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Recurrent middle ear disease is very common in childhood although, in most cases, children grow out of the condition as their immune system matures. In some cases, however, it may lead to poor growth or may suggest an underlying diagnosis associated with short stature. Diagnosis of conditions, such as Turner’s syndrome is often delayed and such children may initially present with ENT complaints. It is important to identify these children as early as possible so that they can be given the appropriate support and treatment.

Growth monitoring in girls attending a tertiary paediatric ENT service with middle ear disease