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Table 1

Summary of included case reports

ReferencesPeer reviewed?SampleType of OMManipulative treatmentResultsAdverse eventsQuality?
Stone-McCoy et al14YesMale; 9 moAOMChiropractic: toggle, activator, & cranialNo infection noted during the 6 wk of care and need for tubes was eliminated.Not statedGood
Cuthbert and Rosner15YesFemale; 6 yRecurrent AOMChiropractic: applied kinesiologyAfter 4 visits over 3 mo, ear infections resolved and had not returned over the following 2 y.Not statedFair
Brown16YesFemale; 3 yOMEChiropractic: diversified & activatorMarked resolution of bilateral ear pain and restoration of hearing confirmed with medical audiology reports.Not statedGood
Erickson et al17YesMale; 11 moChronic OMIntegrative care: medical, homeopathic, & chiropracticReduced symptoms and fewer recurrences.Not statedFair
Alcantara and Beattie18YesMale; 2 yChronic bilateral “glue ear”Chiropractic adjustmentsAbstract only. Improved tympanometric testing, speech, and auditory function.Not statedPoor
Saunders19YesMale; 3 1/2 yChronic OMEChiropractic adjustmentDecreased discharge after initial treatment with improved hearing test after 3 mo.Not statedGood
Stenson20NoFemale; 5 yChronic OMChiropractic adjustmentsReduced occurrences.Not statedPoor
Hochman21No2 Females; 2 & 4 yChronic OMChiropractic: sacral occipital technique & craniopathyImproved symptoms after first treatment with no returned symptoms in 3 mo.Not statedPoor
Khorshid K22NoFemale; 3 ySerous OMChiropractic: full spine diversifiedAfter 1 mo of twice a wk care, her ears had “healed up.”Not statedPoor
Pratt-Harrington7YesFemale; 14 moAOMOsteopathic: GalbreathSymptoms resolved. When recurrent symptoms began and were treated immediately, symptoms cleared up without any complications.Not statedFair
Hough23NoFemale; 11 mo & Male; 7 moAOMChiropractic adjustments & endonasal proceduresReduced symptoms and recurrence were resolved more quickly.Not statedFair
Warner and Warner24NoFemale; 3 1/2 yChronic serous OMChiropractic: high-velocity, low-amplitudeSymptoms immediately began to improve and resolved after first mo of care.Not statedPoor
Amalu25NoMale; 5 yChronic OMChiropractic: upper cervicalFirst month free of OM in 9 mo.Not statedFair
Thomas26YesMale; 11 moNot specified; possibly chronic OMChiropractic: diversifiedResolution of all symptoms.Not statedPoor
Phillips27YesFemale; 23 moChronic OMChiropractic: activatorSymptoms cleared and remained clear for the following 4 y.Not statedFair
AOM, Acute otitis media; mo, month(s); OM, otitis media; wk, week(s); y, year(s).