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Otitis Media with Effusion

Hobart Lee, MD, FAAFP Reviewed 06/2020
 


BASICS

DESCRIPTION

  • Otitis media with effusion (OME) is defined as the presence of fluid in the middle ear in the absence of acute signs or symptoms of infection.

  • More commonly, a pediatric disease

  • May oc...

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.  2016;154(2):201–214.
2
Qureis...

ADDITIONAL READING

  • Casselbrant ML, Mandel EM, Rockette HE, et al. Adenoidectomy for otitis media with effusion in 2–3-year-old children. Int J Pediatr Otorhinolaryngol.  2009;73(12):1718–1724.

  • Che...

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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