A Clear Guide to Glue Ear
Expert Management of Glue Ear
Glue ear commonly affects children and adults when fluid collects behind the eardrum, causing muffled hearing or pressure. It settles with time and treatment. Urgent review is needed if hearing loss worsens suddenly, pain or discharge develops, balance problems appear, speech delays emerge, or symptoms follow infection, injury, or persist beyond recovery.
Comprehensive Care for Hearing, Vertigo & Balance
Comprehensive Care for Hearing, Vertigo & Balance
Middle Ear Fluid
An Overview of Glue Ear
Glue ear occurs when thick fluid builds up in the middle ear space behind the eardrum. This fluid prevents sound from moving freely, leading to reduced hearing, a blocked sensation, or ear pressure. It often follows a cold, ear infection, or eustachian tube dysfunction, which interferes with normal drainage from the middle ear.
The condition is common in children but can affect adults, particularly during periods of nasal congestion or sinus problems. Hearing levels may fluctuate as fluid changes. Glue ear usually improves as the middle ear clears, but persistent fluid can affect hearing clarity, communication, and speech development if not monitored or treated appropriately.
OUR REVIEW
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EXCELLENT Based on 112 reviews Posted on Google Diana GranadosTrustindex verifies that the original source of the review is Google. I had an outstanding experience with Harley Street Vestibular Clinic and cannot recommend them highly enough. I developed severe vertigo while visiting London, and it was an incredibly frightening experience as it was my first time ever experiencing dizziness like that. I called the clinic on a Saturday, fully expecting to leave a voicemail since they were closed. To my surprise, the office manager, Preeti, returned my call that same day. I was so grateful. She was kind, reassuring, and went above and beyond to arrange an appointment for me first thing on Monday. From the moment I arrived, the entire team was professional, efficient, and compassionate. They understood how urgent and distressing my symptoms were and made every effort to see me as quickly as possible. The vestibular audiologist was exceptional—she took the time to thoroughly evaluate me, clearly explain everything she was doing, answer every one of my questions, and perform the appropriate treatment. I never felt rushed, and her expertise immediately gave me confidence that I was in the right hands. The clinic was incredibly responsive, organized, and genuinely caring throughout the entire process. They turned what was a very scary situation into one where I felt supported and well cared for. I am truly thankful to Preeti and the entire team for their kindness, professionalism, and outstanding care. If you are experiencing vertigo, dizziness, or balance problems, I would not hesitate to recommend Harley Street Vestibular Clinic.Posted on Google erika thomaziTrustindex verifies that the original source of the review is Google. Great positive experience!Posted on Google Carol BunyanTrustindex verifies that the original source of the review is Google. I could not fault my follow up appointment with Dr Aran and his team. He really does take the time to listen to your questions and really puts himself out to set you on the road to recovery . He genuinely seems interested in getting you better. I would highly recommend this practice.Posted on Google Ged RobinsonTrustindex verifies that the original source of the review is Google. Dr Benjamin Shaw was extremely thorough in his assessment of my recent attacks of vertigo. I have total confidence in his ability, once I have completed the further tests he has arranged at the Wimbledon clinic, to diagnose what is causing this issue with my health.Posted on Google Adrian LoweTrustindex verifies that the original source of the review is Google. I thoroughly recommend the Harley Street Audio Vestibular Clinic. I had an appointment with Dr Rudy Palaniappan who listened carefully to me, conducted a brilliant examination and explained everything to me with a future plan very clearly. I was really impressed!Posted on Google EvanTrustindex verifies that the original source of the review is Google. Dr Arun provided an excellent virtual consultation, took the time to understand symptoms and history and provided an initial diagnosis and treatment plan. It did not feel rushed or with any bias. Received comprehensive notes and summary promptly after the appointment. Would fully recommend.Posted on Google shahram zarafshanTrustindex verifies that the original source of the review is Google. Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.Posted on Google Vasile BaltacTrustindex verifies that the original source of the review is Google. I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.Posted on Google Carol lansleyTrustindex verifies that the original source of the review is Google. My first consultation with Dr Arun Pajaniappane was an excellent experience. He listened carefully to me & did extensive tests to try to determine the correct diagnosis.
Pinpointing the Cause
Diagnosing Glue Ear
When to Get Checked
Glue ear often resolves on its own, but some symptoms suggest closer review is needed to protect hearing and development.
You should get assessed if hearing loss persists beyond a few weeks, worsens suddenly, affects one ear more than the other, or is associated with ear pain, discharge, balance problems, speech delay, behavioural changes, or learning difficulties. A review is also important if symptoms persist after repeated infections or injuries, or if they do not improve with initial treatment.

How We Assess Glue Ear
Our specialist begins by exploring the full story behind symptoms. We further ask when hearing changes started, whether they fluctuate, and if there is a history of colds, infections, allergies, or nasal congestion. At Harley AVM, we also look at speech, concentration, balance, and sleep, particularly in children, to understand how middle ear fluid is affecting daily function.
Assessment is tailored to the individual and may include pure-tone audiometry, tympanometry, acoustic reflex threshold testing, eustachian tube function assessment, otoacoustic emissions, speech audiometry, and speech-in-noise tests. Our senior audiovestibular physician reviews all results, ensuring decisions are based on both test findings and real-world impact.

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DIAGNOSTIC TESTS
Specialist Tests to Assess Hearing, Balance and Inner Ear Health
Harley Street Specialists in Hearing, Dizziness & Balance
Specialist Care for Glue Ear
Every Glue Ear case is different. Your consultant will create a tailored plan to address your specific symptoms and lifestyle – when it started, how it affects your day, and which tests and treatments are right for you.