Today she was reviewed by her ENT. He would like to monitor her a bit longer to see how she goes before intervening surgically, be it grommets and/or removal of her adenoids too. As he explained sometimes removal of the adenoids can help this problem as the adenoids are so enlarged they cause the Eustachian tube to not be able to function like it should.
Only trouble is that as we are unsure whether Violet also has a sub-mucosal cleft as her Speech Therapist has suspected for a while now and he is hesitant to take the adenoids out if she does have a cleft problem as it can make her speech issues worse. So he would much rather wait and see how she goes over the coming months with both her ear infections, middle ear pressure and her speech.
He is very much a Procrastinator, but I would prefer him be like that than put her through surgery without thinking of the consequences for her.