Panel 7: otitis media: treatment and complications

Anne G.M. Schilder; Tal Marom; Mahmood F. Bhutta; Margaretha L. Casselbrant; Harvey Coates; Marie Gisselsson-Solén; Amanda J. Hall; Paola Marchisio; Aino Ruohola; Roderick P. Venekamp; Ellen M. Mandel

doi:10.1177/0194599816633697

Panel 7: otitis media: treatment and complications

Anne G.M. Schilder, Tal Marom, Mahmood F. Bhutta, Margaretha L. Casselbrant, Harvey Coates, Marie Gisselsson-Solén, Amanda J. Hall, Paola Marchisio, Aino Ruohola, Roderick P. Venekamp, Ellen M. Mandel

Research output: Contribution to journal › Article › peer-review

Abstract

Objective: We aimed to summarize key articles published between 2011 and 2015 on the treatment of (recurrent) acute otitis media, otitis media with effusion, tympanostomy tube otorrhea, chronic suppurative otitis media and complications of otitis media, and their implications for clinical practice.

Data Sources: PubMed, Ovid Medline, the Cochrane Library, and Clinical Evidence (BMJ Publishing).

Review Methods: All types of articles related to otitis media treatment and complications between June 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 literature and 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; 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 overdiagnosis, overtreatment, and antibiotic resistance. Children at risk for otitis media and its complications deserve special attention.

Original language	English
Pages (from-to)	S88-S105
Number of pages	28
Journal	Otolaryngology - Head and Neck Surgery
Volume	156
Issue number	Suppl.4
Early online date	3 Apr 2017
DOIs	https://doi.org/10.1177/0194599816633697
Publication status	Published - 3 Apr 2017

Bibliographical note

Schilder, A. G. M., Marom, T., Bhutta, M. F., Casselbrant, M. L., Coates, H., Gisselsson-Solén, M., Hall, A. J., Marchisio, P., Ruohola, A., Venekamp, R. P. & Mandel, E. M., Panel 7: otitis media: treatment and complications, Otolaryngology-head and neck surgery (156, Suppl.4) pp. S88-S105. Copyright © 2017 American Academy of Otolaryngology - Head and Neck Surgery Foundation). Reprinted by permission of SAGE Publications. http://dx.doi.org/10.1177/0194599816633697

Research Conference Report from the 18th International Conference on Recent Advances in Otitis Media.

Keywords

otitis
otitis media
otorrhea
tympanostomy tube
adenoidectomy
perforation
guidelines
mastoiditis

Access to Document

10.1177/0194599816633697

Otitis media treatment and complications
Schilder, A. G. M., Marom, T., Bhutta, M. F., Casselbrant, M. L., Coates, H., Gisselsson-Solén, M., Hall, A. J., Marchisio, P., Ruohola, A., Venekamp, R. P. & Mandel, E. M., Panel 7: otitis media: treatment and complications, Otolaryngology-head and neck surgery (156, Suppl.4) pp. S88-S105. Copyright © 2017 American Academy of Otolaryngology - Head and Neck Surgery Foundation). Reprinted by permission of SAGE Publications. http://dx.doi.org/10.1177/0194599816633697
Accepted author manuscript, 358 KB

Cite this

@article{872217536ad5458f869b81f2294eee7d,

title = "Panel 7: otitis media: treatment and complications",

abstract = "Objective: We aimed to summarize key articles published between 2011 and 2015 on the treatment of (recurrent) acute otitis media, otitis media with effusion, tympanostomy tube otorrhea, chronic suppurative otitis media and complications of otitis media, and their implications for clinical practice. Data Sources: PubMed, Ovid Medline, the Cochrane Library, and Clinical Evidence (BMJ Publishing). Review Methods: All types of articles related to otitis media treatment and complications between June 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 literature and 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; 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 overdiagnosis, overtreatment, and antibiotic resistance. Children at risk for otitis media and its complications deserve special attention.",

keywords = "otitis, otitis media, otorrhea, tympanostomy tube, adenoidectomy, perforation, guidelines, mastoiditis",

author = "Schilder, {Anne G.M.} and Tal Marom and Bhutta, {Mahmood F.} and Casselbrant, {Margaretha L.} and Harvey Coates and Marie Gisselsson-Sol{\'e}n and Hall, {Amanda J.} and Paola Marchisio and Aino Ruohola and Venekamp, {Roderick P.} and Mandel, {Ellen M.}",

note = "Schilder, A. G. M., Marom, T., Bhutta, M. F., Casselbrant, M. L., Coates, H., Gisselsson-Sol{\'e}n, M., Hall, A. J., Marchisio, P., Ruohola, A., Venekamp, R. P. & Mandel, E. M., Panel 7: otitis media: treatment and complications, Otolaryngology-head and neck surgery (156, Suppl.4) pp. S88-S105. Copyright {\textcopyright} 2017 American Academy of Otolaryngology - Head and Neck Surgery Foundation). Reprinted by permission of SAGE Publications. http://dx.doi.org/10.1177/0194599816633697 Research Conference Report from the 18th International Conference on Recent Advances in Otitis Media.",

year = "2017",

month = apr,

day = "3",

doi = "10.1177/0194599816633697",

language = "English",

volume = "156",

pages = "S88--S105",

journal = "Otolaryngology - Head and Neck Surgery",

issn = "0194-5998",

publisher = "Mosby Inc.",

number = "Suppl.4",

}

TY - JOUR

T1 - Panel 7: otitis media

T2 - treatment and complications

AU - Schilder, Anne G.M.

AU - Marom, Tal

AU - Bhutta, Mahmood F.

AU - Casselbrant, Margaretha L.

AU - Coates, Harvey

AU - Gisselsson-Solén, Marie

AU - Hall, Amanda J.

AU - Marchisio, Paola

AU - Ruohola, Aino

AU - Venekamp, Roderick P.

AU - Mandel, Ellen M.

N1 - Schilder, A. G. M., Marom, T., Bhutta, M. F., Casselbrant, M. L., Coates, H., Gisselsson-Solén, M., Hall, A. J., Marchisio, P., Ruohola, A., Venekamp, R. P. & Mandel, E. M., Panel 7: otitis media: treatment and complications, Otolaryngology-head and neck surgery (156, Suppl.4) pp. S88-S105. Copyright © 2017 American Academy of Otolaryngology - Head and Neck Surgery Foundation). Reprinted by permission of SAGE Publications. http://dx.doi.org/10.1177/0194599816633697 Research Conference Report from the 18th International Conference on Recent Advances in Otitis Media.

PY - 2017/4/3

Y1 - 2017/4/3

N2 - Objective: We aimed to summarize key articles published between 2011 and 2015 on the treatment of (recurrent) acute otitis media, otitis media with effusion, tympanostomy tube otorrhea, chronic suppurative otitis media and complications of otitis media, and their implications for clinical practice. Data Sources: PubMed, Ovid Medline, the Cochrane Library, and Clinical Evidence (BMJ Publishing). Review Methods: All types of articles related to otitis media treatment and complications between June 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 literature and 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; 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 overdiagnosis, overtreatment, and antibiotic resistance. Children at risk for otitis media and its complications deserve special attention.

AB - Objective: We aimed to summarize key articles published between 2011 and 2015 on the treatment of (recurrent) acute otitis media, otitis media with effusion, tympanostomy tube otorrhea, chronic suppurative otitis media and complications of otitis media, and their implications for clinical practice. Data Sources: PubMed, Ovid Medline, the Cochrane Library, and Clinical Evidence (BMJ Publishing). Review Methods: All types of articles related to otitis media treatment and complications between June 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 literature and 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; 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 overdiagnosis, overtreatment, and antibiotic resistance. Children at risk for otitis media and its complications deserve special attention.

KW - otitis

KW - otitis media

KW - otorrhea

KW - tympanostomy tube

KW - adenoidectomy

KW - perforation

KW - guidelines

KW - mastoiditis

UR - http://journals.sagepub.com/doi/10.1177/0194599816633697

U2 - 10.1177/0194599816633697

DO - 10.1177/0194599816633697

M3 - Article

C2 - 28372534

SN - 0194-5998

VL - 156

SP - S88-S105

JO - Otolaryngology - Head and Neck Surgery

JF - Otolaryngology - Head and Neck Surgery

IS - Suppl.4

ER -

Panel 7: otitis media: treatment and complications

Abstract

Bibliographical note

Keywords

Access to Document

Other files and links

Fingerprint

Cite this