التهاب الأذن الوسطى مع الإفرازات لدى الأطفال دون سن 4 سنوات عندما لم تنجح المراقبة الانتظارية في حل الإفرازات

References

DOI: 10.1177/0194599815623467

Clinicians should manage the child with OME who is not at risk with watchful waiting for 3 months from the date of effusion onset (if known) or 3 months from the date of diagnosis (if onset is unknown).

Clinicians should recommend tympanostomy tubes when surgery is performed for OME in a child < 4 years old; adenoidectomy should not be performed unless a distinct indication (eg, nasal obstruction, chronic adenoiditis) exists other than OME.

Adenoidectomy may be performed concurrent with tympanostomy tube insertion when there is a distinct indication, such as chronic adenoiditis or nasal obstruction (caused by adenoid hypertrophy).

When managing a child with OME, clinicians should document in the medical record resolution of OME, improved hearing, or improved quality of life.