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Evidence-based management of otitis media: a 5S model approach

Published online by Cambridge University Press:  28 January 2015

J D Wasson  and
M W Yung
J D Wasson*
Affiliation:
Department of Otolaryngology, Ipswich Hospital NHS Trust, Suffolk, UK
M W Yung
Affiliation:
Department of Otolaryngology, Ipswich Hospital NHS Trust, Suffolk, UK
*
Address for correspondence: Mr J D Wasson, Department of Otolaryngology, Ipswich Hospital NHS Trust, Ipswich, Suffolk IP4 5PD, UK E-mail: josephwasson@hotmail.com
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Abstract

Objective:

The 5S model proposes five hierarchical levels (systems, summaries, synopses, syntheses and studies) of pre-appraised evidence to guide evidence-based practice. This review aimed to identify and summarise pre-appraised evidence at the highest available 5S level for the management of different subsets of otitis media: acute otitis media, otitis media with effusion, chronic suppurative otitis media and cholesteatoma in both adults and children.

Method:

Data sources were pre-appraised evidence resources. Evidence freely available from sources at the highest available level of the 5S model were summarised for this review.

Results:

System level evidence exists for acute otitis media and otitis media with effusion. Summary level evidence exists for recurrent acute otitis media and medical management of chronic suppurative otitis media. There is an absence of randomised controlled trials to prove the efficacy of surgical management of chronic suppurative otitis media and cholesteatoma.

Conclusion:

Until randomised controlled trial data are generated, consensus publications on the surgical management of chronic suppurative otitis media and cholesteatoma should be used to guide best practice.

Keywords

Otitis MediaOtitis Media with EffusionCholesteatomaReview
Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 2 , February 2015 , pp. 112 - 119
Copyright
Copyright © JLO (1984) Limited 2015 

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