What is the role of watchful waiting in the management of OME in children, and how long should I monitor before considering further intervention?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 16 August 2025Updated: 16 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Watchful waiting plays a key role in the management of otitis media with effusion (OME) in children without hearing loss, as it often gets better over time and no treatment is necessary during this period .

The recommended duration of monitoring before considering further intervention is typically 3 months, during which regular follow-up should include history, examination, audiology assessment, and speech and language assessment if indicated

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If OME persists with hearing loss after this period, further assessment and management options, including possible surgical intervention, may be considered

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