title: Clinical Practice Guideline: Otitis Media with Effusion Executive Summary (Update).
abstract: The American Academy of Otolaryngology-Head and Neck Surgery Foundation has published a supplement to this issue of Otolaryngology-Head and Neck Surgery featuring the updated "Clinical Practice Guideline: Otitis Media with Effusion." To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 18 recommendations developed emphasize diagnostic accuracy, identification of children who are most susceptible to developmental sequelae from otitis media with effusion, and education of clinicians and patients regarding the favorable natural history of most otitis media with effusion and the lack of efficacy for medical therapy (eg, steroids, antihistamines, decongestants). An updated guideline is needed due to new clinical trials, new systematic reviews, and the lack of consumer participation in the initial guideline development group.
authors.affiliation: Department of Otolaryngology, SUNY Downstate Medical Center, Brooklyn, New York, USA richrosenfeld@msn.com.
authors.forename: Richard M
authors.initials: RM
authors.lastname: Rosenfeld
authors.affiliation: Division of Otolaryngology, Harvard Medical School, Boston, Massachusetts, USA.
authors.forename: Jennifer J
authors.initials: JJ
authors.lastname: Shin
authors.affiliation: Department of Otolaryngology, Virginia Mason Medical Center, Seattle, Washington, USA.
authors.forename: Seth R
authors.initials: SR
authors.lastname: Schwartz
authors.affiliation: Society for Middle Ear Disease, Pittsburgh, Pennsylvania, USA.
authors.forename: Robyn
authors.initials: R
authors.lastname: Coggins
authors.affiliation: Connecticut Pediatric Otolaryngology, Madison, Connecticut, USA.
authors.forename: Lisa
authors.initials: L
authors.lastname: Gagnon
authors.affiliation: Pomona Pediatrics, Pomona, New York, USA.
authors.forename: Jesse M
authors.initials: JM
authors.lastname: Hackell
authors.affiliation: American Academy of Family Physicians, Pender, Nebraska, USA.
authors.forename: David
authors.initials: D
authors.lastname: Hoelting
authors.affiliation: Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
authors.forename: Lisa L
authors.initials: LL
authors.lastname: Hunter
authors.affiliation: Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
authors.forename: Ann W
authors.initials: AW
authors.lastname: Kummer
authors.affiliation: University of Virginia Health System, Charlottesville, Virginia, USA.
authors.forename: Spencer C
authors.initials: SC
authors.lastname: Payne
authors.affiliation: Department of Otology and Laryngology, Harvard Medical School and Boston Children's Hospital, Boston, Massachusetts, USA.
authors.forename: Dennis S
authors.initials: DS
authors.lastname: Poe
authors.affiliation: University of Texas-Southwestern Medical Center/Children's Medical Center-Dallas, Dallas, Texas, USA.
authors.forename: Maria
authors.initials: M
authors.lastname: Veling
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine in St Louis, St Louis, Missouri, USA.
authors.forename: Peter M
authors.initials: PM
authors.lastname: Vila
authors.affiliation: Consumers United for Evidence-based Healthcare, Davis, California, USA.
authors.forename: Sandra A
authors.initials: SA
authors.lastname: Walsh
authors.affiliation: American Academy of Otolaryngology-Head and Neck Surgery Foundation, Alexandria, Virginia, USA.
authors.forename: Maureen D
authors.initials: MD
authors.lastname: Corrigan
mesh_terms: D019468:Disease Management; D006801:Humans; D010034:Otitis Media with Effusion / Q000175:diagnosis* / Q000628:therapy*; D010036:Otolaryngology / Q000592:standards*; D012955:Societies, Medical; D014481:United States
keywords: adenoidectomy; clinical practice guideline; middle ear effusion; otitis media with effusion; tympanostomy tubes