Which tests are indicated for the diagnosis of acute otitis media (AOM)?

Updated: Sep 25, 2019
  • Author: John D Donaldson, MD, FRCSC, FACS; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Testing in the acute phase is generally unhelpful, because all children with AOM have conductive hearing loss associated with the middle ear effusion. In addition, although tympanometry may assist in the diagnosis of middle ear effusion, this test is seldom necessary for the skilled pneumatic otoscopist.

Culture and sensitivity of a specimen from a fresh perforation or a tympanocentesis may be helpful.


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