GuidelinesPEML (Paeds Hospital STG)
Otitis Media, with Effusion (OME)
Otitis Media, with Effusion (OME)
General and supportive measures
ICD-10 code: H66.0
DESCRIPTION
A sequela of acute middle ear infection, an entrapment in the middle ear cleft of mucus or mucopus. There is an intact tympanic membrane, no otalgia, and no fever. May be associated with mild hearing loss and speech delay. May be associated with clumsiness.
DIAGNOSTIC CRITERIA
- Bubbles or air-fluid interfaces.
OR at least two of following:
- Abnormal colour of tympanic membrane: white, yellow, amber, blue.
- Opacification not due to scarring and retraction.
- Decreased or absent mobility of tympanic membrane.
GENERAL AND SUPPORTIVE MEASURES
- Advise parents and caregivers that most cases resolve spontaneously with no medication required. Review after 12 weeks.
Antibiotics and antihistamines are not indicated.
REFERRAL
- All patients with OME with delayed speech development or poor school performance require referral.
- All cases lasting longer than 3 months should be referred to Audiology for hearing testing and ENT specialist review.
Standard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Paediatrics, 2023 Edition
Chapter 17: Ear Nose & Throat, 17.8 Otitis Media, With Effusion (OME)