Are tympanostomy tubes indicated for recurrent acute otitis media?

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Are tympanostomy tubes indicated for recurrent acute otitis media?

Please use this identifier to cite or link to this item: http://hdl.handle.net/10355/2911

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dc.contributor.author Wilson, Stephen A.
dc.contributor.author Mayo, Helen G.
dc.date.accessioned 2009-10-12T15:01:13Z
dc.date.available 2009-10-12T15:01:13Z
dc.date.issued 2003-05 en
dc.identifier.citation Journal of Family Practice, 52(5) 2003: 403+. en
dc.identifier.uri http://hdl.handle.net/10355/2911
dc.description.abstract For children with recurrent acute otitis media (here defined as 3 or more episodes in 6 months, or 4 or more in a year), tympanostomy tubes are indicated if middle -ear effusion is present. Tubes reduce the frequency of recurrent acute otitis media by 2 to 3 episodes per year in these patients (strength of recommendation [SOR]: A; based on randomized controlled trials). Further benefits include improved quality of life for both child and caregiver and greater parental satisfaction (SOR: B; based on trials that included patients with recurrent acute otitis media or otitis media with effusion). Tympanostomy tubes do not decrease the number of recurrent acute otitis media episodes in children without middle-ear effusion (SOR: A, based on randomized controlled trials). These children run the risk of adverse outcomes of tube placement, including transient or recurrent otorrhea, tympanosclerosis, focal atrophy, perforation, and cholesteatoma (SOR: A; based on meta-analysis). en
dc.language.iso en_US en
dc.publisher Family Physicians Inquiries Network en
dc.relation.ispartof Clinical Inquiries, 2003 (MU) en
dc.subject middle-ear effusion en
dc.subject adverse outcomes en
dc.subject quality of life en
dc.subject.lcsh Otitis media -- Treatment en
dc.subject.lcsh Middle ear -- Diseases en
dc.subject.lcsh otitis media with effusion en
dc.title Are tympanostomy tubes indicated for recurrent acute otitis media? en
dc.type Article en
dc.relation.ispartofcommunity University of Missouri-Columbia. School of Medicine. Department of Family and Community Medicine. Family Physicians Inquiries Network


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