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Acute Otitis Media

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Synonyms

Purulent otitis media; Suppurative otitis media

Definition

Acute otitis media (AOM) is an infection of the middle ear space, defined by the presence of middle ear fluid, with rapid onset of signs and symptoms of acute inflammation, such as otalgia and fever. AOM is the illness which most commonly brings children to their physician (Bluestone and Klein 2007).

Etiology

The middle ear space is a closed space located behind the tympanic membrane. Its only communication with the outside world is through the Eustachian tube, which connects the middle ear space to the nasopharynx. The normal middle ear space is filled with air, and the system is lined by respiratory mucosa. The anatomy of the Eustachian tube in infants and young children differs from that of adults, contributing to the increased incidence of AOM in this population. In an infant, the Eustachian tube (ET) is shorter and lies at a more horizontal angle as compared to an adult. It reaches its adult length by the time a...

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  • DOI: 10.1007/978-3-642-23499-6_564
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References

Monographs

  • Bluestone CD, Klein JO (2007) Otitis media in infants and children, 4th edn. BC Decker, Ontario

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Collections

  • Bluestone CD (2003) Eustachian tube function and dysfunction. In: Rosenfeld RM, Bluestone CD (eds) Evidence based otitis media, 2nd edn. BC Decker, Ontario, pp 163–179

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  • Casselbrant ML (2004) Ventilation tubes for recurrent acute otitis media. In: Alper CM, Bluestone CD et al (eds) Advanced therapy of otitis media. BC Decker, Ontario, pp 113–116

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  • Heikkinen T (2004) Viral vaccines for recurrent acute otitis media. In: Alper CM, Bluestone CD et al (eds) Advanced therapy of otitis media. BC Decker, Ontario, pp 130–133

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  • Klein JO (2004) Bacterial vaccines for prevention of acute otitis media. In: Alper CM, Bluestone CD et al (eds) Advanced therapy of otitis media. BC Decker, Ontario, pp 134–137

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  • Rosenfeld RM, Bluestone CD (2003) Clinical efficacy of surgical therapy. In: Rosenfeld RM, Bluestone CD (eds) Evidence based otitis media, 2nd edn. BC Decker, Ontario, pp 227–240

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Journal Articles

  • American Academy of Pediatrics Subcommittee on Management of Acute Otitis Media (2004) Diagnosis and management of acute otitis media. Pediatrics 113(5):1451–1465

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  • Black S, Shinefield H, Fireman B et al (2000) Efficacy, safety and immunogenicity of heptavalent pneumococcal conjugate vaccine in children. Northern California Kaiser Permanente Vaccine Study Center Group. Pediatr Infect Dis J 19(3):187–195

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  • Eskola J, Kilpi T, Palmu A et al (2001) Efficacy of a pneumococcal conjugate vaccine against acute otitis media. N Engl J Med 344(6):403–409

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  • Rosenfeld RM, Kay D (2003) Natural history of untreated otits media. Laryngoscope 113(10):1645–1657

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Correspondence to Katherine Green M.D. .

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© 2013 Springer-Verlag Berlin Heidelberg

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Green, K., Yoon, P.J. (2013). Acute Otitis Media. In: Kountakis, S.E. (eds) Encyclopedia of Otolaryngology, Head and Neck Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-23499-6_564

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  • DOI: https://doi.org/10.1007/978-3-642-23499-6_564

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-23498-9

  • Online ISBN: 978-3-642-23499-6

  • eBook Packages: MedicineReference Module Medicine