Question

A 4-year-old child has a 6-month history of bilateral middle ear effusion with mild hearing loss but no speech delay or behavioural problems. What is the most appropriate management?

Accepted Answer

Watchful waiting with hearing monitoring and review

Answer

Immediate tympanostomy tube insertion

Answer

Empirical long-term antibiotics

Answer

Oral decongestants

Answer

Systemic corticosteroids

Practice question

A 4-year-old child has a 6-month history of bilateral middle ear effusion with mild hearing loss but no speech delay or behavioural problems. What is the most appropriate management?