Certain factors predispose a child for development of fluid in the middle ear like:-
- Enrolment in day care
- Exposure to second hand smoke
- Bottle feeding
- Use of pacifier
- Lower socioeconomic group because of overcrowding and poor hygiene
- Certain syndromes like downs, hunter and hurler’s syndrome, some kids with skull base or nasopharyngeal abnormalities like cleft palate and immunosuppressive disorders, such as HIV are more likely to develop OME.
- Parents who smoke or pregnant woman who drink alcohol put their babies at risk.