Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
February 1, 2016OtolaryngologyOpen Access

Clinical Practice Guideline: Otitis Media with Effusion (Update)

View Full Paper
Ask AI
Bookmark
Share

Authors

RRRichard M. RosenfeldSUNY Downstate Health Sciences UniversityJSJennifer J. ShinMassachusetts Department of Public HealthSSSeth SchwartzVirginia Mason Medical Center

Discussion

Loading...

Member takes

Implication

Clinical practice guideline outlines management strategies for otitis media with effusion in children, highlighting watchful waiting over routine medication.

Key Points

  • Provide updated, evidence-based recommendations for the diagnosis, evaluation, and management of otitis media with effusion in pediatric populations.
  • Updated clinical practice recommendations established by an expert multidisciplinary guideline development panel evaluating diagnostic techniques and therapeutic interventions.
  • Strongly recommends confirming middle ear effusion using pneumatic otoscopy and using tympanometry when diagnostic uncertainty persists.
  • Strongly recommends an initial 3-month watchful waiting period for non-at-risk children, while strongly advising against systemic antibiotics, systemic or intranasal steroids, and antihistamines or decongestants.
  • Recommends tympanostomy tubes for children under 4 years of age requiring surgery, while reserving adenoidectomy (alone or with tubes) for children aged 4 years or older.

Cite This Study

Rosenfeld et al. (2016) studied this question.

synapsesocial.com/papers/69d7352cf07a12db70b8a534https://doi.org/10.1177/0194599815623467
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Is Cartilage Tympanoplasty More Effective Than Fascia Tympanoplasty? A Systematic Review2012 · 152 citations
  2. 2Response-Shift Bias and Parent-Reported Quality of Life in Children With Otitis Media2003 · 68 citations
  3. 3Grommets for Otitis Media With Effusion in Children With Cleft Palate: A Systematic Review2014 · 98 citations
  4. 4Identification of children in the first four years of life for early treatment for otitis media with effusion2007 · 69 citations
  5. 5Association between Otitis Media and Gastroesophageal Reflux2011 · 126 citations