Otitis Media

Everyone read and prepare to discuss.

Rosenfeld RM. et al. Clinical practice guideline: Otitis media with effusion. Otolaryngol Head Neck Surg. 2004 May;130(5 Suppl):S95-118. PMID:15138413

American Academy of Pediatrics Subcommittee on Management of Acute Otitis Media. Diagnosis and management of acute otitis media. Pediatrics. 2004 May;113(5):1451-65. PMID:15121972

Rosenfeld RM, Kay D. Natural history of untreated otitis media. Laryngoscope. 2003 Oct;113(10):1645-57. PMID:14520089

6.9.2 Discuss epidemiologic risk factors for otitis media.

6.9.3 Differentiate acute otitis media from otitis media with effusion. Compare the sensitivity and specificity of pneumatic otoscopy and tympanometry for diagnosis of middle ear effusion. 

6.9.4 Differentiate acute otitis media from otitis media with effusion. Compare the sensitivity and specificity of pneumatic otoscopy and tympanometry for diagnosis of middle ear effusion. (video)

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6.9.5 What organisms are involved in acute otitis media (AOM)?

6.9.6 Discuss clinical factors associated with the decision to treat versus observe AOM. Include a discussion of the natural history of AOM.

6.9.7 Discuss the initial antibiotic choice for a non-allergic child with acute otitis media. Include consideration of typical antibacterial resistance patterns for common AOM pathogens.

6.9.8 Discuss the natural history of recurrent AOM and the impact of tympanostomy tubes on this condition.

6.9.9 Discuss the natural history of otitis media with effusion (OME), including differences between OME identified after AOM and OME of unknown duration.

6.9.10 When should an audiogram be performed in a child with otitis media with effusion (OME)?

6.9.11 Discuss the primary indications for undertaking active management of OME.

6.9.12 What is the role of adenoidectomy in the management of otitis media?

6.9.13 A 2 year old child presents with bilateral OME of 4 months duration and mild CHL. What are your recommendations? How would these change based on the following: a) history of Down syndrome b) underlying SNHL c) history of frequent no-shows to providers d) precocious speech and language development e) developing tympanic membrane retraction pockets