<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0872-0754</journal-id>
<journal-title><![CDATA[Nascer e Crescer]]></journal-title>
<abbrev-journal-title><![CDATA[Nascer e Crescer]]></abbrev-journal-title>
<issn>0872-0754</issn>
<publisher>
<publisher-name><![CDATA[Centro Hospitalar do Porto]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0872-07542021000300143</article-id>
<article-id pub-id-type="doi">10.25753/birthgrowthmj.v30.i1.18910</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Watchful waiting? Portuguese approach to otitis media with effusion]]></article-title>
<article-title xml:lang="pt"><![CDATA[Atitude expetante? Abordagem portuguesa à otite média com efusão]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vera-Cruz]]></surname>
<given-names><![CDATA[Paulo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Larroudé]]></surname>
<given-names><![CDATA[António]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gouveia]]></surname>
<given-names><![CDATA[Nélia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendes]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Coelho]]></surname>
<given-names><![CDATA[Pedro Simões]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Nova de Lisboa Faculdade de Ciências Médicas Nova Medical School]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital da Luz - Lisboa  ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade Nova de Lisboa Nova Information Management School ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>09</month>
<year>2021</year>
</pub-date>
<volume>30</volume>
<numero>3</numero>
<fpage>143</fpage>
<lpage>151</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0872-07542021000300143&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0872-07542021000300143&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0872-07542021000300143&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Introduction and objective: Otitis media with effusion (OME) is an important public health problem. Several clinical practice guidelines for diagnosis and treatment of OME are in place, including from the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS). This study aimed to evaluate the clinical practice of OME diagnosis and treatment among the Otolaryngology medical community working in Portugal.  Material and methods: A questionnaire was developed based on AAO-HNS guidelines regarding placement of tympanostomy tubes in children. Each directive was transformed into a question, and further questions were added to improve the characterization of the population and its practices.  Results: Answers provided agreed with &#8220;recommendations&#8221; and &#8220;recommendations against&#8221; enunciated in the guidelines. The exceptions were recommendations regarding the adoption of measures to prevent water from entering the external ear canal of children with tympanostomy tubes and the use of drugs. Questions asked outside guidelines scope revealed that 96.7% of doctors consider children&#8217;s age and 49.1% wait for the end of summer when deciding about surgery for tube placement, 68% recommend bathing in beaches, and 21.9% recommend mineral water treatment.  Conclusion: These results suggest that Portuguese otolaryngologists act according to the latest international guidelines and consider factors like season, bathing in beaches, and mineral water treatment in surgical or treatment decisions.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução e objetivo:  A otite media com efusão (OME) é um importante problema de saúde pública. Existem várias orientações clínicas para o diagnóstico e tratamento, incluindo as da Academia Americana de Otorrinolaringologia - Cirurgia da Cabeça e Pescoço (AAO-HNS). O objetivo deste estudo foi avaliar a prática clínica de diagnóstico e tratamento da OME entre a comunidade de otorrinolaringologistas em Portugal.  Material e métodos:  Foi desenvolvido um questionário baseado nas orientações da AAO-HNS sobre colocação de tubos de ventilação transtimpânicos em crianças, convertendo cada recomendação numa questão e acrescentando outras para melhor caracterizar a população de otorrinolaringologistas e a sua prática.  Resultados: As respostas dos médicos estiveram de acordo com as &#8220;recomendações&#8221; e &#8220;recomendações contra&#8221; enunciadas nas orientações da AAO-HNS. As exceções foram as recomendações relativas à adoção de medidas de evicção de entrada de água no canal auditivo externo em crianças com tubos transtimpânicos e ao uso de fármacos. As questões colocadas fora do âmbito das orientações da AAO-HNS indicaram que 96.7% dos otorrinolaringologistas considera a idade da criança e 49.1% aguarda pelo final do verão para decidir sobre a colocação de tubos transtimpânicos, 68% recomenda banhos de mar e 21.9% recomenda termalismo.  Conclusão:  Os resultados deste estudo demonstram que a abordagem dos otorrinolaringologistas portugueses à OME está de acordo com as orientações clínicas internacionais consensualmente aceites e que estes consideram a estação do ano, banhos de mar e termalismo no tratamento e decisão cirúrgica.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[bathing beaches]]></kwd>
<kwd lng="en"><![CDATA[guideline]]></kwd>
<kwd lng="en"><![CDATA[mineral water]]></kwd>
<kwd lng="en"><![CDATA[otitis media with effusion]]></kwd>
<kwd lng="en"><![CDATA[season]]></kwd>
<kwd lng="pt"><![CDATA[banhos de mar]]></kwd>
<kwd lng="pt"><![CDATA[estação]]></kwd>
<kwd lng="pt"><![CDATA[orientações clínicas]]></kwd>
<kwd lng="pt"><![CDATA[otite media com efusão]]></kwd>
<kwd lng="pt"><![CDATA[termalismo]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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