Recurrent ear infections in children. A logical, step-wise approach to this potentially devastating problem.

Abstract

Recurrent ear infections result from eu stachian tube incompetence based on con genital facial maldevelopment or stenosis secondary to repeated childhood infections. There is no known successful surgical repair of the tube lumen. Facial growth with asso ciated lumen enlargement remains the only hope for eventually normal middle ear func tion. What can be done before growth takes over to minimize permanent middle ear disease and ensure the best possible hear ing ? This author outlines a logical approach to this very difficult problem.