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April 12, 2000

Adenoidectomy and Adenotonsillectomy for Recurrent Otitis Media

Author Affiliations

Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor

JAMA. 2000;283(14):1822-1824. doi:10.1001/jama.283.14.1821

To the Editor: Dr Paradise and colleagues1 describe an effective way to reduce the incidence of recurrent acute otitis media (AOM) by more than 50%: be patient. Children entering their study initially had 4 or more annual AOM episodes, yet averaged 2.1 episodes during their first year as nonsurgical controls. Furthermore, only about one third remained susceptible to otitis (at least 3 annual episodes) and more than 20% had no AOM. Similarly, control groups in antimicrobial prophylaxis trials have a favorable prognosis. Children randomized to placebo in 13 randomized studies averaged 1.6 annual AOM episodes, a decrease from baseline of about 2.0 episodes per year.2 During a median period of 6 months only 13% had 3 or more AOM episodes and 51% had no further AOM.

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