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Correspondence
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Volume 333:1151-1152 October 26, 1995 Number 17
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Otitis Media in Children

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 by Berman, S.
To the Editor: The review of otitis media by Berman (June 8 issue)1 makes clear that the number of cases of mastoiditis has decreased drastically in the past 40 years. Those who treated acute otitis media with antibiotics may regard antibiotics as the cause of this decrease. In the Netherlands, this decrease was initially attributed to treatment with paracentesis. However, since the 1980s the use of paracentesis and antibiotics has been virtually abandoned in the Netherlands. Watchful waiting is the approach of choice for all patients older than one year. The combination of analgesics and local decongestants is now the . . . [Full Text of this Article]

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