What findings are expected at a follow up visit for 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

Persistent middle ear effusion should be expected at the initial follow-up visit; statistically, only 30% of patients show complete resolution. In the absence of acuity, further treatment is unwarranted, but the patient should be scheduled to return at intervals until the effusion resolves. The author often gives parents an “emergency prescription” to be filled if the child with fluid in the middle ear develops acute symptoms prior to the next scheduled visit. In addition to decreasing off-hours calls, this provides the parent with a sense of security.


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