Ice cream is defined as “a sweet frozen food that is made from cream or milk products or both and is generally aerated (Beeton, Isabella, 1911). Nowadays, Industrialization is at its peak to beat the fantasy of Ice-cream lovers which catalyzes the recruitment of employees for the Ice-cream factory where the workers are more exposed to low temperature. This study provides a review of latest evidence relating to the understanding of the middle ear infections with effusion, current treatment maneuvers, their constraints, new areas of research, and new strategies for prevention and treatment. 110 workers were interviewed and examined by Otoscopic examination, Pure Tone Audiometry (Air Conduction: 250 Hz – 8 KHz & Bone Conduction: 250 Hz – 4 kHz at Octave and Mid-Octave frequencies) and Immittance Audiometry in a sound-treated room by using the modified Hughson Westlake procedure (Carhart and Jerger, 1959). It was observed that the Severity of Hearing Loss (ranging from mild to moderately severe) increases with increasing years of working experience (5-15 years). Maximum Workers were having a Moderate Conductive Hearing loss from Candy Section and Cold room as the Candy section has High atmospheric pressure & Humid condition and the Cold room had very low temperature i.e.-0.55c (31 F). The workers work more than 15 hours revolving between these two units. The continuous fluctuating exposure of the cold room and the candy section creates an imbalance in the middle ear pressure resulting in frequent episodes of Otitis Media. The present study determines the need of administration of Hearing checkups, Pneumococcal vaccines for prevention for the development of Otitis media, Compulsion for using ear protection devices, and decreasing the working hours for lessening the exposure of temperature and pressure variance (within limits). Providing ear health guidelines to the workers before joining and Organizing Hearing conservation programs.