title: [The practice guideline 'Otitis media with effusion' (second revision) from the Dutch College of General Practitioners; a response from the perspective of general practice].
abstract: The usefulness of tympanotomy tubes in children with otitis media with effusion who also have speech and language retardation is doubtful in view of the natural development. The second revision of the practice guideline 'Otitis media with effusion' from the Dutch College of General Practitioners is still not in complete agreement with this. The indications for performing an adenoidectomy are now more limited. Pneumatic otoscopy and tympanometry are diagnostic aids that may deserve a permanent place in the general practitioner's medical practice in the future.
authors.affiliation: mazel020@planet.nl
authors.forename: J A
authors.initials: JA
authors.lastname: Mazel
authors.forename: N W
authors.initials: NW
authors.lastname: Drijber
mesh_terms: D000158:Acoustic Impedance Tests / Q000379:methods; D000233:Adenoidectomy; D005194:Family Practice / Q000592:standards*; D006801:Humans; D009426:Netherlands; D010034:Otitis Media with Effusion / Q000175:diagnosis* / Q000628:therapy*; D038781:Otoscopy / Q000379:methods; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'