Question

A 4-year-old Aboriginal girl living in a remote community has had bilateral middle ear effusion for 4 months and her preschool teacher reports difficulty hearing instructions. Otoscopic examination confirms glue ear with dull, retracted tympanic membranes. According to specific otitis media guidelines for Aboriginal and Torres Strait Islander children, what is the most appropriate next step?

Accepted Answer

Arrange prompt hearing assessment and referral to ENT services

Answer

Reassure and review in 6 months as glue ear usually resolves spontaneously

Answer

Start intranasal corticosteroid spray for 3 months and review hearing

Answer

Commence long-term low-dose oral antibiotics without further assessment

Answer

Insert ventilation tubes in the community clinic under local anaesthetic

Practice question