AAO-HNS Clinical Practice Guideline on Tympanostomy Tubes

Abstract

Program Description: Insertion of tympanostomy tubes is the most common ambulatory surgery performed on children in the United States. This miniseminar will highlight key recommendations from the new AAO-HNS guideline on tympanostomy tubes, developed by a multidisciplinary panel using methodology consistent with current Institute of Medicine standards. Emphasis is placed on surgical indications (otitis media with effusion and recurrent acute otitis media), caregiver education, management of tube otorrhea, use of water precautions, and special considerations for children who are at risk for developmental delays. The lively panel discussion will include case presentations and time for questions and answers. Educational Objectives: 1) Recognize evidence-based indications for tympanostomy tubes in children with otitis media with effusion and/or recurrent acute otitis media. 2) Identify children with otitis media with effusion who are at risk for developmental delays and might benefit from insertion of tympanostomy tubes. 3) Educate caregivers of children with tympanostomy tubes on the need for water precautions, management of tube otorrhea, and expectations for follow-up and monitoring while the tubes remain in place.