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Flashcards in Glue Ear Deck (14)
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1
Q

What are the other names for “Glue Ear”

A

Otitis Media with Effusion

Serous Otitis Media

2
Q

Acute otitis media has NO accumulation of fluid. TRUE/FALSE?

A

TRUE

3
Q

Can AOM and OME occur simultaenously and if so, will fluid be present?

A

Yes they can occur simultaneously and fluid is present

4
Q

Glue ear is more common in boys than girls. TRUE/FALSE?

A

TRUE

5
Q

What age are children who normally get glue ear?

A

Can be any age but incidence decreases as they get older

6
Q

What factors can predispose to glue ear?

A
  • Day care
  • Having older siblings
  • Smoking household
  • Recurrent URTI
7
Q

What are the main symptoms of Glue Ear?

A
  • Deafness => Speech delay
  • Poor school performance
  • Behavioural problems
8
Q

What signs are present on the tympanic membrane which would indicate Glue Ear?

A

Retraction of membrane
Reduced mobility
Altered colour
Visible fluid/bubbles

9
Q

What type of hearing loss would be noted in glue ear if a tuning fork test was carried out?

A

conductive

10
Q

Why is “watchful waiting” often the chosen treatment by clinicians in glue ear?

A

Most cases will resolve on their own, and it does not compromise childs further hearing or education

11
Q

How can a child with glue ear be helped if struggling with education during a period of “watchful waiting”?

A

Put them at the front of the class to hear the teacher better

12
Q

When should children with glue ear be referred to a specialist?

A
Persistent (> 3/12)
bilateral OME
Conductive Hearing Loss of >25dB
Speech/language problems
Behavioral problems
13
Q

What surgical options are available for glue ear?

A
<3yrs = Grommets 
>3yrs = Grommets then if req'd = adenoidectomy
14
Q

What are the complications of Grommets?

A

Infection/discharge
Early extrusion
Persistent perforation
Swimming/bathing issues