The Shah Mini Grommet is small enough to be positioned in the anterosuperior quadrant, even via narrow external ear canals. Its size and shape facilitate insertion with minimal trauma. It is appropriate to the treatment of severe ‘glue ear’ or to maintain equal pressure across a new tympanic graft.

Clinical studies suggest that, if the inner flange is orientated to point towards the head of the malleus, this tube will remain patent typically for five months and, if used as the tube of first choice in cases of otitis media with effusion, a substantial majority would require no further surgical intervention and resultant tympanosclerosis would be minimal.
(Clinical References: PUB/28,q.v.)

Its design maximises the lumen but provides sufficient outer flange for the forceps to grasp.

The Tiny T-Tube will remain patent typically for twelve to fourteen months and is intended to extend the period of ventilation to young ears, with minimal scarring of the tympanum.