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

Answer

Guideline-Aligned (High Confidence)
Generated by iatroX. Developer: Dr Kola Tytler MBBS CertHE MBA MRCGP (General Practitioner).
Last reviewed: 16 August 2025

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 1.

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

1.

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

1.

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This content was generated by iatroX. Always verify information and use clinical judgment.