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OTITIS MEDIA WITH EFFUSION (OME OR GLUE EAR) FEATURES AUDIOLOGY SYMPTOMS IN YOUNG CHILDREN (0-3) • Balance problems • Delayed speech development • Hearing loss (fluid in the middle ear blocks the conduction of sound) • Irritability and pulling at ear SYMPTOMS IN OLDER CHILDREN (3-7) • Hearing loss • Difficulty at school • Behaviour problems • Delayed speech and language (may affect reading development) Mild Conductive hearing loss TYMPANOMETRY Type B or Type C Tympanogram DIAGNOSIS • • • Retracted ear drum May show fluid levels or bubbles Decreased mobility on pneumatic otoscopy • Different colours – from red to white to yellow OTHER AGGRAVATING FACTORS • Upper respiratory tract infection (cold) • Reflux • May follow acute otitis media (AOM) • Blocked Eustachian tube PREVENTATIVE MEASURES • Treatment of colds and upper respiratory tract infections • Avoid smoking around babies and children • Early treatment of acute otitis media • Regular ear health checks