Hi there, my son is 5 past in April. When he was 3 he was diagnosed with glue ear and had grommets surgery (checked his adenoids at that time but they were fine). At his last ENT review about a year ago, we were told one of his grommets had come out and the tympanometry graph was flat suggesting that fluid was back in that ear. He was put on the waiting list for replacement grommets and checking his adenoids again. He received an appointment today for surgery on 12th August. Recently I've felt his hearing has improved (although it often does in the summer months). However his speech is still not where it should be. His sound pronunciation is still not great (last night he was talking about a "clown" and I thought he was talking about a "crown". He says words in a funny way at times. His speech is not fluid and can be high-pitched if that makes sense. He often screws up his nose and complains there is something in it, also mouth breaths and snores at night which is why we thought initially he may need his adenoids out. He is also been referred for ASD assessment. Part of me wonders if all his speech problems are caused by ASD and therefore putting him through GA and surgery would not help. Does this type of speech problem sound like it is caused by glue ear or more like a child with ASD. Has anyone found that a 2nd set of grommets + adenoid removal improved their child's speech? I am going ask audiology to check him before surgery although I don't have much time to arrange the appointment. He is starting primary in Sept and I worry constantly how he will cope as I worry other children may make fun of him for not talking properly. Thanks for any advice.