16
Management
Figure 8. Flowchart Showing Key Action Statements and
Process of Care
NO
YES
YES
Child age 6m–12y with OME,
recurrent AOM, or both
Watchful waiting
END
MEE in one or
both ears?
Recurrent AOM?
NO
KAS6
Recurrent AOM?
YES
KAS7
Bilateral
OME with
hearing loss or
difficulties?
KAS3
Surveillance every
3–6 months
NO
Clinician should
offer tubes
(recommendation)
YES
NO
KAS5
Short-term tube
(preferred) or
long-term
Need for
ventilation
beyond short-
term tube?
KAS10
YES
NO
Long-term
tube
Short-term
tube
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