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Arch Pediatr Adolesc Med. 2003;157:852-853.

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ALTERNATIVE AND complimentary therapies for acute otitis media (AOM) are of growing interest to physicians and parents. Osteopathic manipulation treatment (OMT) is a frequently used alternative therapy for AOM among practitioners trained and skilled in the technique. In this issue of ARCHIVES, Mills et al¹ introduce the allopathic community to the modalities applied by osteopathic physicians as treatment for AOM and their effect on outcomes. Using a randomized controlled trial design, the investigators looked for differences in frequency of AOM episodes, surgical procedures with tympanostomy tubes, and surgery-free months. Among children prone to having AOM who received OMT vs control subjects across 6 months of intervention, small but statistically significant differences were found favoring OMT. Let's take a look at the methods.

The investigators conducted this study in 4 locations across 2 years and were able to successfully recruit and retain 57 patients. From the denominator of patients with AOM, . . . [Full Text of this Article]

Michael E. Pichichero, MD
Elmwood Pediatric Group
University of Rochester Medical Center
601 Elmwood Ave, Box 672
Rochester, NY 14642

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