Glue ear, also known as otitis media with effusion (OME), is one of the most common ear conditions affecting children—though it can also occur in adults. At Integrative Ear, Nose and Throat, with offices in Syosset and Port Jefferson Station, NY, we frequently diagnose and treat this condition, especially in young children during critical stages of speech and language development.
Under the care of Dr. Michael S. Cohen, a board-certified ENT specialist with over 25 years of experience in Otolaryngology, Head and Neck Surgery, and Facial Plastic Surgery, our team takes a personalized and holistic approach to managing glue ear, always weighing the best treatment path based on the patient’s specific needs.
What Is Glue Ear?
Glue ear occurs when fluid builds up behind the eardrum in the middle ear. This fluid is often thick and sticky—hence the name “glue ear.” It’s not necessarily an infection, although it may follow an episode of acute otitis media (a middle ear infection).
While many children experience temporary episodes that resolve on their own, persistent glue ear can significantly impact hearing, and in turn, affect speech development, learning, and social interaction.
Glue ear is extremely common among children:
- According to the American Academy of Otolaryngology, up to 90% of children will have at least one episode of OME before school age.
- It’s most frequent in children aged 2 to 5 years.
In many cases, the condition resolves within 3 months, but if it lasts longer, it can interfere with normal hearing and development.
Glue Ear Symptoms to Watch For
Children with glue ear may not complain of pain, making it harder to detect. Some signs include:
- Hearing difficulties or inattentiveness
- Delayed speech or language development
- Balance issues or clumsiness
- Complaints of ear “fullness” or muffled sounds
- Behavioral changes or frustration in noisy environments
Does Glue Ear Always Need Treatment?
In many cases, glue ear does not need aggressive treatment and will clear up on its own. Your ENT specialist may recommend a period of observation (often called “watchful waiting”) for up to 3 months, especially if the child is not experiencing hearing loss or developmental delays.
However, treatment becomes necessary if:
- The fluid persists longer than 3 months
- Hearing loss is significant
- Speech, learning, or behavior is affected
- There are frequent ear infections
OME Treatment Options
At Integrative Ear, Nose and Throat, Dr. Cohen offers a range of conservative and advanced treatment options, depending on the severity and persistence of the condition:
- Observation and Monitoring: Most cases resolve naturally. Dr. Cohen may monitor hearing with audiograms and track fluid buildup using tympanometry.
- Nasal Sprays or Decongestants: These may help if the glue ear is associated with allergies or sinus issues.
- Hearing Support: In some cases, temporary hearing aids are recommended while awaiting resolution.
- Myringotomy with Ear Tubes: If fluid persists and affects hearing or development, Dr. Cohen may recommend placing ventilation tubes (ear tubes) through a short surgical procedure. These tubes help drain fluid and equalize pressure in the middle ear. It’s a safe, outpatient procedure and often restores hearing almost immediately.
Why Experience Matters
Because glue ear can be subtle but impactful, it’s critical to be evaluated by an experienced ENT specialist. Dr. Michael S. Cohen, with over 25 years of trusted care in Nassau and Suffolk County, is recognized for his innovative and integrative approach to ENT conditions. His deep understanding of both the medical and developmental implications of glue ear allows him to guide families through treatment options with confidence and clarity.
His holistic philosophy ensures that every child receives comprehensive care that addresses not just the ears—but their overall well-being, communication development, and long-term health.
Schedule an Evaluation
If your child shows signs of hearing loss, speech delay, or chronic ear problems, don’t wait. Early diagnosis and the right care can make a lasting difference. Contact Integrative Ear, Nose and Throat in Syosset or Port Jefferson Station to schedule an appointment with Dr. Cohen and give your child the best chance at healthy hearing and development.
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