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Clinical practice guidelines for the diagnosis and management of otitis media with effusion (OME) in children in Japan, 2015.
Auris Nasus Larynx. 2017 Oct; 44(5):501-508.AN

Abstract

OBJECTIVE

To (1) indicate the definition, the disease state, methods of diagnosis, and testing for otitis media with effusion (OME) in childhood (<12 years); and (2) recommend methods of treatment in accordance with the evidence-based consensus reached by the Subcommittee of Clinical Practice Guideline for Diagnosis and Management of OME in Children.

METHODS

We produced Clinical Questions (CQs) concerning the treatment of OME and searched the literature published until April 2014 according to each theme including CQ, the definition, the disease state, the method of diagnosis, and examination. The recommendations are based on the results of the literature review and the expert opinion of the Subcommittee.

RESULTS

Because children with Down's syndrome and cleft palate are susceptible to OME, we categorized OME into low-risk and high-risk groups (e.g., Down's syndrome and cleft palate), and recommended the appropriate treatment for each group.

CONCLUSION

In the clinical management of OME in children, Japanese Clinical Practice Guidelines recommend management not only of OME itself, such as effusion in the middle ear and pathological changes in the tympanic membrane, but also pathological abnormality in surrounding organs, such as infectious or inflammatory diseases.

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Authors+Show Affiliations

Ito M
Department of Pediatric Otolaryngology, Jichi Children's Medical Center Tochigi, Jichi Medical University, Tochigi, 329-0498, Japan. Electronic address: makoto-ito@jichi.ac.jp.
Takahashi H
Department of Otolaryngology Head and Neck Surgery, Nagasaki University School of Medicine, Japan.
Iino Y
Department of Otolaryngology, Jichi Medical University Saitama Medical Center, Japan.
Kojima H
Department of Otorhinolaryngology, The Jikei University School of Medicine, Japan.
Hashimoto S
Department of Otorhinolaryngology, National Sendai Medical Center, Japan.
Kamide Y
Kamide Ear Nose and Throat Clinic, Japan.
Kudo F
Department of Nutrition, Faculty of Health Care Science, Chiba Prefectural University of Health Sciences, Japan.
Kobayashi H
Department of Otorhinolaryngology, Showa University School of Medicine, Japan.
Kuroki H
Sotobo Children's Clinic, Japan.
Nakano A
Division of Otorhinolaryngology, Chiba Children's Hospital, Japan.
Hidaka H
Department of Otorhinolaryngology, Head and Neck Surgery, Tohoku University School of Medicine, Japan.
Takahashi G
Department of Otorhinolaryngology, Head and Neck Surgery, Hamamatsu University School of Medicine, Japan.
Yoshida H
Department of Otolaryngology Head and Neck Surgery, Nagasaki University School of Medicine, Japan.
Nakayama T
Department of Health Informatics, Kyoto University School of Public Health, Japan.

MeSH

Acoustic Impedance TestsAdenoidectomyAlgorithmsAnti-Bacterial AgentsAnti-Infective Agents, LocalAudiometry, Pure-ToneCarbocysteineHearing LossHumansJapanMiddle Ear VentilationOtitis Media with EffusionOtoscopyParanasal SinusesPediatricsTemporal BoneWatchful Waiting

Pub Type(s)

Journal Article
Practice Guideline
Review

Language

eng

PubMed ID

28473270

Citation

Ito, Makoto, et al. "Clinical Practice Guidelines for the Diagnosis and Management of Otitis Media With Effusion (OME) in Children in Japan, 2015." Auris, Nasus, Larynx, vol. 44, no. 5, 2017, pp. 501-508.
Ito M, Takahashi H, Iino Y, et al. Clinical practice guidelines for the diagnosis and management of otitis media with effusion (OME) in children in Japan, 2015. Auris Nasus Larynx. 2017;44(5):501-508.
Ito, M., Takahashi, H., Iino, Y., Kojima, H., Hashimoto, S., Kamide, Y., Kudo, F., Kobayashi, H., Kuroki, H., Nakano, A., Hidaka, H., Takahashi, G., Yoshida, H., & Nakayama, T. (2017). Clinical practice guidelines for the diagnosis and management of otitis media with effusion (OME) in children in Japan, 2015. Auris, Nasus, Larynx, 44(5), 501-508. https://doi.org/10.1016/j.anl.2017.03.018
Ito M, et al. Clinical Practice Guidelines for the Diagnosis and Management of Otitis Media With Effusion (OME) in Children in Japan, 2015. Auris Nasus Larynx. 2017;44(5):501-508. PubMed PMID: 28473270.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical practice guidelines for the diagnosis and management of otitis media with effusion (OME) in children in Japan, 2015. AU - Ito,Makoto, AU - Takahashi,Haruo, AU - Iino,Yukiko, AU - Kojima,Hiromi, AU - Hashimoto,Sho, AU - Kamide,Yosuke, AU - Kudo,Fumiyo, AU - Kobayashi,Hitome, AU - Kuroki,Haruo, AU - Nakano,Atsuko, AU - Hidaka,Hiroshi, AU - Takahashi,Goro, AU - Yoshida,Haruo, AU - Nakayama,Takeo, Y1 - 2017/05/01/ PY - 2017/01/07/received PY - 2017/03/23/accepted PY - 2017/5/6/pubmed PY - 2018/5/3/medline PY - 2017/5/6/entrez KW - Clinical Guideline KW - Diagnosis and testing KW - Otitis media with effusion (OME) KW - Treatment algorithm SP - 501 EP - 508 JF - Auris, nasus, larynx JO - Auris Nasus Larynx VL - 44 IS - 5 N2 - OBJECTIVE: To (1) indicate the definition, the disease state, methods of diagnosis, and testing for otitis media with effusion (OME) in childhood (<12 years); and (2) recommend methods of treatment in accordance with the evidence-based consensus reached by the Subcommittee of Clinical Practice Guideline for Diagnosis and Management of OME in Children. METHODS: We produced Clinical Questions (CQs) concerning the treatment of OME and searched the literature published until April 2014 according to each theme including CQ, the definition, the disease state, the method of diagnosis, and examination. The recommendations are based on the results of the literature review and the expert opinion of the Subcommittee. RESULTS: Because children with Down's syndrome and cleft palate are susceptible to OME, we categorized OME into low-risk and high-risk groups (e.g., Down's syndrome and cleft palate), and recommended the appropriate treatment for each group. CONCLUSION: In the clinical management of OME in children, Japanese Clinical Practice Guidelines recommend management not only of OME itself, such as effusion in the middle ear and pathological changes in the tympanic membrane, but also pathological abnormality in surrounding organs, such as infectious or inflammatory diseases. SN - 1879-1476 UR - https://www.unboundmedicine.com/medline/citation/28473270/Clinical_practice_guidelines_for_the_diagnosis_and_management_of_otitis_media_with_effusion__OME__in_children_in_Japan_2015_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0385-8146(17)30033-0 DB - PRIME DP - Unbound Medicine ER -