Schilder, AGM;
Marom, T;
Bhutta, MF;
Casselbrant, ML;
Coates, H;
Gisselsson-Solen, M;
Hall, AJ;
... Mandel, EM; + view all
(2017)
Panel 7: Otitis Media: Treatment and Complications.
Otolaryngology-head and Neck Surgery
, 156
(4_suppl)
S88-S105.
10.1177/0194599816633697.
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Abstract
OBJECTIVE: We aimed to summarize key articles published between 2011 and 2015 on the treatment of acute otitis media, recurrent acute otitis media, otitis media with effusion, tympanostomy tube otorrhea, and chronic suppurative otitis media, and to suggest future research directions. DATA SOURCES: PubMed, Ovid Medline, the Cochrane Library, and Clinical Evidence (BMJ Publishing). REVIEW METHODS: All types of articles related to otitis media treatment between January 2011 and March 2015 were identified. A total of 1122 potential related articles were reviewed by the panel members; 118 relevant articles were ultimately included in this summary. CONCLUSIONS: Recent guidelines emphasize accurate diagnosis of acute otitis media and optimal management of ear pain. Watchful waiting is optional in mild to moderate acute otitis media in children; antibiotics do shorten symptoms and duration of middle ear effusion. The additive benefit of adenoidectomy to tympanostomy tubes in recurrent acute otitis media and otitis media with effusion is controversial and age-dependent. Topical antibiotic is the treatment of choice in acute tube otorrhea. Symptomatic hearing loss due to persistent otitis media with effusion is best treated with tympanostomy tubes. Novel molecular and biomaterial treatments as adjuvants to surgical closure of eardrum perforations seem promising. There is insufficient evidence to support the use of complementary and alternative treatments. IMPLICATIONS FOR PRACTICE: Emphasis on accurate diagnosis of otitis media, in its various forms, is important to reduce over-diagnosis, over-treatment and antibiotic resistance. Children at risk for otitis media and its sequelae deserve special attention.
| Type: | Article |
|---|---|
| Title: | Panel 7: Otitis Media: Treatment and Complications |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1177/0194599816633697 |
| Publisher version: | http://dx.doi.org/10.1177/0194599816633697 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Science & Technology, Life Sciences & Biomedicine, Otorhinolaryngology, Surgery, otitis, otitis media, otorrhea, tympanostomy tube, adenoidectomy, perforation, guidelines, mastoiditis, LATERAL SINUS THROMBOSIS, TYMPANOSTOMY TUBE PLACEMENT, PLACEBO-CONTROLLED TRIAL, TYMPANIC MEMBRANE PERFORATION, CLINICAL-PRACTICE GUIDELINES, PEDIATRIC ACUTE MASTOIDITIS, CONJUGATE VACCINE ERA, INTRACRANIAL COMPLICATIONS, CLEFT-PALATE, LONG-TERM |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > The Ear Institute |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1550339 |
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