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Otitis media with conductive hearing loss — RACP Paediatrics MCQ

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ModerateAdolescent health, Aboriginal and Torres Strait Islander child health, ethicsOtitis media with conductive hearing lossRACP Paediatrics

A 3-year-old Aboriginal child from a remote community has recurrent otitis media, speech delay and inattentiveness at preschool. Otoscopy shows bilateral dull tympanic membranes and audiology confirms conductive hearing loss. What is the most appropriate management?

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Correct answer: E — Culturally safe ENT and audiology follow-up with speech-language support

Recurrent otitis media and conductive hearing loss can impair speech, language and learning, especially where access barriers exist; coordinated culturally safe audiology, ENT and developmental support are needed. Treating behaviour without addressing hearing misses a reversible contributor. The pearl is that ear health is a major equity issue in Aboriginal and Torres Strait Islander child health.

Reference: Australian ear health guidelines for Aboriginal and Torres Strait Islander children; RCH Clinical Practice Guidelines