AOM with tympanostomy tubes (AOMT) is a very common disease given that AOM is the most common diagnosis for which children are treated with antibiotics, and that tympanostomy tube (TT) placement is the most common surgery performed on children. With a TT in place, the middle ear is accessible to topical medications applied to the external auditory canal. Despite that, AOMT continues to be managed in a large percentage of cases with oral antibiotics often to the exclusion of a topical agent.

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