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Management of chronic otitis media with effusion.
Acta Otorhinolaryngol Belg. 1983; 37(1):44-56.AO

Abstract

Chronic otitis media with effusion ('secretory') is one of the most common diseases of childhood. Pathogenesis related to Eustachian tube dysfunction. Bacteria have been isolated from approximately 50 percent of chronic middle ear effusions. Diagnosis by pneumatic otoscopy or tympanometry, or both. Efficacy yet to be shown for antimicrobial therapy, decongestants, antihistamines, hydrocortisone, myringotomy with or without tympanostomy tubes, and adenoidectomy with or without tonsillectomy. However, a 10-day trial with an antimicrobial agent, such as amoxicillin (erythromycin and sulfonamide, trimethoprim-sulfamethoxazole, or cefaclor, are reasonable alternatives), should be prescribed before surgical intervention. Attendant conductive hearing loss may be related to abnormalities in cognition, language, and learning. Since the prevalence and incidence of otitis media decrease with advancing age, palliative management options would appear to be appropriate at present, reserving the more aggressive options for those infants and children who have frequently recurrent or chronic disease or the complications or sequelae of otitis media with effusion.

Authors

No affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

6684382

Citation

Bluestone, C D.. "Management of Chronic Otitis Media With Effusion." Acta Oto-rhino-laryngologica Belgica, vol. 37, no. 1, 1983, pp. 44-56.
Bluestone CD. Management of chronic otitis media with effusion. Acta Otorhinolaryngol Belg. 1983;37(1):44-56.
Bluestone, C. D. (1983). Management of chronic otitis media with effusion. Acta Oto-rhino-laryngologica Belgica, 37(1), 44-56.
Bluestone CD. Management of Chronic Otitis Media With Effusion. Acta Otorhinolaryngol Belg. 1983;37(1):44-56. PubMed PMID: 6684382.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of chronic otitis media with effusion. A1 - Bluestone,C D, PY - 1983/1/1/pubmed PY - 1983/1/1/medline PY - 1983/1/1/entrez SP - 44 EP - 56 JF - Acta oto-rhino-laryngologica Belgica JO - Acta Otorhinolaryngol Belg VL - 37 IS - 1 N2 - Chronic otitis media with effusion ('secretory') is one of the most common diseases of childhood. Pathogenesis related to Eustachian tube dysfunction. Bacteria have been isolated from approximately 50 percent of chronic middle ear effusions. Diagnosis by pneumatic otoscopy or tympanometry, or both. Efficacy yet to be shown for antimicrobial therapy, decongestants, antihistamines, hydrocortisone, myringotomy with or without tympanostomy tubes, and adenoidectomy with or without tonsillectomy. However, a 10-day trial with an antimicrobial agent, such as amoxicillin (erythromycin and sulfonamide, trimethoprim-sulfamethoxazole, or cefaclor, are reasonable alternatives), should be prescribed before surgical intervention. Attendant conductive hearing loss may be related to abnormalities in cognition, language, and learning. Since the prevalence and incidence of otitis media decrease with advancing age, palliative management options would appear to be appropriate at present, reserving the more aggressive options for those infants and children who have frequently recurrent or chronic disease or the complications or sequelae of otitis media with effusion. SN - 0001-6497 UR - https://www.unboundmedicine.com/medline/citation/6684382/Management_of_chronic_otitis_media_with_effusion_ L2 - https://medlineplus.gov/earinfections.html DB - PRIME DP - Unbound Medicine ER -