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Otitis Media with Effusion

Hobart Lee, FAAFP, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Also called serous otitis media, secretory otitis media, nonsuppurative otitis media, “ear fluid,” or “glue ear”

  • Otitis media with effusion (OME) is defined as the presence of fluid i...

DIAGNOSIS

HISTORY

  • OME is transient and asymptomatic in many pediatric patients.

  • Most common reported symptom is hearing loss (2). There may be mild discomfort present in the ear, fullness, or “popping....

TREATMENT

  • OME improves or resolves without medical intervention in most patients within 3 months, especially if secondary to AOM (1)[C].

  • Current guidelines support a 3-month period of observation with...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Children who are at risk for developmental difficulties should be evaluated for OME at the time of diagnosis and at 12 to 18 months (if initial ...

REFERENCES

1
Rosenfeld  RM, Shin  JJ, Schwartz  SR, et al. Clinical practice guideline: otitis media with effusion executive summary (update). Otolaryngol Head Neck Surg.  ...

ADDITIONAL READING

Cheng  X, Sheng  H, Ma  R, et al. Allergic rhinitis and allergy are risk factors for otitis media with effusion: a meta-analysis. Allergol Immunopathol (Madr). ...

CODES

ICD10

  • H65.90 Unspecified nonsuppurative otitis media, unspecified ear

  • H65.00 Acute serous otitis media, unspecified ear

  • H65.20 Chronic serous otitis media, unspecified ear

  • H65.07 Acute serous otitis...

CLINICAL PEARLS

  • OME is defined as the presence of a middle ear effusion in the absence of acute signs of infection.

  • In children, OME most often arises following an AOM. In adults, it often occurs in as...

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