After completing this article, readers should be able to:

Otitis media is a common childhood disease that accounts for nearly $4 billion in health-care expenditures annually. The term otitis media often is used to describe any one of a continuum of related diseases:acute otitis media, recurrent acute otitis media, otitis media with effusion (OME), and chronic otitis media with effusion. OME involves middle ear effusion (MEE) behind an intact tympanic membrane without signs or symptoms of acute infection. The effusion may be serous, mucoid, purulent, or some combination of these (Fig 1). OME is defined as chronic when MEE has been present for at least 3 months. The Agency for Health Care Policy and Research (AHCPR) guidelines for management of OME defined chronic OME as MEE persisting for 4 or more months. The term“chronic otitis media” refers to intractable middle ear or mastoid tissue pathology (eg, granulation tissue or...

You do not currently have access to this content.