Otitis media with effusion (OME) is characterised by fluid collection in the middle ear in the absence of acute infection. Conductive hearing loss is the main symptom and may be persistent or recurrent. 1 Spontaneous resolution is common; however, recovery is unpredictable and some children may experience a significant impact on their speech perception, language development, educational outcomes, behavioural development and quality of life. [2][3][4][5][6] A period of watchful waiting is the usual course of action following OME diagnosis. Ventilation tube (VT) insertion is a common surgical intervention for children with persistent OME. However,

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