Background: Otitis Media with Effusion (OME) is the effusion in middle ear and is commonly seen in children. It causes conductive hearing loss and increased risk of acute middle ear infections. It is mostly a paediatric problem, and leads to poor scholastic performance. It may be managed medically or surgically and surgical management includes grommet insertion or concurrent adenoidectomy with grommet insertion. Our study evaluates the use of ventilationtubes in management of OME. To study the symptomatology of otitis media with effusion (OME), to assess hearing following tympanostomy tube insertion and to determine the complications of tube insertion procedure.