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dc.contributor.authorWilson, Stephen A.eng
dc.contributor.authorMayo, Helen G.eng
dc.date.issued2003-05eng
dc.description.abstractFor 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).eng
dc.identifier.citationJournal of Family Practice, 52(5) 2003: 403+.eng
dc.identifier.urihttp://hdl.handle.net/10355/2911eng
dc.languageEnglisheng
dc.publisherFamily Physicians Inquiries Networkeng
dc.relation.ispartofClinical Inquiries, 2003 (MU)eng
dc.relation.ispartofcollectionUniversity of Missouri-Columbia. School of Medicine. Department of Family and Community Medicine. Family Physicians Inquiries Networkeng
dc.subjectmiddle-ear effusioneng
dc.subjectadverse outcomeseng
dc.subjectquality of lifeeng
dc.subject.lcshOtitis media -- Treatmenteng
dc.subject.lcshMiddle ear -- Diseaseseng
dc.subject.lcshotitis media with effusioneng
dc.titleAre tympanostomy tubes indicated for recurrent acute otitis media?eng
dc.typeArticleeng


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