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่2014. Neff MJ; AAP; AAFP; AAO-HNS. AAP, AAFP, AAO-HNS release guideline ondiagnosis and management of otitis media with effusion. Am Fam Physician 2004;69:929-31.15. Blustone CD, Tympanostomy tubes and related procedures. In: Blustone CD, RosenfeldRM. Surgical atlas of pediatric otolaryngology. London: BC Decker Inc; 2002;1-20.16. Mandel EM, Casselbrant ML. Antibiotics for otitis media with effusion. Minerva Pediatr2004;56:481-95.17. Fergie N, Bayston R, Pearson JP, Birchall JP. Is otitis media with effusion a biofilminfection? Clin Otolaryngol Allied Sci 2004;29:38-46.18. Dagan R, Leibovitz E, Leiberman A, Yagupsky P. Clinical significance of resistantorganisms in otitis media. Pediatr Infect Dis J 2000;19:378-82.19. จรรยา วงศ์กิตถาวร,วันดี ไข่มุกข์. ภาวะแทรกซ้อนภายหลังการใส่ท่อปรับความดันในหูชั ้นกลางทีประดิษฐ์ในโรงพยาบาลสงขลานครินทร์. สงขลานครินทร์เวชสาร 2549;4:275-80.20. Hochman J, Blakley B, Abdoh A, Aleid H. Post-tympanostomy tube otorrhea: a metaanalysis.Otolaryngol Head Neck Surg 2006;135:8-11.21. Gehanno P, Lenoir G, Barry B, Bons J, Boucot I, Berche P. Evaluation of nasopharyngealcultures for bacteriologic assessment of acute otitis media in children. Pediatr Infect Dis J1996;15:329-32.22. Syrjanen RK, Herva EE, Makela PH, Puhakka HJ, Auranen KJ, Takala AK, et al. Thevalue of nasopharyngeal culture in predicting the etiology of acute otitis media in childrenless than two years of age. Pediatr Infect Dis J 2006;25:1032-6.23. Eldan M, Leibovitz E, Piglansky L, Raiz S, Press J, Yagupsky P, et al. Predictive value ofpneumococcal nasopharyngeal cultures for the assessment of nonresponsive acute otitismedia in children. Pediatr Infect Dis J 2000;19:298-303.24. Blustone CD, Klein JO. Anatomy. In: Blustone CD, Klein JO, editors. Otitis media ininfants and children. 2 nd ed. Philadelphia: W.B. Saunders Company; 1995;16-33.25. Brook I. Microbiological studies of the bacterial flora of the external auditory canal inchildren. Acta Otolaryngol 1981;91:285-7.26. Ostfeld E, Segal J, Segal A, Bogokovski B. Bacterial colonization of the nose and externalear canal in newborn infants. Isr J Med Sci 1983;19:1046-9.27. Post JC, Aul JJ, White GJ, Wadowsky RM, Zavoral T, Tabari R, et al. PCR-baseddetection of bacterial DNA after antimicrobial treatment is indicative of persistent, viablebacteria in the chinchilla model of otitis media. Am J Otolaryngol 1996;17:106-11.