Atresiaplasty offers best opportunity for hearing improvement in patients with a Jahrsdoerfer score of grade 6 or higher
TRIO Best Practices » Otology/Neurotology
Evidence and policy statements favor using a myringotomy tube in acute otitis-prone children undergoing cochlear implant
Mastoidectomy may not improve otologic outcomes following perforation repair
Computed tomography (CT) may be a better initial choice, but a dual approach is useful for a patient who may be a candidate for cochlear implant
The clinical decision to treat or not to treat children with AOM remains controversial.