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Do grommets prevent language delay?
  1. Vidya Sudhakar-Krishnan1,
  2. Mary Rudolf2
  1. 1Paediatric Registrar, St James’s University Hospital, Leeds, UK
  2. 2Consultant Community Paediatrician, Leeds General Infirmary, Leeds, UK

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A mother brings her 2 year old daughter to your clinic. She is concerned about her speech which she feels is poor for her age. Her daughter has failed two consecutive audiograms. On otoscopy she has signs of bilateral otitis media with effusion (OME) which you have confirmed on a previous occasion two months ago. Should you refer for insertion of grommets?

Structured clinical question

In preschool children with OME (glue ear) [patient] does the insertion of ventilation tubes (grommets) [intervention] as opposed to watchful waiting [comparison] have an effect on language development …

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  • Bob Phillips