surgery?
Also known as tympanostomy tube insertion, grommet surgery involves placing small plastic tubes into the eardrum to ventilate the middle ear and drain trapped fluid. This reduces infection risk and improves hearing. It’s especially helpful in children, whose Eustachian tubes are narrower and more prone to dysfunction, but adults with recurrent issues or pressure-related problems (e.g. flying or hyperbaric oxygen) may benefit too.
Who is a Candidate?
Grommets are typically recommended for children with persistent ear infections or fluid buildup, especially if hearing or speech development is affected. Adults may need them for barotrauma or chronic infections. The decision is based on symptoms, hearing tests, and lack of response to medical treatment. Your ENT will ensure surgery is appropriate and worthwhile.
Benefits of Grommet Surgery
Grommets restore hearing quickly by allowing air into the middle ear and preventing fluid buildup. For children, this often improves speech, learning, and sleep, while reducing doctor visits and antibiotic use. Adults report relief from pressure and better focus. Long-term, grommets can prevent complications like perforations, scarring, or hearing loss.
Hearing Tests & Results
Before-and-after hearing tests typically show significant improvement. Children often speak and engage more confidently post-surgery. Your ENT will monitor progress and assess the effectiveness during follow-up visits.
Your Consultation
We start with a detailed medical history, exam, and hearing tests. Your ENT will explain your condition and outline treatment options, including surgery if needed. You’ll receive clear advice tailored to your health, lifestyle, and preferences.
How the Surgery is Performed
Performed under general anaesthetic for children (and sometimes local for adults), the surgery involves a small incision in the eardrum to release fluid, followed by insertion of the grommet. The procedure takes around 15–20 minutes. Patients are usually discharged the same day with simple aftercare instructions.
Recovery
Recovery is quick – most children return to school the next day. Temporary discomfort or drainage is normal. Swimming may require ear protection. Grommets usually fall out on their own within 6–18 months. If symptoms return, further assessment may be needed.
Risks & Complications
Complications are rare. Some may experience temporary ear discharge, early extrusion, or blockage. Rarely, a small hole remains in the eardrum or mild scarring occurs. Hearing changes are uncommon. Our team provides full aftercare and instructions to reduce risks.
Cost of Grommet Surgery
Costs vary based on your surgeon, anaesthetist, and hospital. Medicare covers the procedure in public hospitals (Item 41632), and most private insurance policies cover it in the private system. We’ll provide a quote and explain any out-of-pocket costs.
Medicare & Insurance
Grommet insertion is usually covered by Medicare and private health insurance when medically necessary. Check your policy for ENT coverage, waiting periods, and hospital costs. Our team can assist with quotes and health fund queries.
Grommet Surgery FAQs
Will my child hear better straight after surgery?
Yes – many children notice clearer hearing within days, especially if fluid was causing hearing loss.
Can grommets be repeated?
Yes. If needed, a second or third set may be recommended.
Are there non-surgical options?
Yes – nasal sprays or allergy management may help. Your ENT will discuss these.
How will I know if fluid is gone?
Your ENT checks this at follow-up using ear exams and tympanometry.
Is swimming or flying safe?
Yes, but swimming in public pools may require ear protection. Flying is usually easier post-surgery.
What if a grommet falls out early?
Your ENT will reassess. Often, no further treatment is needed.
Is ear discharge after surgery normal?
Mild discharge is common. Persistent or smelly discharge should be reviewed.
Why Choose Melbourne ENT?
Dr Stephen Kleid brings over 40 years of ENT experience, with roles at leading hospitals and expertise in head and neck surgery, sleep apnoea, and cochlear implants. Dr Simon Braham trained in Melbourne, New York, and Boston, with special interest in sinus and nasal conditions. Both surgeons are known for their careful diagnosis, clear communication, and patient-first care.
To book a consultation, please visit our contact page or call us.
Medical References
Why Choose Dr Kleid ?
Dr Stephen Kleid,
Melbourne ENT Surgeon
MED0001052799
Dr Stephen Kleid is an experienced ENT Surgeon (Otolaryngologist) based in Melbourne with a passion for Septo-rhinoplasty, Septoplasty and a strong interest in Rhinoplasty Revision.
Dr Kleid’s Procedures
Why Choose Dr Braham ?
Dr Simon Braham,
Melbourne ENT Surgeon
MED0001144757
Dr Simon Braham MBBS (Hons) FRACS is an experienced Ear, Nose and Throat ENT Surgeon (Otolaryngologist) based in Melbourne, performing tonsil, grommet and sinus surgery for children & adults. He helps patients with breathing issues, snoring concerns and sleep disturbances.
Dr Braham’s Procedures
How can we help?
Dr Kleid’s Team takes pleasure in assisting you with any questions when considering a plastic surgery procedure. Please call the St Kilda East clinic in Melbourne between 9am – 5 pm on Weekdays.
What Next?
Want more information about your Procedure?
- Please read our website and blogs to find out more about your procedure and concerns
- For more information about pricing and payment methods, please visit our page on Surgery Payment Options.
- Talk to our Patient Care Team from 9 am to 5 pm Monday to Friday
What to Bring to Your Consultation
- We encourage you to bring a friend or family member to accompany you, as they can provide an extra perspective and support throughout the process.
- It is important to take thorough notes and carefully review all the documents provided to you.
How to Book a Consultation
- A referral from your GP or Specialist is necessary to see a surgeon for a consultation.
- Dr Kleid’s Nose Surgery consultation fee is $600 which includes a nasendoscopy ($300).
- Please contact us today to book your consultation.