Surgical Treatments for Otitis Media With Effusion: A Systematic Review

@article{Wallace2014SurgicalTF,
  title={Surgical Treatments for Otitis Media With Effusion: A Systematic Review},
  author={Ina F. Wallace and Nancy D. Berkman and Kathleen N. Lohr and Melody F. Harrison and Adam J. Kimple and Michael J. Steiner},
  journal={Pediatrics},
  year={2014},
  volume={133},
  pages={296 - 311}
}
BACKGROUND AND OBJECTIVE: The near universality of otitis media with effusion (OME) in children makes a comparative review of treatment modalities important. This study's objective was to compare the effectiveness of surgical strategies currently used for managing OME. METHODS: We identified 3 recent systematic reviews and searched 4 major electronic databases. Eligible studies included randomized controlled trials, nonrandomized trials, and cohort studies that compared myringotomy… Expand
[A systematic review of adenoidectomy in the treatment of otitis media with effusion in children].
TLDR
A benefit of adenoidectomy in the removal of middle ear effusion in children with OME is shown and there is no evidence of serious postoperative complications after adenoidsectomy. Expand
Otitis media with effusion: benefits and harms of strategies in use for treatment and prevention
TLDR
This review evaluates all the current OME treatments and preventive measures, including their possible adverse events, and concludes that autoinflation, because it incurs neither cost nor adverse Events, deserves attention. Expand
Grommets for Otitis Media With Effusion in Children With Cleft Palate: A Systematic Review
TLDR
Compared with conservative forms of management (eg, watchful waiting), VTI has been shown to be beneficial to the recovery of hearing in children with cleft palate and OME and a growing body of evidence demonstrates the benefits of VTI in the development of speech and language. Expand
Oral steroids for resolution of otitis media with effusion in children (OSTRICH): a double-blinded, placebo-controlled randomised trial
TLDR
A short course of oral prednisolone is not an effective treatment for most children aged 2–8 years with persistent otitis media with effusion, but is well tolerated, and one in 14 children might achieve improved hearing but not quality of life. Expand
Factors affecting the outcome of adenoidectomy in children treated for chronic otitis media with effusion.
TLDR
Results document that young age, presence of allergy predisposition, otologic family history and small palatal airway can be important drawbacks and should be intensively sought for and taken into account, during treatment planning. Expand
Predictors of Otitis Media with Effusion Recurrence Following Myringotomy
Otitis media with effusion (OME) is the most common cause of acquired pediatric hearing loss. The treatment of persistent OME includes myringotomy with or without tube insertion, with a reportedExpand
Endoscopic Adenoidectomy in Children With Otitis Media With Effusion and Mild Hearing Loss
TLDR
Although both TOMEA and traditional adenoidectomy are effective in treating children with mild hearing loss due to adenoidal hypertrophy and OME, the former achieves the greater reduction in residual adenoids hypertrophies and better audiological outcomes. Expand
Clinical Practice Guideline: Otitis Media with Effusion (Update)
TLDR
This update of a 2004 guideline codeveloped provides evidence-based recommendations to manage otitis media with effusion (OME), defined as the presence of fluid in the middle ear without signs or symptoms of acute ear infection. Expand
Myringotomy with versus without grommet tube insertion in chronic serous otitis media with effusion : Southern Oman experience
  • H. A. Abdel Tawab
  • Medicine
  • Egyptian Journal of Ear, Nose, Throat and Allied Sciences
  • 2020
TLDR
Myringotomy alone showed favourable results with fewer complications in treatment of serous OME, and all the parameters showed a nonsignificant statistical difference. Expand
Adenoidectomy in Children: What Is the Evidence and What Is its Role?
TLDR
Direct transnasal endoscope-assisted removal of the adenoids has proven to be a safe technique, with good short- and long-term outcomes, and leads to excellent outcomes. Expand
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TLDR
A significant benefit of adenoidectomy is shown as far as the resolution of middle ear effusion in children with OME is concerned, however, the benefit to hearing is small and the effects on changes in the tympanic membrane are unknown. Expand
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TLDR
Evidence of both benefits and harms associated with the use of oral antibiotics to treat children up to 16 years with OME is presented, with evidence that children treated with oral antibiotics are more likely to experience diarrhoea, vomiting or skin rash than those allocated to control treatment. Expand
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It is recommended that adenoidectomy be considered in the initial surgical management of 4- to 8-year-old children with hearing loss due to chronic secretory otitis media that is refractory to medical management and, further, that the size of theadenoid not be used as a criterion for adenoidsectomy. Expand
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TLDR
The study failed to show that any benefit accrued through adenoidectomy, and the removal of adenoids should cease to be indicated in cases of OME as a primary form of treatment. Expand
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TLDR
Myringotomy with tube insertion resulted in less time with effusion and better hearing than did either myringotomy alone or no surgery, however, acute and chronic otorrhea and tympanic membrane perforation developed not uncommonly after tube insertion. Expand
Otitis Media with Effusion: Comparative Effectiveness of Treatments
Background: otitis media with effusion(OME) is defined as a collection of fluid in the middle ear without signs or symptoms of acute ear infection.OME has several potential causes.The presence ofExpand
Quick Reference Guide for Clinicians: Number 12: Managing Otitis Media with Effusion in Young Children
TLDR
This Quick Reference Guide for Clinicians contains highlights from the Clinical Practice Guideline, Otitis Media with Effusion in Young Children, which provides specific recommendations for the management of otitis media with effusion in young children with no craniofacial or neurologic abnormalities or sensory deficits. Expand
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