When is tympanocentesis indicated in the treatment 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

Consider tympanocentesis in the following patients:

  • Children who are immunosuppressed or immunocompromised

  • Neonates with AOM (who are more likely to have an unusual or more invasive pathogen)

  • Patients in whom antimicrobial therapy has failed and who continue to experience local or systemic signs of sepsis

  • Patients who have had a complication of AOM in conjunction with attempts to recover the etiologic agent from other sites (eg, cerebrospinal fluid [CSF] or blood)


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