• 1

    First, show the child how the treatment is performed by placing the mask to your own nose and inflate the green balloon to a dia-meter of approximately 10 – 12 cm. It is important not to overfill the balloon. Then place the face mask to the child’s face covering both the nose and mouth.

  • 2

    Ask the child to inflate the balloon while helping to hold the mask tight to the face in order to create an airtight seal. Practice to inflate the balloon. When required, assist the child by squeezing the frog’s belly to pump air into the balloon.


  • 3

    When the child is familiar with the procedure, change to the blue balloon to start the treatment. Inflate the balloon 20 times per session, twice a day, for 4 weeks. Change to a new balloon each week. Read the instructions for use before starting the treatment.

More than 90 percent avoided grommet surgery


No surgery needed

Children aged 2–8 years with persistent bilateral OME, waiting for grommet surgery, were randomised to a treatment and a control group. After four weeks, a cross-over was performed. The primary outcome measurements after eight weeks were improvement in middle-ear pressure and hearing thresholds in the treatment group, while non-significant alterations were observed in the control group. After the cross-over of the control group to treatment, equivalent improvements were achieved also in this group. After eight weeks of treatment in both groups 4 of 45 children were submitted to grommet surgery*.

 * Armin Bidarian-Moniri, Maria-João Ramos, Hasse Ejnell. Autoinflation for treatment of persistent otitis media with effusion in children: A cross-over study with a 12-month follow-up, International Journal of Pediatric Otorhinolaryngology, 2014.