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Uptodate Reference Title
Our approach to the management of otitis media with effusion in children
Our approach to the management of otitis media with effusion in children
This algorithm is intended for use with UpToDate content on OME in children. Decisions regarding concomitant adenoidectomy are made on a case-by-case basis. Refer to relevant UpToDate content for details of management of OME in children, indications for adenoidectomy, hearing evaluation in children, developmental surveillance and screening, and routine health care maintenance.
OME: otitis media with effusion; ASD: autism spectrum disorder; ADHD: attention deficit hyperactivity disorder; ORL/ENT: otolaryngology/ear, nose, and throat; TM: tympanic membrane; dB: decibels; AOM: acute otitis media.
* Patients and families should be counseled that OME may be associated with conductive hearing loss that can be addressed through speaking in close proximity to the child, facing the child and speaking clearly, repeating phrases when misunderstood, providing preferential classroom seating, and/or having the teacher use a frequency modulated (FM) system in the classroom.
ΒΆ Repeat hearing evaluation may be warranted for caregiver concerns about hearing loss. Following resolution of OME, routine developmental/language surveillance and screening should continue as scheduled with health maintenance visits.
Adapted from:
Rosenfeld RM, Shin JJ, Schwartz SR, et al. Clinical practice guideline: Otitis media with effusion (update). Otolaryngol Head Neck Surg 2016; 154:S1.
Rosenfeld RM, Tunkel DE, Schwartz SR, et al. Clinical practice guideline: Tympanostomy tubes in children (update). Otolaryngol Head Neck Surg 2022; 166:S1.
