Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor
In Reply.— Dr Harkness proposes 4 clinical
scenarios and suggests that each requires a different therapeutic approach.
We agree, and do not believe that practice guidelines should be the final
arbiter of treatment choices. In response to his final question, decongestants
have not been shown to be helpful and the role of tympanostomy tubes is uncertain
Froom J, Culpepper L. Controversies: Treatment of Acute Otitis Media—Reply. JAMA. 1998;279(22):1783-1785. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-22-jac80008