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Otorinolaringologia 2007 September;57(3):149-55

Copyright © 2007 EDIZIONI MINERVA MEDICA

language: English

Management of otitis media

Shah U. K. 1, 2, Ezzat W. 2

1 Division of Otolaryngology Nemours Children’s Clinic AI duPont Hospital for Children, Wilmington, DE, USA 2 Departments of Pediatrics and Otolaryngology-Head and Neck Surgery Jefferson Medical College Thos. Jefferson University, Philadelphia, PA, USA


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The management of otitis media requires a comprehensive and multi-disciplinary approach with consideration of hearing and language skills. Antibiotic therapy should be reserved for acute otitis media (AOM). Tympanostomy tube insertion is generally considered for recurrent acute otitis media (RAOM) or for management of otitis media with effusion (OME). Adenoidec-tomy may be considered for older children with RAOM or OME. Some children may benefit from management of allergic conditions, gastroesophageal reflux disease, and immunologic disorders.

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