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Otitis Media-Reply

Otitis Media-Reply Abstract Morris raises many concerns in his letter and, although I understand and even share some of the concerns, I am not at all as cynical as he is about the management of otitis media, nor am I as pessimistic about the future for otolaryngology. Let us look at the issues that have been raised. "The otolaryngologist is taken out of the loop Here Morris apparently is expressing concern that the Agency for Health Care Policy and Research (AHCPR) guideline suggests that a child younger than 3 years with persistent middleear effusion can be followed for 3 months before having a hearing evaluation, and the child might be followed for up to 4 months before having tubes inserted in the ears. We do need to remember that the AHCPR panel is not the first or only group to advocate waiting for several months before recommending insertion of tubes in the References 1. American Academy of Otolaryngology—Head and Neck Surgery Inc Committee on Quality Assurance. 1992 Clinical Indications Compendium for Otolaryngic Head and Neck Surgery. Alexandria, Va: American Academy of Otolaryngology—Head and Neck Surgery Inc; 1992. 2. US Dept of Health and Human Services, Public Health Services, Agency for Health Care Policy and Research. Clinical Practice Guideline: Otitis Media With Effusion in Young Children. Silver Spring, Md: Agency for Health Care Policy and Research; 1994;12:5. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Otitis Media-Reply

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Publisher
American Medical Association
Copyright
Copyright © 1995 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1995.01890120090021
Publisher site
See Article on Publisher Site

Abstract

Abstract Morris raises many concerns in his letter and, although I understand and even share some of the concerns, I am not at all as cynical as he is about the management of otitis media, nor am I as pessimistic about the future for otolaryngology. Let us look at the issues that have been raised. "The otolaryngologist is taken out of the loop Here Morris apparently is expressing concern that the Agency for Health Care Policy and Research (AHCPR) guideline suggests that a child younger than 3 years with persistent middleear effusion can be followed for 3 months before having a hearing evaluation, and the child might be followed for up to 4 months before having tubes inserted in the ears. We do need to remember that the AHCPR panel is not the first or only group to advocate waiting for several months before recommending insertion of tubes in the References 1. American Academy of Otolaryngology—Head and Neck Surgery Inc Committee on Quality Assurance. 1992 Clinical Indications Compendium for Otolaryngic Head and Neck Surgery. Alexandria, Va: American Academy of Otolaryngology—Head and Neck Surgery Inc; 1992. 2. US Dept of Health and Human Services, Public Health Services, Agency for Health Care Policy and Research. Clinical Practice Guideline: Otitis Media With Effusion in Young Children. Silver Spring, Md: Agency for Health Care Policy and Research; 1994;12:5.

Journal

Archives of Otolaryngology - Head & Neck Surgery – American Medical Association

Published: Dec 1, 1995

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