Diagnosis Of Otitis Media In Children | Pediatric Oncall


Last Updated : 12/30/2010
Font-size :  
Milind Kirtane*, Nikita Malhotra**
How does a child's physician diagnose Otitis Media?

Ear infections

require immediate attention by a pediatrician, primary care physician or an otolaryngologist (ear, nose and throat specialist). In addition, evaluation by an audiologist and a speech-language pathologist is important if a child has repeated episodes of infection and/or

chronic fluid in the middle ear

If otitis media is suspected, the child's ears are examined with an otoscope to check for redness or fluid behind the eardrum.

Pneumatic otoscopy

may be performed to check for middle ear fluid. During this procedure a puff of air is blown into the ear and movement of the eardrum is observed. An eardrum with fluid behind it does not move as well as an eardrum with air behind it. An audiogram or hearing test is performed to measure the degree of hearing loss.


measures eardrum motion and the middle ear pressure to determine how well the Eustachian tube is functioning. If speech delay is suspected, a speech and language evaluation should be considered.An ear swab from the ear discharge may be taken to determine the culture and sensitivity of the infecting microorganism, depending on which the appropriate antibiotic is prescribed.

In certain situations, a CT Scan of the head may be helpful to determine if the infection has spread beyond the middle ear.

Contributor Information and Disclosures Milind Kirtane*, Nikita Malhotra**
*Consulting ENT surgeon, Hinduja Hospital, Breach Candy Hospital, KEM Hospital, Mumbai, India ** Consultant ENT surgeon, Mumbai, India

First Created : 2/28/2001
Last Updated : 12/30/2010
Contributor Information and Disclosures

Last Updated : 12/30/2010
Previous Authors :
Advertisements by :    Mega-CV by Aristo IndoIV by Sun Pharma
Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.