CONSULT REQUEST GUIDELINES                                                                         Print

Otitis Media with Effusion

Suggested Pre-Referral Evaluation and Management Guidelines
1)Children not at risk of speech and language problems may be managed expectantly for 3 months with frequent assessment of middle ear status. A hearing test is recommended as a first step, as fluctuating hearing loss secondary to intermittent middle ear effusions may also be educationally significant. Children who are in school with documented hearing should be seen within 6 weeks.
2)Laterality and duration of effusion should be documented.
Suggested Additional Test/Management Prior to Specialty Visit
1)Hearing should be tested for effusion persisting greater than 2 months or if concern of significant hearing loss or language difficulties.
2)Early referral for patients at risk of speech and language developmental delay and those with pre-existing hearing loss.
3)Patients will be offered an audiology appointment coordinated with clinic visit, but urgent requests may necessitate two separate appointments.
4)Bring records of newborn hearing screening or outside audiology screening.
Patient Education/Information (includes preps) Ear Infection and Middle Ear Fluid (Otitis Media) - UMHS Approved Clinical Care Guideline
Appointment Timeframe Next Available Appointment
How to Get Results to Consultant UMHS Patients: See Careweb.
External Patients: Hand carry results including hard copies or diskette of any imaging studies to visit.
Clinic Contact Information Physicians: 800-362-9555
Patients: 734-936-5730
Clinic Location Sites UMHS Pediatric Otolaryngology:
1) Taubman Health Care Center
2) Livonia Center for Specialty Care

UM Audiology Services Available at the following locations:
1) Taubman Health Center
2) Brighton Health Center
3) Livonia Center for Specialty Care
4) East Ann Arbor Health Center
UM Consulting Physician General Otolaryngology Faculty - Pediatric
Revised on: 08/20/2009



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