A 3-year-old boy has persistent middle ear effusion bilaterally for 3 months with mild conductive hearing loss on audiology. He is otherwise well with...

Question

A 3-year-old boy has persistent middle ear effusion bilaterally for 3 months with mild conductive hearing loss on audiology. He is otherwise well with no speech delay. What is the most appropriate management?

Accepted Answer

Watchful waiting with periodic hearing assessment

Answer

Immediate insertion of grommets

Answer

Long-term oral antibiotics

Answer

High-dose oral steroids

Answer

Avoid swimming and flying but no follow-up

au-amc MCQ (SBA): Otitis media with effusion

A 3-year-old boy has persistent middle ear effusion bilaterally for 3 months with mild conductive hearing loss on audiology. He is otherwise well with no speech delay. What is the most appropriate management?