Otitis media
Also known as: acute otitis media · AOM · ear infection
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Clinical Practice Guideline: Tympanostomy Tubes in Children (Update)
American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) · 2022 · 2022 update
An AAO-HNSF guideline on patient selection and surgical indications for tympanostomy tubes in children aged 6 months to 12 years with otitis media of any type, in any care setting. It addresses when watchful waiting is appropriate for middle-ear effusion, when hearing testing is warranted, the role of adenoidectomy, and postoperative care and follow-up. Published in Otolaryngology-Head and Neck Surgery in 2022.
No EAN/ESO guideline indexed for this condition yet.
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US vs EU key differences
No curated US/EU comparison yet for this disease.
What changed recently
- US2013 → 2022 update2022-02-09
The 2022 update reassesses the 2013 guideline against 18 new systematic reviews and 27 randomised trials, keeps the bar against tube insertion for a single effusion episode lasting under three months, requires a hearing evaluation once effusion persists three months or before surgery, and adds a new strong recommendation that the surgeon or a designee re-examine the child's ears within three months of insertion and set expectations for periodic follow-up.
source ↗curation confidence 90%
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