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Full list of author information is available at the end of the articleIntroduction Otitis media (OM) is a common childhood disease and the leading cause of doctor consultations for pre-school children [1]. It can be divided in two major diagnostic subgroups: acute otitis media (AOM) and otitis media with effusion (OME) with great overlap between the two (see Table 1) [2-4]. Quality of life (QoL) as an outcome for assessment of treatment has become increasingly recognized in clinical research and several studies have assessed the quality of life of children with otitis media. Since the development of the disease specific proxy-completed Otitis Media-6 (OM-6) questionnaire in 1997 [5], it has become the most frequently used questionnaire applied in the international literature [6,7]. The questionnaire covers physical an