The treatment of chronic fluid collections in the middle ear that take more than 3 or 4 months to resolve are treated with antibiotics or which of the following procedures?
a. adenoidectomy c. placement of tubes
b. tonsillectomy d. packing the ears
C
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A Incorrect. Otitis media with effusion (OME) not responding to antibiotics, lasting longer than 3 or 4 months, does not require an adenoidectomy.
B Incorrect. Otitis media with effusion (OME) not responding to antibiotics, lasting longer than 3 or 4 months, does not require a tonsillectomy.
C Correct. Tympanostomy (surgical incision in the tympanic membrane for draining fluid) tubes are indicated if an episode of otitis media with effusion (OME) lasts for longer than 3 to 4 months.
D Incorrect. Otitis media with effusion (OME) not responding to antibiotics, lasting longer than 3 or 4 months, does not require packing the ears.
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