Review decision date: February 2014

Review decision: 

Following consultation with stakeholders this guideline has now been placed on the static list.

Next review date: TBC

The advice in the NICE guideline covers:

  • the surgical management of OME in children younger than 12 years
  • guidance for managing OME in children with Down's syndrome and in children with all types of cleft palate.

It does not specifically look at the management of OME in:

  • children with other syndromes (for example, craniofacial dysmorphism or polysaccharide storage disease)
  • children with multiple complex needs.

  • NICE has accredited the process used by the Centre for Clinical Practice at NICE to produce guidelines. Accreditation is valid for 5 years from September 2009 and applies to guidelines produced since April 2007 using the processes described in NICE's 'The guidelines manual' (2007, updated 2009). More information on accreditation can be viewed at