- Current guidelines support insertion of tympanostomy tubes for otitis
media with effusion for greater than three months.
- There is no data on treatment for acute otitis media and assessment
of antimicrobial use.
- There is data on all developmental tests that were done: developmental
outcomes of cognition, receptive and expressive speech, speech-sound
production, and behavior.
- This study does not address the issue of recurrent otitis media.
Paradise JL, Feldman HM, Campbell TF, et al. Effect of early or delayed
insertion of tympanostomy tubes for persistent otits media on developmental
outcomes at the age of three years. N Engl J Med 2001;344:1179-1187.
JL, Feldman HM, Colborn K, et al. Parental stress and parent-rated child
behavior in relation to otitis media in their first three years of life.
JL, Dollaghan CA, Campbell TF, et al. Language and speech sound production,
and cognition in 3-year old children in relation to otitis media in
their first three years of life. Pediatrics 2000;105:1119-1130.
R, Gilsdorf J, and Lesperance M. When amoxicillin fails. Contemporary
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