Background otitis media is a multifactorial disease process involving immunology, infectious disease, anatomic considerations, social and socioeconomic issues, and genetics, among other factors Approximately 70% of children below the age of 3 will develop an episode of otitis mediaBackground ◼ Otitis media is a multifactorial disease process involving immunology, infectious disease, anatomic considerations, social and socioeconomic issues, and genetics, among other factors. ◼ Approximately 70% of children below the age of 3 will develop an episode of otitis media