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Abstract

Otitis Media with Effusion (OME) is a very common disease among catarrhal children of younger age group who are immunologically in the developing stage. At school they are exposed to similar kids of the same age group among whom someone may be having upper respiratory tract infection. It may be thus shared among them in crowded class rooms. Disease remain asymptomatic due to absence of ear symptoms other than mild hearing loss. Thus, it may remain unnoticed. Only intelligent parents or teachers notice it. Those self-resolving, due to high prevalence of the disease, a lot of them go in for sequelae like atelectasis, adhesive otitis media, ossicular erosion, posterosuperior retraction pocket and finally cholesteatoma. Hence in ears which are not picked up early it may be a silent killer of middle ear.