ChiroACCESS Clinical Review



Otitis Media: Therapy

This information is provided to you for use in conjunction with your clinical judgment and the specific needs of the patient.

Lead Author(s): 

Dwain M. Daniel, D.C.

  

How this evidence was rated:

Strength of Recommendation Taxonomy (SORT)



Published on

April 18, 2008

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Although there are serious concerns relating to the use of antibiotic drugs in the treatment of otitis media (OM), very little research has taken place to develop alternative, conservative treatments. Antedotal evidence and observational studies abound but few RCT’s were located to demonstrate effectiveness of drugless interventions.

The obvious first concern for the physician is to relieve pain and suffering of the patient as well as prevention of more serious pathological conditions. It is also important in OM to insure the patient does not experience hearing loss and suffer the associated sequelae of learning impairment and developmental delays in language and behavior.

Natural History: The reader should be aware when evaluating case series or case report designed studies the natural history of acute otitis media (AOM) is generally favorable. Sixty-one percent of cases resolve within 24 hours and 80% resolve within 3 days without treatment. Otitis media with effusion (OME) has a favorable response rate of 74% within 3 months without treatment (1).

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References

1. 

Rosenfeld RM, Kay D. Natural history of untreated otitis media. Laryngoscope 2003; 113(10):1645-1657.



2. 

Foxlee R, Johansson A, Wejfalk J, Dawkins J, Dooley L, Del Mar C. Topical analgesia for acute otitis media. Cochrane Database Syst Rev 2006; 3:CD005657.



3. 

Sarrell EM, Cohen HA, Kahan E. Naturopathic treatment for ear pain in children. Pediatrics 2003; 111(5 Pt 1):e574-e579.



4. 

Sarrell EM, Mandelberg A, Cohen HA. Efficacy of naturopathic extracts in the management of ear pain associated with acute otitis media. Arch Pediatr Adolesc Med 2001; 155(7):796-799.



5. 

Mills MV, Henley CE, Barnes LL, Carreiro JE, Degenhardt BF. The use of osteopathic manipulative treatment as adjuvant therapy in children with recurrent acute otitis media. Arch Pediatr Adolesc Med 2003; 157(9):861-866.



6. 

Degenhardt BF, Kuchera ML. Osteopathic evaluation and manipulative treatment in reducing the morbidity of otitis media: a pilot study. J Am Osteopath Assoc 2006; 106(6):327-334.



7. 

Fallon J. The Role of the Chiropractic Adjustment in the Care and Treatment of 332 Children with Otitis Media. J of Clin Chiro Ped 2[2], 167-182. 1997.



8. 

Damoiseaux RA, Rovers MM, Van Balen FA, Hoes AW, de Melker RA. Long-term prognosis of acute otitis media in infancy: determinants of recurrent acute otitis media and persistent middle ear effusion. Fam Pract 2006; 23(1):40-45.



9. 

Fallon J, Edelman MJ. Chiropractic care of 401 Children with Otitis Media: A Pilot study. Alt Therapies in Health and Med 4[42], 93. 1998.



10. 

Fysh P. Chrnic Recurrent Otitis Media: Case series o Five patients with Recommendations for Case Management. J of Clin Chiro Ped 1[2], 66-78. 1996.



11. 

Froehle R. Ear infection: A Retrospective Study Examining Improvement from Chiropractic Care and Analyzing for Influencing factors. J Manipulative Physiol Ther 19[3], 169-177. 1996.



12. 

Zhang J, Snyder B. Effect of the Toftness chiropractic adjustments for Children with Acute Otitis Media. J of Vetebral Subluxation Res . 3-29-2004.



13. 

Pratt-Harrington D. Galbreath technique: a manipulative treatment for otitis media revisited. J Am Osteopath Assoc 2000; 100(10):635-639.

 [ Full-Text Link ]

14. 

Jacobs J, Springer DA, Crothers D. Homeopathic treatment of acute otitis media in children: a preliminary randomized placebo-controlled trial. Pediatr Infect Dis J 2001; 20(2):177-183.



15. 

de Lange de Klerk ES, Blommers J, Kuik DJ, Bezemer PD, Feenstra L. Effect of homoeopathic medicines on daily burden of symptoms in children with recurrent upper respiratory tract infections. BMJ 1994; 309(6965):1329-1332.



16. 

Riley D, Fischer M, Singh B, Haidvogl M, Heger M. Homeopathy and conventional medicine: an outcomes study comparing effectiveness in a primary care setting. J Altern Complement Med 2001; 7(2):149-159.



17. 

Haidvogl M, Riley DS, Heger M, Brien S, Jong M, Fischer M et al. Homeopathic and conventional treatment for acute respiratory and ear complaints: a comparative study on outcome in the primary care setting. BMC Complement Altern Med 2007; 7:7.



18. 

Wustrow TP. Alternative versus conventional treatment strategy in uncomplicated acute otitis media in children: a prospective, open, controlled parallel-group comparison. Int J Clin Pharmacol Ther 2004; 42(2):110-119.



19. 

Altunc U, Pittler MH, Ernst E. Homeopathy for childhood and adolescence ailments: systematic review of randomized clinical trials. Mayo Clin Proc 2007; 82(1):69-75.



20. 

Otitis media with effusion. Pediatrics 2004; 113(5):1412-1429.



21. 

Glasziou PP, Hayem M, Del Mar CB. Antibiotics for acute otitis media in children (Review). Cochrane Database Syst Rev 2. 2008.



22. 

Glasziou PP, Hayem M, Del Mar CB. Antibiotics for acute otitis media in children. Cochrane Database Syst Rev 2000;(2):CD000219.



23. 

Diagnosis and management of acute otitis media. Pediatrics 2004; 113(5):1451-1465.



24. 

Finkelstein JA, Stille C, Nordin J, Davis R, Raebel MA, Roblin D et al. Reduction in antibiotic use among US children, 1996-2000. Pediatrics 2003; 112(3 Pt 1):620-627.



25. 

Takata GS, Chan LS, Shekelle P, Morton SC, Mason W, Marcy SM. Evidence assessment of management of acute otitis media: I. The role of antibiotics in treatment of uncomplicated acute otitis media. Pediatrics 2001; 108(2):239-247.



26. 

Rovers MM, Krabbe PF, Straatman H, Ingels K, van der Wilt GJ, Zielhuis GA. Randomised controlled trial of the effect of ventilation tubes (grommets) on quality of life at age 1-2 years. Arch Dis Child 2001; 84(1):45-49.



27. 

Keyhani S, Kleinman LC, Rothschild M, Bernstein JM, Anderson R, Simon M et al. Clinical characteristics of New York City children who received tympanostomy tubes in 2002. Pediatrics 2008; 121(1):e24-e33.



28. 

Kleinman LC, Kosecoff J, Dubois RW, Brook RH. The medical appropriateness of tympanostomy tubes proposed for children younger than 16 years in the United States. JAMA 1994; 271(16):1250-1255.



29. 

Rovers MM, Glasziou P, Appelman CL, Burke P, McCormick DP, Damoiseaux RA et al. Antibiotics for acute otitis media: a meta-analysis with individual patient data. Lancet 2006; 368(9545):1429-1435.



30. 

Flynn CA, Griffin GH, Schultz JK. Decongestants and antihistamines for acute otitis media in children. Cochrane Database Syst Rev 2004;(3):CD001727.