A 6-year-old boy presented to the pediatric clinic with complaints of hearing difficulties and occasional discomfort in his ears over the past 3 months. His parents reported that he had been turning the television volume up louder than usual and frequently asking them to repeat what they were saying. The boy had also experienced intermittent episodes of mild ear pain, particularly after a recent upper respiratory infection.

On examination, the child appeared healthy, but otoscopic examination revealed a dull and retracted tympanic membrane in both ears, with visible fluid behind the eardrum, consistent with bilateral otitis media with effusion (glue ear). A hearing test showed mild conductive hearing loss.

Given the chronic nature of the symptoms and the impact on his hearing, the ENT specialist recommended the insertion of grommets (tympanostomy tubes) to ventilate the middle ear and drain the fluid. The parents agreed, and the procedure was successfully performed.

At a follow-up visit 4 weeks later, the boy's hearing had improved significantly, and his symptoms had resolved. His parents were advised to monitor his ears and return for regular check-ups to ensure the grommets were functioning properly.