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A 4-year-old presents with recurrent acute otitis media — 4 episodes in 6 months with middle ear effusion persisting between episodes. The AAO-HNSF 2022 clinical practice guideline update on tympanostomy tubes (ages 6 months to 12 years) recommends consideration of tubes for recurrent AOM when which criterion is met?

≥3 episodes in 6 months or ≥4 episodes in 12 months with one episode in the preceding 6 months AND middle ear effusion present at the time of decision Any single episode of AOM Bilateral effusion with no history of AOM for 1 month Tympanic membrane perforation only

Correct Answer:

≥3 episodes in 6 months or ≥4 episodes in 12 months with one episode in the preceding 6 months AND middle ear effusion present at the time of decision

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