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December 9, 1998

The Changing Treatment Paradigm for Acute Otitis Media

Author Affiliations

Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor

JAMA. 1998;280(22):1903-1904. doi:10-1001/pubs.JAMA-ISSN-0098-7484-280-22-jac80017

To the Editor.—I am writing this letter on behalf of the 11,000 physicians who are members of the American Academy of Otolaryngology–Head and Neck Surgery. We have reviewed the Editorial entitled "Changing the Treatment Paradigm for Acute Otitis Media in Children" by Dr Pichichero.1 While we share his concern about treatment patterns for children with AOM, we have considerable additional concern about and are alarmed by his recommendation that "[m]ore primary care physicians must learn and practice the use of tympanocentesis to improve diagnostic accuracy."