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Vol. 70. Issue 1.
Pages 36-46 (January - February 2019)
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Vol. 70. Issue 1.
Pages 36-46 (January - February 2019)
Review article
DOI: 10.1016/j.otoeng.2017.07.004
Diagnosis and Treatment of Otitis Media With Effusion: CODEPEH Recommendations
Diagnóstico y tratamiento de la otitis media secretora infantil: recomendaciones CODEPEH
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Faustino Núñez-Batallaa,
Corresponding author
fnunezb@telefonica.net

Corresponding author.
, Carmen Jáudenes-Casaubónb, Jose Miguel Sequí-Canetb, Ana Vivanco-Allendeb, Jose Zubicaray-Ugartecheb
a Presidente de la CODEPEH (Comisión para la detección precoz de la hipoacusia)
b Vocales de la CODEPEH
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Table 1. Risk Situations, Where Otitis Media With Effusion Has Greater Impact.
Abstract

The incidence and the prevalence rates of otitis media with effusion (OME) are high. However, there is evidence that only a minority of professionals follow the recommendations provided in clinical practice guidelines. For the purpose of improving diagnosis and treatment of OME in children to prevent and/or reduce its impact on children's development, the Commission for the Early Detection of Deafness (CODEPEH) has deeply reviewed the scientific literature on this field and has drafted a document of recommendations for a correct clinical reaction to of OME, including diagnosis and medical and surgical treatment methodology. Among others, medication, in particular antibiotics and corticoids, should not be prescribed and 3 months of watchful waiting should be the first adopted measure. If OME persists, an ENT doctor should assess the possibility of surgical treatment. The impact of OME in cases of children with a comorbidity is higher, so it requires immediate reaction, without watchful waiting.

Keywords:
Otitis media with effusion
Tympanostomy tubes
Adenoidectomy
Clinical practice guideline
Resumen

La incidencia y prevalencia de la otitis media secretora infantil (OMS) son elevadas, sin embargo, existen evidencias de que solo una minoría de profesionales sigue las recomendaciones de las guías para su manejo clínico. Con objeto de mejorar el diagnóstico y el tratamiento de la OMS, para prevenir y/o reducir sus consecuencias sobre el desarrollo del niño, la Comisión para la Detección Precoz de la Hipoacusia (CODEPEH) ha realizado una amplia revisión de la literatura científica sobre la materia y ha elaborado un documento de recomendaciones para una correcta actitud clínica ante la OMS, abordando métodos diagnósticos y tratamiento médico y quirúrgico. Entre otros, no usar ninguna medicación, especialmente corticoides y antibióticos, siendo la espera vigilada la primera medida a tomar durante 3 meses. Si persiste la OMS, el otorrinolaringólogo valorará el tratamiento quirúrgico. En niños que presentan comorbilidades de diversa entidad, el impacto de la OMS es superior por lo que hay que actuar de forma inmediata, sin espera vigilada.

Palabras clave:
Otitis media secretora
Tubos de drenajes
Adenoidectomía
Guía de práctica clínica

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