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Patent Pending Otitis media is a group of inflammatory diseases of the middle ear.[1] The two main types are acute otitis media (AOM) and otitis media with effusion (OME).[2] AOM is an infection of abrupt onset that usually presents with ear pain. In young children this may result in pulling at the ear, increased crying, and poor sleep. Decreased eating and a fever may also be present. OME is typically not associated with symptoms.