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Asociación Colombiana de Otorrinolaringología y Cirugía de Cabeza y cuello, Maxilofacial y Estética Facial (ACORL)

2024, Número 4

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Acta de Otorrinolaringología CCC 2024; 52 (4)


Guía para el diagnóstico y tratamiento de la otitis media con efusión

Ospina GJC, Téllez CPA, Baquero HMM, Hernández GS, Macías TC, Jiménez FLH, Rodríguez MA, Martínez RMM

Idioma: Español
Referencias bibliográficas: 19
Paginas: 592-610
Archivo PDF: 615.31 Kb.


RESUMEN

La otitis media con efusión (OME) es una enfermedad caracterizada por la colección de líquido en el oído medio, sin síntomas o signos de infección aguda. El síntoma principal es el compromiso en la audición. El diagnóstico se basa en la sospecha clínica, un examen físico con neumatoscopia y el resultado de una adecuada audiometría y timpanometría en caso de ser necesario.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Rosenfeld R, Shin J, Schwartz S, Coggins R, Gagnon L, Hackell L, et al. Clinical Practice Guideline: Otitis Media with Effusion(Update). Otolaryngology–Head and Neck Surgery. 2016;154(1S):S1–S41. doi: 10.1177/0194599815623467

  2. Stool SE, Berg AO, Berman S, et al. Otitis media with effusion in young children. Clinical Practice Guideline, Number 12. Rockville,MD: Agency for Health Care Policy and Research, Public Health Service, US Department of Health and Human Services; 1994;AHCPR Publication No. 94-0622.

  3. Shekelle P, Takata G, Chan LS, Mangione-Smith R, Corley PM, Morphew T, et al. Diagnosis, natural history, and late effects of otitismedia with effusion. Evid Rep Technol Assess (Summ). 2002;(55):1-5. doi: 10.1037/e439822005-001

  4. Karma PH, Penttilä MA, Sipilä MM, Kataja MJ. Otoscopic diagnosis of middle ear effusion in acute and non-acute otitis media. I.The value of different otoscopic findings. Int J Pediatr Otorhinolaryngol. 1989;17(1):37-49. doi: 10.1016/0165-5876(89)90292-9

  5. Casselbrant ML, Mandel EM. Epidemiology. En: Rosenfeld RM, Bluestone CD (eds.). Evidence-based otitis media. 2.a ed. Hamilton,Ontario: BC Decker Inc.; 2003. p. 147-6.

  6. Williamson IG, Dunleavey J, Bain J, Robinson D. The natural history of otitis media with effusion--a three-year study of the incidenceand prevalence of abnormal tympanograms in four South West Hampshire infant and first schools. J Laryngol Otol. 1994;108(11):930-4. doi: 10.1017/s0022215100128567

  7. Coyte PC, Croxford R, Asche CV, To T, Feldman W, Friedberg J. Physician and population determinants of rates of middle-ear surgeryin Ontario. JAMA. 2001;286(17):2128-35. doi: 10.1001/jama.286.17.2128

  8. How to read clinical journals: III. To learn the clinical course and prognosis of disease. Can Med Assoc J. 1981;124(7):869-72.

  9. Kuo CL, Tsao YH, Cheng HM, Lien CF, Hsu CH, Huang CY, Shiao AS. Grommets for otitis media with effusion in children with cleftpalate: a systematic review. Pediatrics. 2014;134(5):983-94. doi: 10.1542/peds.2014-0323

  10. Rosenfeld RM, Kay D. Natural history of untreated otitis media. Laryngoscope. 2003;113(10):1645-57. doi: 10.1097/00005537-200310000-00004

  11. Rosenfeld RM, Schwartz SR, Pynnonen MA, Tunkel DE, Hussey HM, Fichera JS, et al. Clinical practice guideline: Tympanostomytubes in children. Otolaryngol Head Neck Surg. 2013;149(1 Suppl):S1-35. doi: 10.1177/0194599813487302

  12. Rosenfeld RM, Tunkel DE, Schwartz SR, Anne S, Bishop CE, Chelius DC, et al. Clinical Practice Guideline: Tympanostomy Tubesin Children (Update). Otolaryngol Head Neck Surg. 2022;166(1_suppl):S1-S55. doi: 10.1177/01945998211065662

  13. Mulvaney CA, Galbraith K, Webster KE, Rana M, Connolly R, Tudor-Green B, et al. Topical and oral steroids for otitis media witheffusion (OME) in children. Cochrane Database Syst Rev. 2023;12(12):CD015255. doi: 10.1002/14651858.CD015255.pub2

  14. Mulvaney CA, Galbraith K, Webster KE, Rana M, Connolly R, Marom T, et al. Antibiotics for otitis media with effusion (OME) inchildren. Cochrane Database Syst Rev. 2023;10(10):CD015254. doi: 10.1002/14651858.CD015254.pub2

  15. Dowell SF, Marcy MS, Phillips WR, et al. Otitis media: principles of judicious use of antimicrobial agents. Pediatrics.1998;101(Supplement_1):165-71. doi: 10.1542/peds.101.S1.165

  16. MacKeith S, Mulvaney CA, Galbraith K, Webster KE, Paing A, Connolly R, et al. Adenoidectomy for otitis media with effusion(OME) in children. Cochrane Database Syst Rev. 2023;10(10):CD015252. doi: 10.1002/14651858.CD015252.pub2

  17. MacKeith S, Mulvaney CA, Galbraith K, Webster KE, Connolly R, Paing A, et al. Ventilation tubes (grommets) for otitis media witheffusion (OME) in children. Cochrane Database Syst Rev. 2023;11(11):CD015215. doi: 10.1002/14651858.CD015215.pub2

  18. Galbraith K, Mulvaney CA, MacKeith S, Marom T, Daniel M, Venekamp RP, et al. Autoinflation for otitis media with effusion (OME)in children. Cochrane Database Syst Rev. 2022;2022(4):CD015253. doi: 10.1002/14651858.CD015253

  19. American Academy of Pediatrics Steering Committee on Quality Improvement and Management. Classifying recommendations forclinical practice guidelines. Pediatrics. 2004;114(3):874-7. doi: 10.1542/peds.2004-1260.




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