Otitis media with effusion (OME) has a high prevalence in school age children (15%) but in
only 5% its duration is longer than a year. A systematic review shows that antibiotics are effective
in reducing effusion but that their effect does not maintain over time. Similar results are
shown for steroids alone or in association with antibiotics. Antihystamine drugs and mucolytics
are not effective. Autoinflation is an effective option. Surgical treatment (tympanostomy
tubes and adenoidectomy) can improve hearing function but do not seem to be capable of
preventing language disorders.