Clinical Practice Guideline: Tympanostomy Tubes in Children
Otolaryngology—Head & Neck Surgery
Rosenfeld, R. M., Schwartz, S. R., et al. (2013).
Otolaryngology—Head & Neck Surgery, 149(1 Suppl), S1-S35.
This guideline is intended to provide clinicians with recommendations regarding the candidacy and management of tympanostomy tubes in children aged 6 months to 12 years.
American Academy of Otolaryngology—Head and Neck Surgery Foundation
This guideline was reviewed with the following supporting document:<div><ul>
<li><span style="line-height: 1.5;">Rosenfeld, R. M., Schwartz, S. R., et al. (2013). Clinical Practice Guideline: Tympanostomy Tubes in Children—Executive Summary. </span><i style="line-height: 1.5;">Otolaryngology—Head & Neck Surgery, 149</i><span style="line-height: 1.5;">(1), 8-16. doi:10.1177/0194599813490141</span></li>
</ul>
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"Clinicians should obtain an age-appropriate hearing test if [otitis media with effusion] persists for 3 months or longer or prior to surgery when a child becomes a candidate for tympanostomy tube insertion" (Grade C Evidence; p. S10).
"Clinicians should determine if a child with recurrent [acute otitis media] or with [otitis media with effusion] of any duration is at increased risk for speech, language, or learning problems from otitis media because of baseline sensory, physical, cognitive, or behavioral factors" (Grade C Evidence; p. S19).
