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Otolaryngol Head Neck Surg. 2016 Feb;154(2):201-14. doi: 10.1177/0194599815624407.

Clinical Practice Guideline: Otitis Media with Effusion Executive Summary (Update).

Author information

1
Department of Otolaryngology, SUNY Downstate Medical Center, Brooklyn, New York, USA richrosenfeld@msn.com.
2
Division of Otolaryngology, Harvard Medical School, Boston, Massachusetts, USA.
3
Department of Otolaryngology, Virginia Mason Medical Center, Seattle, Washington, USA.
4
Society for Middle Ear Disease, Pittsburgh, Pennsylvania, USA.
5
Connecticut Pediatric Otolaryngology, Madison, Connecticut, USA.
6
Pomona Pediatrics, Pomona, New York, USA.
7
American Academy of Family Physicians, Pender, Nebraska, USA.
8
Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
9
University of Virginia Health System, Charlottesville, Virginia, USA.
10
Department of Otology and Laryngology, Harvard Medical School and Boston Children's Hospital, Boston, Massachusetts, USA.
11
University of Texas-Southwestern Medical Center/Children's Medical Center-Dallas, Dallas, Texas, USA.
12
Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine in St Louis, St Louis, Missouri, USA.
13
Consumers United for Evidence-based Healthcare, Davis, California, USA.
14
American Academy of Otolaryngology-Head and Neck Surgery Foundation, Alexandria, Virginia, USA.

Abstract

The American Academy of Otolaryngology-Head and Neck Surgery Foundation has published a supplement to this issue of Otolaryngology-Head and Neck Surgery featuring the updated "Clinical Practice Guideline: Otitis Media with Effusion." To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 18 recommendations developed emphasize diagnostic accuracy, identification of children who are most susceptible to developmental sequelae from otitis media with effusion, and education of clinicians and patients regarding the favorable natural history of most otitis media with effusion and the lack of efficacy for medical therapy (eg, steroids, antihistamines, decongestants). An updated guideline is needed due to new clinical trials, new systematic reviews, and the lack of consumer participation in the initial guideline development group.

KEYWORDS:

adenoidectomy; clinical practice guideline; middle ear effusion; otitis media with effusion; tympanostomy tubes

PMID:
26833645
DOI:
10.1177/0194599815624407
[Indexed for MEDLINE]

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