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Lancet. 1989 Feb 11;1(8633):311-4.

Screening for otitis media with effusion in preschool children.

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  • 1Department of Epidemiology, University of Nijmegen, The Netherlands.


1439 Dutch children were included in a randomised trial to evaluate the efficacy of preschool screening for otitis media with effusion (OME) by 3-monthly tympanometry. Children with bilateral OME on two consecutive occasions were referred for further investigation and then, if parents gave their consent, allocated at random to treatment or non-treatment groups. The effect of childhood screening for OME and subsequent treatment was evaluated by assessment of language performance; no benefit was found, mainly because of the large degree of spontaneous recovery.

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