Chronic suppurative otitis media: Burden of Illness and Management Options · Algorithm. Clinical Practice Guideline: Otitis Media with Effusion (Update).Areyouahealthcareprofessional?Theinformationinthiswebsiteisintendedonlyforhealthcareprofessionals.Byenteringthissite,youareconfirmingthatyouareahealthcareprofessional.EnterSite✕Areyoualaboratoryprofessional?Theinformationinthiswebsiteisintendedonlyforlaboratoryprofessionals.Byenteringthissite,youareconfirmingthatyouarealaboratoryprofessional.EnterSite✕AllergyAllergyOverviewRespiratoryAllergiesRespiratoryAllergiesOverviewAllergicRhinitisIndoorAllergiesFoodAllergiesFoodAllergiesOverviewCow'sMilkAllergyEggAllergyPeanutAllergyTreeNutAllergyFishAllergyShellfishAllergyWheatAllergySoyAllergyAtopicDermatitisUrticariaPetAllergyVenomAllergyDrugAllergyLatexAllergyChronicOtitisMediaMastocytosisAsthmaAutoimmuneDiseaseAutoimmuneDiseaseOverviewAntiphospholipidSyndromeConnectiveTissueDiseasesGastrointestinalDiseasesRheumatoidArthritisAutoimmuneThyroidDiseaseVasculitisHowtoTestHowtoTestOverviewAllergyTestingOptionsAutoimmunityTestingOptionsResourceCenterAllergenEncyclopediaContactUsHomeAllergyChronicOtitisMedia  ChronicOtitisMedia:Overview,Diagnosis,andTreatmentSymptomsDiagnosisManagementPracticeParametersTestingInformationAboutChronicOtitisMediaChronicserousotitismedia(CSOM)maybedefinedasamiddleeareffusionwithoutperforationthatisreportedtopersistformorethanonetothreemonths.1Althoughmostoftheproblemswithchronicserousotitismediaareassociatedwithinfections,allergicsensitizationscanbeariskfactorforrecurrentepisodesoftheillness.Itisthoughtthatapproximately20percentofpatientswithchronicserousotitismediahaveacontributingunderlyingallergy.2Thereisalsoasignificantcorrelationbetweenchronicotitismediaandallergicdisease.3Unfortunately,symptomsofotitismediawitheffusion(OME)areoftenexacerbatedbycoexistingallergies.Tofurthercomplicatediagnosisandtreatmentisthefactthatupto80percentofpatientswithallergiesaresensitizedtomorethanoneallergen.4Payingcl