Release Date: 2024-06-14

Otitis Media with Effusion

Fatih Oner (Author)

Release Date: 2024-06-14

The otitis media with effusion (OME) is an effusion-filled middle ear. However, no other symptoms indicate an acute infection. The middle ear cavity fills with non-purulent fluid of various viscosities when the Eustachian tube dysfunctions or blocks. Middle-ear effusion is a critical diagnostic requirement for OME. Fever, otalgia, and tympanic membrane erythema appear; these symptoms [...]

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    Work TypeBook Chapter
    Published inInfections in Otolaryngology
    First Page177
    Last Page190
    DOIhttps://doi.org/10.69860/nobel.9786053359401.12
    Page Count14
    Copyright HolderNobel Tıp Kitabevleri
    Licensehttps://nobelpub.com/publish-with-us/copyright-and-licensing

    The otitis media with effusion (OME) is an effusion-filled middle ear. However, no other symptoms indicate an acute infection. The middle ear cavity fills with non-purulent fluid of various viscosities when the Eustachian tube dysfunctions or blocks. Middle-ear effusion is a critical diagnostic requirement for OME. Fever, otalgia, and tympanic membrane erythema appear; these symptoms may not be present in OME, but hearing loss is the most noticeable. Chronic otitis media with effusion is diagnosed when effusion remains behind the eardrum for 12 weeks or more. Topical nasal or oral decongestants, antihistamines, and corticosteroids are ineffective for OME and, therefore, not recommended for treatment. Management of OME usually starts with observation and close monitoring, with tympanostomy tubes indicated primarily for children with persistent effusion and hearing loss, speech and language delay, or learning difficulties. Adenoidectomy is considered in children aged four years or older with recurrent OME and in children of any age with OME and nasal symptoms. Topical antibiotics are the recommended treatment for tympanostomy tube-associated otorrhea.

    Fatih Oner (Author)
    MD, Asst. Prof. Dr., Tokat Gaziosmanpasa University
    https://orcid.org/0000-0001-6195-3110
    3Author Dr.Fatih Öner, who graduated from Erzurum Atatürk University Faculty of Medicine in 2009, received his specialization in the same faculty’s Ear, Nose, and Throat department in 2015. He worked as a specialist physician at Erzurum Palandöken State and Erzurum Regional Training and Research Hospitals between 2016 and 2021. He has been an assistant professor at Kastamonu University Faculty of Medicine, Department of Otorhinolaryngology-Head and Neck Surgery since 2021.

    • MacKeith, S., Mulvaney, C. A., Galbraith, K., Webster, K. E., Paing, A., Connolly, R., ... & Schilder, A. G. (2023). Adenoidectomy for otitis media with effusion (OME) in children. Cochrane Database of Systematic Reviews, (10).

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