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Referenser1. Clinical practice guidelines: diagnosisand management of acute otitis media.Pediatrics 2004;113:1451-65.2. Rothman R, Owens T, Simel DL. Doesthis child have acute otitis media? JAMA2003;290:1633-40.3. Karma PH, Penttila MA, Sipila MM,Kataja MJ. Otoscopic diagnosis of middleear effusion in acute and non-acute otitismedia. I. The value of different otoscopicfindings. Int J Pediatr Otorhinolaryngol1989;17:37-49.4. Schwartz RH, Stool SE, Rodriguez WJ,Grundfast KM. Acute otitis media: towarda more precise definition. Clin Pediatr(Phila) 1981;20:549-54.5. Carlson L, Carlson RD. Diagnosispart two: clinical management. In:Rosenfeld M, Bluestone CD, editor.Evidence based otitis media. Second ed.Hamilton, ON Canada: BC Decker Inc;2003. p 227-240.6. Takata GS, Chan LS, Morphew T,Mangione-Smith R, Morton SC, ShekelleP. Evidence assessment of the accuracy ofmethods of diagnosing middle ear effusionin children with otitis media with effusion.Pediatrics 2003;112:1379-87.7. Jones WS, Kaleida PH. How helpful ispneumatic otoscopy in improving diagnosticaccuracy? Pediatrics 2003;112:510-3.8. Fields MJ, Allison RS, Corwin P, WhitePS, Doherty J. Microtympanometry, microscopyand tympanometry in evaluatingmiddle ear effusion prior to myringotomy.N Z Med J 1993;106:386-7.9. Lee DH, Yeo SW. Clinical diagnosticaccuracy of otitis media with effusion inchildren, and significance of myringotomy:diagnostic or therapeutic? J Korean MedSci 2004;19:739-43.10. Ovesen T, Paaske PB, Elbrond O.Accuracy of an automatic impedance apparatusin a population with secretory otitismedia: principles in the evaluation of tympanometricalfindings. Am J Otolaryngol1993;14:100-4.11. Hemlin C, Hassler E, HultcrantzM, Papatziamos G, Krakau I. Aspects ofdiagnosis of acute otitis media. Fam Pract1998;15:133-7.12. Holmberg K, Axelsson A, HanssonP, Renvall U. The correlation betweenotoscopy and otomicroscopy in acuteotitis media during healing. ScandAudiol 1985;14:191-9.13. Saeed K, Coglianese CL, McCormickDP, Chonmaitree T. Otoscopic and tympanometricfindings in acute otitis mediayielding dry tap at tympanocentesis.Pediatr Infect Dis J 2004;23:1030-4.14. Babonis TR, Weir MR, Kelly PC.Impedance tympanometry and acousticreflectometry at myringotomy. Pediatrics1991;87:475-80.15. Palmu A, Puhakka H, Rahko T, TakalaAK. Diagnostic value of tympanometryin infants in clinical practice. Int J PediatrOtorhinolaryngol 1999;49:207-13.16. Sensitivity, specificity and predictivevalue of tympanometry in predicting ahearing impairment in otitis media with266Rörbehandling vid inflammation i mellanörat

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