Objectives: To assess the feasibility of designing and implementing a speech in noise test in children before and after grommet insertion, and to analyse the results of such a test in a small group of children. Methods: Twelve children aged six to nine years who were scheduled to undergo grommet insertion were identified. They underwent speech in noise testing before and after grommet insertion. This testing used Arthur Boothroyd word lists read at 60?dB in four listening conditions presented in a sound field: firstly in quiet conditions, then in signal to noise ratios of +10 (50?dB background noise), 0 (60?dB) and -10 (70?dB). Results: Mean phoneme scores were: in quiet conditions, 28.1 pre- and 30 post-operatively (p?=?0.04); in 50?dB background noise (signal to noise ratio +10), 24.2 pre- and 29 post-operatively (p?
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