In an attempt to develop a better outcome measure for otitis media studies, the Giebink group1-3 as in their previous publication3 state that "An algorithm developed by Paradise et al4 and tested by Cantekin et al5... has become the basis" for evaluating "the presence or absence of middle ear fluid [effusion]." This is false. The 1976 article by Paradise et al4 is not about a diagnostic algorithm, but it is about a proposed schema to classify tympanograms that were obtained with a certain type and model of equipment. In fact, Paradise et al do not even mention the word "algorithm" and it is one of the many articles published in the 1970s on tympanometric pattern classification.
The first published work in the literature about a diagnostic algorithm for otitis media is the 1979 article by Bluestone and Cantekin.6 This is the first article that
Cantekin EI. Otitis Media. Arch Otolaryngol Head Neck Surg. 1995;121(6):702–703. doi:10.1001/archotol.1995.01890060100023
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