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Myringotomy/grommets/Otitis Media with Effusion

Please click here to view the full Myringotomy/Grommets/Otitis Media with Effusion Commissioning Statement.  

Commissioning position

NHS Vale of York CCG will commission myringotomy/grommets for children aged between 3 and 12 years old with bilateral otitis media with effusion (OME) under the following circumstances:

There must be a period of at least 3 months watchful waiting from the date of the first appointment with an audiologist

AND the child suffers from at least one of the following:

NB: In children with additional disabilities such as Down’s Syndrome or cleft palate, involvement of a specialist multidisciplinary team with expertise in assessing and treating OME in these children is essential1.

Urgent referral is advised in the following circumstances

NB: Do not perform adenoidectomy at the same time unless evidence of significant upper respiratory tract symptoms

Patient information leaflet operations for glue ear

To submit an application to the CCG's Individual Funding Request Panel, please click here for further information.