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Indications for referral include:
- five episodes of acute otitis media over the winter months, or six episodes in a year
- uncertainty about the diagnosis
- acute otitis media associated with serous otitis media which has not responded to medical therapy
- immediate referral for specialist review is required if complications such as mastoiditis or facial paralysis (1)
Referral may be advisable in persons with craniofacial abnormalities (1).
Last reviewed 01/2018