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  1. Perform laryngoscopy in patients with dysphonia that does not resolve or improve within 4 weeks or of any duration if a serious underlying etiology is suspected.

  2. Do not prescribe empiric drugs (ie, antibiotics, corticosteroids, antireflux drugs) for management of dysphonia without visualization of the larynx.

  3. For patients with acute laryngitis, do not prescribe antibiotics unless a superimposed bacterial infection is present.

  4. For patients with temporomandibular disorders, recommend nonsteroidal anti-inflammatory drugs as first-line pharmacotherapies.

  5. In cases of uncomplicated acute otitis media (AOM), observation for 48 hours with close follow-up is an option for immunocompetent infants and children ages 6 to 23 months with unilateral AOM without severe signs or symptoms (ie, mild otalgia for less than 48 hours and a temperature less than 39°C [102.2°F]).

  6. In cases of uncomplicated AOM, observation for 48 hours with close follow-up is an option for immunocompetent children 2 years or older with unilateral or bilateral AOM without severe signs or symptoms (ie, mild otalgia for less than 48 hours and a temperature less than 39°C [102.2°F]).

Resources

  1. Strength of Evidence: SORT C

    Source: Otolaryngol Head Neck Surg, reference 1

  2. Website: https://journals.sagepub.com/doi/full/10.1177/0194599817751030

  3. Strength of Evidence: SORT C

    Source: Otolaryngol Head Neck Surg, reference 1

  4. Website: https://journals.sagepub.com/doi/full/10.1177/0194599817751030

  5. Strength of Evidence: SORT A

    Sources: Dtsch Arztebl Int, Cochrane Database Syst Rev, references 4 and 8

  6. Websites: https://www.aerzteblatt.de/int/archive/article/170479; https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004783.pub5/full

  7. Strength of Evidence: SORT B

    Sources: Oral Maxillofac Surg Clin North Am, Clin Exp Dent Res, references 38 and 44

  8. Websites: https://www.sciencedirect.com/science/article/abs/pii/S104236990700132X; https://onlinelibrary.wiley.com/doi/full/10.1002/cre2.241

  9. Strength of Evidence: SORT B

    Source: Pediatrics, reference 95

  10. Website: https://pediatrics.aappublications.org/content/131/3/e964.long

  11. Strength of Evidence: SORT B

    Source: Pediatrics, reference 95

  12. Website: https://pediatrics.aappublications.org/content/131/3/e964.long

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