Otitis media with effusion: benefits and harms of strategies in use for treatment and prevention

Nicola Principi, Paola Marchisio, Susanna Esposito

Research output: Contribution to journalArticle

Abstract

Otitis media with effusion (OME) is a common clinical condition that is associated with hearing loss. It can be diagnosed at least once in approximately 80% of preschool children: 30-40% of them have recurrent episodes, and 5-10% have chronic disease. OME, in recurrent and persistent cases, might significantly delay or impair communication skills, resulting in behavioral and educational difficulties. Several therapeutic approaches have been used to avoid these problems. Most, however, have not been adequately studied, and no definitive conclusions can be drawn. Official guidelines do not recommend the use of decongestants, antihistamines, steroids, or antibiotics. The data are too scanty to assess other interventions, although autoinflation, because it incurs neither cost nor adverse events, deserves attention. Surgical procedures (i.e., tympanostomy tube insertion and adenoidectomy as an adjuvant) can be useful in some cases. This review evaluates all the current OME treatments and preventive measures, including their possible adverse events.

Original languageEnglish
Pages (from-to)415-423
Number of pages9
JournalExpert Review of Anti-Infective Therapy
Volume14
Issue number4
DOIs
Publication statusPublished - 2016

Fingerprint

Otitis Media with Effusion
Middle Ear Ventilation
Nasal Decongestants
Adenoidectomy
Histamine Antagonists
Preschool Children
Hearing Loss
Chronic Disease
Therapeutics
Steroids
Communication
Guidelines
Anti-Bacterial Agents
Costs and Cost Analysis

Keywords

  • Acute otitis media
  • adenoidectomy
  • antibiotics
  • autoinflation
  • otitis media with effusion
  • tympanostomy tube placement

ASJC Scopus subject areas

  • Infectious Diseases
  • Microbiology (medical)
  • Microbiology
  • Virology

Cite this

Otitis media with effusion : benefits and harms of strategies in use for treatment and prevention. / Principi, Nicola; Marchisio, Paola; Esposito, Susanna.

In: Expert Review of Anti-Infective Therapy, Vol. 14, No. 4, 2016, p. 415-423.

Research output: Contribution to journalArticle

@article{70adb8638c204cb69ee5a5c83c35a511,
title = "Otitis media with effusion: benefits and harms of strategies in use for treatment and prevention",
abstract = "Otitis media with effusion (OME) is a common clinical condition that is associated with hearing loss. It can be diagnosed at least once in approximately 80{\%} of preschool children: 30-40{\%} of them have recurrent episodes, and 5-10{\%} have chronic disease. OME, in recurrent and persistent cases, might significantly delay or impair communication skills, resulting in behavioral and educational difficulties. Several therapeutic approaches have been used to avoid these problems. Most, however, have not been adequately studied, and no definitive conclusions can be drawn. Official guidelines do not recommend the use of decongestants, antihistamines, steroids, or antibiotics. The data are too scanty to assess other interventions, although autoinflation, because it incurs neither cost nor adverse events, deserves attention. Surgical procedures (i.e., tympanostomy tube insertion and adenoidectomy as an adjuvant) can be useful in some cases. This review evaluates all the current OME treatments and preventive measures, including their possible adverse events.",
keywords = "Acute otitis media, adenoidectomy, antibiotics, autoinflation, otitis media with effusion, tympanostomy tube placement",
author = "Nicola Principi and Paola Marchisio and Susanna Esposito",
year = "2016",
doi = "10.1586/14787210.2016.1150781",
language = "English",
volume = "14",
pages = "415--423",
journal = "Expert Review of Anti-Infective Therapy",
issn = "1478-7210",
publisher = "Taylor and Francis Ltd.",
number = "4",

}

TY - JOUR

T1 - Otitis media with effusion

T2 - benefits and harms of strategies in use for treatment and prevention

AU - Principi, Nicola

AU - Marchisio, Paola

AU - Esposito, Susanna

PY - 2016

Y1 - 2016

N2 - Otitis media with effusion (OME) is a common clinical condition that is associated with hearing loss. It can be diagnosed at least once in approximately 80% of preschool children: 30-40% of them have recurrent episodes, and 5-10% have chronic disease. OME, in recurrent and persistent cases, might significantly delay or impair communication skills, resulting in behavioral and educational difficulties. Several therapeutic approaches have been used to avoid these problems. Most, however, have not been adequately studied, and no definitive conclusions can be drawn. Official guidelines do not recommend the use of decongestants, antihistamines, steroids, or antibiotics. The data are too scanty to assess other interventions, although autoinflation, because it incurs neither cost nor adverse events, deserves attention. Surgical procedures (i.e., tympanostomy tube insertion and adenoidectomy as an adjuvant) can be useful in some cases. This review evaluates all the current OME treatments and preventive measures, including their possible adverse events.

AB - Otitis media with effusion (OME) is a common clinical condition that is associated with hearing loss. It can be diagnosed at least once in approximately 80% of preschool children: 30-40% of them have recurrent episodes, and 5-10% have chronic disease. OME, in recurrent and persistent cases, might significantly delay or impair communication skills, resulting in behavioral and educational difficulties. Several therapeutic approaches have been used to avoid these problems. Most, however, have not been adequately studied, and no definitive conclusions can be drawn. Official guidelines do not recommend the use of decongestants, antihistamines, steroids, or antibiotics. The data are too scanty to assess other interventions, although autoinflation, because it incurs neither cost nor adverse events, deserves attention. Surgical procedures (i.e., tympanostomy tube insertion and adenoidectomy as an adjuvant) can be useful in some cases. This review evaluates all the current OME treatments and preventive measures, including their possible adverse events.

KW - Acute otitis media

KW - adenoidectomy

KW - antibiotics

KW - autoinflation

KW - otitis media with effusion

KW - tympanostomy tube placement

UR - http://www.scopus.com/inward/record.url?scp=84959252600&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84959252600&partnerID=8YFLogxK

U2 - 10.1586/14787210.2016.1150781

DO - 10.1586/14787210.2016.1150781

M3 - Article

AN - SCOPUS:84959252600

VL - 14

SP - 415

EP - 423

JO - Expert Review of Anti-Infective Therapy

JF - Expert Review of Anti-Infective Therapy

SN - 1478-7210

IS - 4

ER -