Journal
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
Volume 149, Issue 1, Pages 8-16Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/0194599813490141
Keywords
guideline; otitis media; tympanostomy tubes; grommets; pediatric otolaryngology
Categories
Funding
- American Academy of Otolaryngology-Head and Neck Surgery Foundation
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The American Academy of OtolaryngologyHead and Neck Surgery Foundation (AAO-HNSF) has published a supplement to this issue featuring the new Clinical Practice Guideline: Tympanostomy Tubes in Children. To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 12 recommendations developed address patient selection, surgical indications for and management of tympanostomy tubes in children. The development group broadly discussed indications for tube placement, perioperative management, care of children with indwelling tubes, and outcomes of tympanostomy tube surgery. Given the lack of current published guidance on surgical indications, the group focused on situations in which tube insertion would be optional, recommended, or not recommended. Additional emphasis was placed on opportunities for quality improvement, particularly regarding shared decision making and care of children with existing tubes.
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