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Watchful waiting? Portuguese approach to otitis media with effusion

dc.contributor.authorVera-Cruz, Paulo
dc.contributor.authorLarroudé, António
dc.contributor.authorGouveia, Nélia
dc.contributor.authorMendes, Jorge
dc.contributor.authorSimões-Coelho, Pedro
dc.date.accessioned2021-10-14T09:25:14Z
dc.date.available2021-10-14T09:25:14Z
dc.date.issued2021-09
dc.description.abstractIntroduction and objective: Otitis media with effusion (OME) is an important public health problem. Several clinical practice guidelines for diagnosis and treatment of OME are in place, including from the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS). This study aimed to evaluate the clinical practice of OME diagnosis and treatment among the Otolaryngology medical community working in Portugal. Material and methods: A questionnaire was developed based on AAO-HNS guidelines regarding placement of tympanostomy tubes in children. Each directive was transformed into a question, and further questions were added to improve the characterization of the population and its practices. Results: Answers provided agreed with “recommendations” and “recommendations against” enunciated in the guidelines. The exceptions were recommendations regarding the adoption of measures to prevent water from entering the external ear canal of children with tympanostomy tubes and the use of drugs. Questions asked outside guidelines scope revealed that 96.7% of doctors consider children’s age and 49.1% wait for the end of summer when deciding about surgery for tube placement, 68% recommend bathing in beaches, and 21.9% recommend mineral water treatment. Conclusion: These results suggest that Portuguese otolaryngologists act according to the latest international guidelines and consider factors like season, bathing in beaches, and mineral water treatment in surgical or treatment decisions.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationVera-Cruz P, Larroudé A, Gouveia N, Mendes J, Simões-Coelho P, Nascer e Crescer - Birth and Growth Medical Journal 2021;30(1): 143-151. doi:10.25753/BirthGrowthMJ.v30.i1.18910pt_PT
dc.identifier.doi10.25753/BirthGrowthMJ.v30.i1.18910pt_PT
dc.identifier.issn2183-9417
dc.identifier.urihttp://hdl.handle.net/10400.16/2511
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCentro Hospitalar Universitário do Portopt_PT
dc.relation.publisherversionhttps://revistas.rcaap.pt/nascercrescer/article/view/19192pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectbathing beachespt_PT
dc.subjectguidelinept_PT
dc.subjectmineral waterpt_PT
dc.subjectotitis media with effusionpt_PT
dc.subjectseasonpt_PT
dc.titleWatchful waiting? Portuguese approach to otitis media with effusionpt_PT
dc.title.alternativeAtitude expetante? Abordagem portuguesa à otite média com efusãopt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlacePorto, Portugalpt_PT
oaire.citation.endPage151pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage143pt_PT
oaire.citation.titleNascer e Crescer - Birth and Growth Medical Journalpt_PT
oaire.citation.volume30pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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