Otalgia interventions

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The mainstay of treatment for uncomplicated acute otit media is medical therapy.Myringotomy and tympanostomy tube insertion is usually reserved for patients with either Chronic otitis media with effusion,recurrent acute otitis media,recurrent otitis media with effusionEustachian tube dysfunction,Barotrauma.Tympanocentesis is usually reserved for patients with either Severe otalgia, seriously ill, appearing toxic,Unsatisfactory response to antimicrobial therapy,Potential suppurative complication,OM in a newborn, sick neonate, or patient who is immunologically deficient.

## Indications

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The mainstay of treatment for uncomplicated otit media is medical therapy. Indications for tympanocentesis include:

* Severe otalgia, seriously ill, or appearing toxic.
* Unsatisfactory response to antimicrobial therapy.
* Onset of AOM in a patient receiving antimicrobial therapy.
* Potential suppurative complication.
* OM in a newborn, sick neonate, or patient who is immunologically deficient.

Indications for myringotomy and tympanostomy tube insertion:

* Chronic otitis media with effusion
* Recurrent acute otitis media
* Recurrent otitis media with effusion
* Eustachian tube dysfunction
* Barotrauma[1] Down syndrome, or other craniofacial abnormalities, may require early surgical intervention to prevent otitis media.[2]

## References

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1. ↑ Klockars T, Rautio J (2012). "Early placement of ventilation tubes in cleft lip and palate patients: Does palatal closure affect tube occlusion and short-term outcome?". Int J Pediatr Otorhinolaryngol. doi:10.1016/j.ijporl.2012.06.028. PMID 22796197. Unknown parameter `|month=` ignored (help)
2. ↑ Hartzell LD, Dornhoffer JL (2010). "Timing of tympanoplasty in children with chronic otitis media with effusion". Curr Opin Otolaryngol Head Neck Surg. 18 (6): 550–3. doi:10.1097/MOO.0b013e32833febc4. PMID 21045692. Unknown parameter `|month=` ignored (help)

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