Question

A 3 year old Aboriginal girl from a remote community presents with hearing difficulty and recurrent ear discharge. Otoscopy reveals tympanic membrane perforation with chronic suppurative otitis media. Which management strategy is most appropriate?

Accepted Answer

Topical ciprofloxacin ear drops and regular aural toilet, with referral to ENT and hearing services

Answer

Reassure that this will resolve without treatment

Answer

Short course of oral decongestants

Answer

Avoid swimming but no medical therapy

Answer

Immediate grommet insertion in all cases

Practice question

A 3 year old Aboriginal girl from a remote community presents with hearing difficulty and recurrent ear discharge. Otoscopy reveals tympanic membrane perforation with chronic suppurative otitis media. Which management strategy is most appropriate?