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4 year old daughter

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My 4 year old daughter just got back from a visit to her ENT.

Doctor looked into her ear and said " Things don't look right. " She

wouldn't let him stick a long pointy thing in her ear to remove the

wax. By his brief visual inspection, he suspected C-toma but said

he would be unable to verify for sure until he has a better view.

She had her hearing checked by audiologist that same day. Left ear

was fine but right ear showed a minimal loss of hearing. It also

indicated " low compliance " whatever that means. Some other test

they did suggested that her eardrum was not moving the way it

should. Doctor ruled out fluid.

He wants to put her under general anaesthetic to examine inner ear.

If need be, he would make a small incision in the eardrum. Right

now she is on antibiotic to see if that helps.

My question to the group: Does a small incision in the drum have

any detrimental effects on hearing? Does this sound like a

reasonable first step? Finally, I am comfortable with the ENT but

it appears that most here would recommend an otologist. ENT didn't

mention sending her to otologist. Looking at ENT's credentials, it

doesn't appear that he has a subspecialty. Should I be concerned?

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