Ingard Løge

spesialist allmennmedisin

Kurt Østhuus Krogh

spesialist i barnesykdommer

Per Møller

spesialist i øre/nese/hals

Perera R, Glasziou PP, Heneghan CJ, et al. Autoinflation for hearing loss associated with otitis media with effusion. Cochrane Database of Syst. Rev 2013; 5: CD006285. doi:10.1002/14651858.CD006285.pub2

--&gt; http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Search&amp;db=PubMed&amp;term=25913597[uid]

Atkinson H, Wallis S, Coatesworth AP. Otitis media with effusion. Postgrad Med. 2015;127(4):381-385. PMID: 25913597.

Simpson SA, Thomas CL, van der Linden M, MacMillan H, van der Wouden JC, Butler CC. Identification of children in the first four years of life for early treatment for otitis media with effusion. Cochrane Database of Systematic Reviews 2007, Issue 1. Art. No.: CD004163. DOI: 10.1002/14651858.CD004163.pub2

Helsedirektoratet (2021). Nasjonal faglig retningslinje for antibiotika i primærhelsetjenesten nettdokument. Oslo: Helsedirektoratet (sist faglig oppdatert 16. november 2021, lest 16. november 2021).

van Balen FAM, de Melker RA. Persistent otitis media with effusion: Can it be predicted? A family practice follow-up study in children aged 6 months to 6 years. J Fam Pract 2000; 49:605-611.

Williamson I, Vennik J, Harnden A, et al. Effect of nasal balloon autoinflation in children with otitis media with effusion in primary care: an open randomized controlled trial. CMAJ 2015. doi:10.1503/cmaj.141608

--&gt; http://dx.doi.org/10.1002/14651858.CD009163.pub3

Venekamp RP, Burton MJ, van Dongen TMA, van der Heijden GJ, van Zon A, Schilder AGM. Antibiotics for otitis media with effusion in children. Cochrane Database of Systematic Reviews 2016, Issue 6. Art. No.: CD009163. DOI: 10.1002/14651858.CD009163.pub3.

Williamson I, Benge S, Barton S, et al. Topical intranasal corticosteroids in 4-11 year old children with persistent bilateral otitis media with effusion in primary care: double blind randomised placebo controlled trial. BMJ 2010; 340: b4984

--&gt; http://dx.doi.org/10.1002/14651858.CD001935.pub3

Simpson SA, Lewis R, van der Voort J, Butler CC. Oral or topical nasal steroids for hearing loss associated with otitis media with effusion in children. Cochrane Database of Systematic Reviews 2011, Issue 5. Art. No.: CD001935. DOI: 10.1002/14651858.CD001935.pub3.

--&gt; http://dx.doi.org/10.1002/14651858.CD003423.pub3

Griffin G, Flynn CA. Antihistamines and/or decongestants for otitis media with effusion (OME) in children. Cochrane Database of Systematic Reviews 2011, Issue 9. Art. No.: CD003423. DOI: 10.1002/14651858.CD003423.pub3

--&gt; http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Search&amp;db=PubMed&amp;term=27854381[uid]

Venekamp RP, Javed F, van Dongen TM, Waddell A, Schilder AG. Interventions for children with ear discharge occurring at least two weeks following grommet (ventilation tube) insertion. Cochrane Database Syst Rev 2016; 11: CD011684. pmid:27854381

--&gt; Steel D, Adam GP, Di M, et al.   Tympanostomy tubes in children with otitis media. Comparative Effectiveness Review No. 185. 
https://www.effectivehealthcare.ahrq.gov/ehc/products/617/2438/tympanostomy-tubes-report-170501.pdf

Steel D, Adam GP, Di M, et al. Tympanostomy tubes in children with otitis media. Comparative Effectiveness Review No. 185. Rockville (MD): Agency for Healthcare Research and Quality (US); 2017 May. Report No.: 17-EHC003-EF (Systematic Review)

Berkman ND, Wallace IF, Steiner MJ, et al. Otitis media with effusion: Comparative effectiveness of treatments. AHRQ Comparative Effectiveness Review. Rockville (MD): Agency for Healthcare Research and Quality (US); 2013 May. Report No.: 13-EHC091-EF.

--&gt; http://www3.interscience.wiley.com/cochrane/mainSearch?mode=startsearch&amp;Query1=Grommets (ventilation tubes) for hearing loss associated with otitis media with effusion in children&amp;zones1=article-title&amp;opt1=AND&amp;Query2=&amp;zones2=article-title&amp;opt2=AND&amp;Query3=&amp;zones3=author&amp;opt3=AND&amp;Query4=&amp;zones4=abstract&amp;opt4=AND&amp;Query5=&amp;zones5=keywords&amp;products=all&amp;unitstatus=none&amp;FromYear=&amp;ToYear=&amp;x=22&amp;y=13

Browning GG, Rovers MM, Williamson I, Lous J, Burton MJ. Grommets (ventilation tubes) for hearing loss associated with otitis media with effusion in children. Cochrane Database of Systematic Reviews 2010, Issue 10.

Paradise JL, Feldman HM, Campbell TF, et al. Tympanostomy tubes and developmental outcomes at 9 to 11 years of age. N Engl J Med 2007; 356: 248-61.

Paradise JL, Campbell TF, Dollaghan CA, et al. Developmental outcomes after early or delayed insertion of tympanostomy tubes. N Engl J Med 2005; 353: 576-86.

Rovers MM, Black N, Browning GG, Maw R, Zielhuis GA, Haggard MP. Grommets in otitis media with effusion: an individual patient data meta-analysis. Arch Dis Child 2005; 90: 480-85.

--&gt; http://dx.doi.org/10.1002/14651858.CD004741.pub3

Lau L, Mick P, Nunez DA. Grommets (ventilation tubes) for recurrent acute otitis media in children. Cochrane Database of Systematic Reviews 2018, Issue 4. Art. No.: CD004741. DOI: 10.1002/14651858.CD004741.pub3.

--&gt; http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Search&amp;db=PubMed&amp;term=33979487[uid]

Hoberman A, Preciado D, Paradise JL et al. Tympanostomy Tubes or Medical Management for Recurrent Acute Otitis Media. N Engl J Med. 2021 May 13;384(19):1789-1799. PMID: 33979487.

--&gt; http://dx.doi.org/10.1002/14651858.CD010375.pub2

Moualed D, Masterson L, Kumar S, Donnelly N. Water precautions for prevention of infection in children with ventilation tubes (grommets). Cochrane Database of Syst. Rev. 2016, Issue 1. Art. No.: CD010375. DOI: 10.1002/14651858.CD010375.pub2.

Boonacker CW, Rovers MM, Browning GG, et al. Adenoidectomy with or without grommets for children with otitis media: an individual patient data meta-analysis. Health Technol Assess. 2014 Jan;18(5):1-118.

Gouma P, Mallis A, Daniilidis V, et al. Behavioural trends in young children with conductive hearing loss: a case-control study. Eur Arch of Otorhinolaryngol 2011; 268: 63-6. doi:10.1007/s00405-010-1346-4

Væskeansamling i mellomøret uten at det foreligger akutt infeksjon. Hyppigst etter mellomørebetennelse eller forkjølelse

Relativt hyppig hos barn i aldersgruppen 2-6 år

Dottfornemmelse i øret og nedsatt hørsel

Ved otoskopi ses væske i mellomøret og nedsatt bevegelighet av trommehinnen

Tympanometri bekrefter væske i mellomøret. Audiometri viser nedsatt hørsel

Avvente spontan tilheling, væsken forsvinner av seg selv hos 80%. Henv. ØNH for vurdering, ev. innleggelse av dren ved plager i mer enn 3-4 måneder

Kjerneopplysninger

Definisjon

Forekomst

Etiologi og patogenese

Disponerende faktorer

ICPC-2

ICD-10

Diagnosen

Diagnostiske kriterier

Differensialdiagnoser

Sykehistorie

Kliniske funn

Tilleggsundersøkelser i allmennpraksis

Andre undersøkelser

Screening

Når henvise

Terapi

Behandlingsmål

Generelt om behandlingen

Egenbehandling

Medikamentell behandling

Annen behandling

Forløp, komplikasjoner og prognose

Forløp

Komplikasjoner

Prognose

Oppfølging

Plan

Hva bør man kontrollere

Trygdemedisin

Sykmelderveileder

Pasientinformasjon

Hva du bør informere pasienten om

Hva finnes av skriftlig pasientinformasjon

Illustrasjoner

Plansjer eller tegninger

Kilder

Referanser

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