التهاب الأذن الوسطى مع الانصباب لدى الأطفال المصابين بتأخر الكلام أو التوحد أو الشق الحنكي أو التأخر التنموي

References

DOI: 10.1177/0194599815623467

• Clinicians should determine if a child with OME is at increased risk for speech, language, or learning problems from middle ear effusion because of baseline sensory, physical, cognitive, or behavioral factors (Table 3).
• When OME is detected in an at-risk child, tympanostomy tubes should be offered when the likelihood of spontaneous resolution is low (eg, type B tympanogram or persistence for 3 months).
• For children who are at risk for developmental sequelae of OME (Table 3), prolonged surveillance is not advised, and tympanostomy tubes may be performed when the OME is not likely to resolve promptly (type B tympanogram or persistence for 3 months).
• When managing a child with OME, clinicians should document in the medical record resolution of OME, improved hearing, or improved quality of life.