Diagnosing Otitis Media — Otoscopy and Cerumen Removal

Shaikh, Nader; Hoberman, Alejandro; Kaleida, Phillip H.; Ploof, Dianna L.; Paradise, Jack L.

doi:10.1056/nejmvcm0904397

Cited by 27 publications

(25 citation statements)

References 1 publication

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“…Sometimes, the application of pressure will make an air-fluid interface behind the TM (which is diagnostic of MEE) more evident. 49 Instruction in the proper evaluation of the child' s middle ear status should begin with the first pediatric rotation in medical school and continue throughout postgraduate training. 50 Continuing medical education should reinforce the importance of, and retrain the clinician in, the use of pneumatic otoscopy.…”

Section: Examination Of the Tmmentioning

confidence: 99%

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The Diagnosis and Management of Acute Otitis Media

Tunkel

Rosenfeld²,

Sevilla³

et al. 2013

Pediatrics

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1,026

832

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This evidence-based clinical practice guideline is a revision of the 2004 acute otitis media (AOM) guideline from the American Academy of Pediatrics (AAP) and American Academy of Family Physicians. It provides recommendations to primary care clinicians for the management of children from 6 months through 12 years of age with uncomplicated AOM.In 2009, the AAP convened a committee composed of primary care physicians and experts in the fields of pediatrics, family practice, otolaryngology, epidemiology, infectious disease, emergency medicine, and guideline methodology. The subcommittee partnered with the Agency for Healthcare Research and Quality and the Southern California Evidence-Based Practice Center to develop a comprehensive review of the new literature related to AOM since the initial evidence report of 2000. The resulting evidence report and other sources of data were used to formulate the practice guideline recommendations.The focus of this practice guideline is the appropriate diagnosis and initial treatment of a child presenting with AOM. The guideline provides a specific, stringent definition of AOM. It addresses pain management, initial observation versus antibiotic treatment, appropriate choices of antibiotic agents, and preventive measures. It also addresses recurrent AOM, which was not included in the 2004 guideline. Decisions were made on the basis of a systematic grading of the quality of evidence and benefit-harm relationships.The practice guideline underwent comprehensive peer review before formal approval by the AAP.This clinical practice guideline is not intended as a sole source of guidance in the management of children with AOM. Rather, it is intended to assist primary care clinicians by providing a framework for clinical decision-making. It is not intended to replace clinical judgment or establish a protocol for all children with this condition. These recommendations may not provide the only appropriate approach to the management of this problem. Pediatrics 2013;131:e964-e999

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Section: Examination Of the Tmmentioning

confidence: 99%

“…50 Continuing medical education should reinforce the importance of, and retrain the clinician in, the use of pneumatic otoscopy. 51 Training tools include the use of a video-otoscope in residency programs, the use of Webbased educational resources, 49 …”

Section: Examination Of the Tmmentioning

confidence: 99%

The Diagnosis and Management of Acute Otitis Media

Tunkel

Rosenfeld²,

Sevilla³

et al. 2013

Pediatrics

Self Cite

1,026

832

View full text Add to dashboard Cite

show abstract

“…Relatively simple instruments such as the otoscope 87 and the ophthalmoscope enhance visual inspection of tissues. Probing light absorption and scattering by tissue constituents enables measurement of important diagnostic indicators, including haemodynamics and the presence of specific biomarkers.…”

Section: Optical Diagnostics and Imagingmentioning

confidence: 99%

Light in diagnosis, therapy and surgery

2017

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Light and optical techniques have made profound impacts on modern medicine, with numerous lasers and optical devices being currently used in clinical practice to assess health and treat disease. Recent advances in biomedical optics have enabled increasingly sophisticated technologies — in particular those that integrate photonics with nanotechnology, biomaterials and genetic engineering. In this Review, we revisit the fundamentals of light–matter interactions, describe the applications of light in imaging, diagnosis, therapy and surgery, overview their clinical use, and discuss the promise of emerging light-based technologies.

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“…Alternatively, if necessary, cerumen removal may require the intervention of the otorhinolaryngologist. An explanatory video with all the details on removal practice is available on the website of the New England Journal of Medicine (22,23). A c c e p t e d M a n u s c r i p t…”

Section: Do Not Diagnose Aom Without Examining the Whole Tympanic Memmentioning

confidence: 99%