Otitis Media—Red Flags for Management: American Academy of Otolaryngology; Head and Neck Surgery 2013 Clinical Practice Guideline for Tympanostomy Tube Insertion Otitis media with effusion (OME) is described as a collection of fluid in the middle ear, without signs or symptoms of acute ear infection ( Stool, Berg, Berman, & Carney, 1994). The accumulated fluid decreases the ability of both the tympanic membrane (eardrum) and the ossicles in the middle ear ... Article
Article  |   April 01, 2014
Otitis Media—Red Flags for Management: American Academy of Otolaryngology; Head and Neck Surgery 2013 Clinical Practice Guideline for Tympanostomy Tube Insertion
Author Affiliations & Notes
  • Melody Harrison
    The University of North Carolina–Chapel Hill, Chapel Hill, NC
  • Melody Harrison

    Disclosure: Financial: Melody Harrison has no financial interests to disclose.

    Nonfinancial: Melody Harrison was the ASHA representative to the American Academy of Otolaryngology-Head and Neck Surgery clinical practice guideline panel.

Article Information
Hearing Disorders
Article   |   April 01, 2014
Otitis Media—Red Flags for Management: American Academy of Otolaryngology; Head and Neck Surgery 2013 Clinical Practice Guideline for Tympanostomy Tube Insertion
SIG 9 Perspectives on Hearing and Hearing Disorders in Childhood, April 2014, Vol. 24, 4-10. doi:10.1044/hhdc24.1.4
SIG 9 Perspectives on Hearing and Hearing Disorders in Childhood, April 2014, Vol. 24, 4-10. doi:10.1044/hhdc24.1.4

Otitis media with effusion (OME) is described as a collection of fluid in the middle ear, without signs or symptoms of acute ear infection ( Stool, Berg, Berman, & Carney, 1994). The accumulated fluid decreases the ability of both the tympanic membrane (eardrum) and the ossicles in the middle ear to vibrate, resulting in a mild conductive hearing loss. Although 28 decibels (dB) is the average hearing loss associated with OME, the range is quite wide. While some children experience no hearing loss, about 20% have hearing loss of 35 dB or greater ( Gravel, 2003).

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