MediumIndigenous HealthOtitis media with effusion and hearing riskau-amcau-racgp
A 3-year-old Aboriginal boy from a remote Northern Territory community has had four episodes of acute otitis media in the last 6 months and currently has bilateral middle-ear effusions with a flat tympanogram, but no pain or fever. His parents report concerns about hearing and speech delay. According to current Aboriginal and Torres Strait Islander otitis media guidelines, which is the most appropriate next step?