student cases for discussion with faculty
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Student Case 4:
Child 14 months old

Continuous bilateral middle ear effusion for 4 months

Both tympanograms:
compliance < 0.1
gradient > 150

TM's show normal structures on both sides

 
  
Questions for discussion with faculty:
 
1.  What would be the indications for referral to an otolaryngologist?
  2.  How would you determine whether this child might be a candidate for tympanostomy tubes?