Suggested Pre-Referral Evaluation and Management Guidelines
Children not at risk of speech and language problems may be managed expectantly for 3 months with frequent assessment of middle ear status. A hearing test is recommended as a first step, as fluctuating hearing loss secondary to intermittent middle ear effusions may also be educationally significant. Children who are in school with documented hearing should be seen within 6 weeks.
Laterality and duration of effusion should be documented.
Suggested Additional Test/Management Prior to Specialty Visit
Hearing should be tested for effusion persisting greater than 2 months or if concern of significant hearing loss or language difficulties.
Early referral for patients at risk of speech and language developmental delay and those with pre-existing hearing loss.
Patients will be offered an audiology appointment coordinated with clinic visit, but urgent requests may necessitate two separate appointments.
Bring records of newborn hearing screening or outside audiology screening.