In the October 1994 issue of the Archives, the two leading articles1,2 are concerned with controversial studies in the management of otitis media. A theme that I think has been missed not only in this issue but also in the August issue3 of the Archives is what I consider to be a significant situation running through this information. Certainly on the surface, both articles infer controversial and scientific information in setting up guidelines for treating otitis media, which is the single most significant health care issue in the field of pediatric otology. A more important issue from the point of view of otolaryngology—head and neck surgery is more obvious. The otolaryngologist is taken out of the loop in treating these diseases. From the looks of the guidelines published by the Agency for Health Care Policy, it is easy to see how management of otitis media with effusion in
Morris MS. Otitis Media. Arch Otolaryngol Head Neck Surg. 1995;121(12):1434. doi:10.1001/archotol.1995.01890120090019
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