Otitis media with effusion is a chronic inflammatory disease that usually affects children aged 3 to 7 years. Otitis media with effusion is characterized by fluid deposition in the middle ear behind an intact tympanic membrane without the symptoms or signs acute infection. The aim of this study was to assess Otitis media with effusion in children less than 5 years of age. Cross sectional study was carried out in DHQ Timergara, Lower Dir, KPK Pakistan. This duration of study takes a time period of 4 months after topic approval. This study was done on 130 children less than 5 years of age with otitis media with effusion selected through convenient sampling techniques from DHQ hospital Timergara. Data was collected through self-design questionnaire consists of 31 questions to assess otitis media with effusion under 5 year of age. There were  a total of 130  participants that participated in this study and of age 1-3 was  53.08%, and 46.92%  from 3-5 years, 54.62% male, 45.38% female 53.08% participants were middle level of education, 40.00%, participant were level of metric, 6.92% participant were level of FA and F.Sc and this study finds out that the prevalence of otitis media with effusion is 13.63% in under five year of age.

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