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A prospective study examined 280 children aged between 2 and 11 years with mild or severe forms of otitis media with effusion (OME). There was a 2-year delay between the first suspicion of hearing loss and presentation to an otolaryngologist. In approximately 50% of these children hearing loss was first suspected by the mother and in 20-30% detection was by routine screening tests. In most cases actual hearing loss was the subjective presenting feature, but in others, speech, language or learning difficulties heralded the problem. It is suggested that such data might be incorporated into a questionnaire for parents which may then be used to assess parental ability to detect hearing loss due to otitis media with effusion in small children.

Diagnostic Role of Ultrasonography in Neck Swellings The study of ultrasonographic features of various neck swellings in fifty patients was done. There were 22 thyroid and thyroid related swelling, 8 salivary gland lesions, 9 lymph nodes and 14 swellings of miscellaneous origin. Various ultrasonographic features like echogenicity, echotextures were noted. There were no specific echogenicity in benign and malignant thyroid neoplasms. Various ultrasonographic features of benign and malignant salivary neoplasms and lymph nodes are described. Specific sonographic features of various miscellaneous neck swellings are also described.

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