LETTER TO THE EDITOR |
David Ashe, MD
Robert Ruben, MD
Richard Propp, MD
Immediate Past Co-Chair
New York State Otitis Project
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To the Editor.
The June 2005 Pediatrics articles on acute otitis media1,2 were commendable and timely. However, if physicians are to appropriately use "watchful waiting" for acute otitis media, they will need to be much better versed in evaluating the tympanic membrane. Visualization of the tympanic membrane and assessment of mobility are the standard of care for the diagnosis of middle-ear disease. Accurate diagnosis of tympanic pathology is the cornerstone for physicians to judiciously decide between the observation option and antibiotics.
For the past 8 years, the New York State Otitis Project, sponsored by