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Clinical Pediatrics, Vol. 20, No. 9, 549-554 (1981)
DOI: 10.1177/000992288102000901

Acute Otitis Media

Toward a More Precise Definition

Richard H. Schwartz

Sylvan E. Stool

William J. Rodriguez

Kenneth M. Grundfast

Eighty-five infants and children presenting with acute otitis media who had normal tympanic membrane landmarks and mobility within 1 month before entry into the study were studied. These criteria were used in order to avoid including children with prior otitis media with effusion (secretory otitis media). A diagnosis of suppurative otitis media was made in each case based on pneumo-otoscopic findings of diminished mobility, contour, and color of the tympanic membrane. The diagnosis was validated by myringotomy and posi tive culture of the middle ear fluid. A poorly mobile, bulging, yellow, opacified tympanic membrane was the most common type of tympanic membrane visu alized ; whereas a poorly mobile, bulging, red tympanic membrane was seen in only 19%. The color of the tympanic membrane did not correlate with a specific pathogen isolated from the middle ear exudate. Sixty-seven per cent of children had no fever; 28% had no pain or querulous behavior.


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U. Bollag and E. Bollag-Albrecht
Otitis Media in Practice: A Different Approach to Management Commentary from Clinical Observation
Clinical Pediatrics, April 1, 1990; 29(4): 244 - 245.
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