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Using an online survey, members of the Pediatric Otolaryngology Subspecialty Group within the Canadian Society of Otolaryngology \u2013 Head &amp; Neck Surgery developed a list of nine evidence based recommendations to help physicians and patients make treatment decisions regarding common pediatric otolaryngology presentations: (1) Don't routinely order a plain film x-ray in the evaluation of nasal fractures; (2) Don't order imaging to distinguish acute bacterial sinusitis from an upper respiratory infection; (3) Don't place tympanostomy tubes in most children for a single episode of otitis media with effusion of less than 3\u2009months duration; (4) Don't routinely prescribe intranasal\/systemic steroids, antihistamines or decongestants for children with uncomplicated otitis media with effusion; (5) Don't prescribe oral antibiotics for children with uncomplicated tympanostomy tube otorrhea or uncomplicated acute otitis externa; (6) Don't prescribe codeine for post-tonsillectomy\/adenoidectomy pain relief in children; (7) Don't administer perioperative antibiotics for elective tonsillectomy in children; (8) Don't perform tonsillectomy for children with uncomplicated recurrent throat infections if there have been fewer than 7 episodes in the past year, 5 episodes in each of the past 2\u2009years, or 3 episodes in each of the last 3\u2009years; and (9) Don't perform endoscopic sinus surgery for uncomplicated pediatric chronic rhinosinusitis prior to failure of maximal medical therapy and adenoidectomy. <\/jats:p>","DOI":"10.1186\/s40463-021-00533-x","type":"journal-article","created":{"date-parts":[[2021,10,29]],"date-time":"2021-10-29T13:03:54Z","timestamp":1635512634000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Choosing Wisely Canada \u2013 pediatric otolaryngology recommendations"],"prefix":"10.1177","volume":"50","author":[{"given":"Mitchell","family":"McDonough","sequence":"first","affiliation":[{"name":"Dalhousie Medicine New Brunswick, Saint John, New Brunswick, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kalpesh","family":"Hathi","sequence":"additional","affiliation":[{"name":"Dalhousie Medicine New Brunswick, Saint John, New Brunswick, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerard","family":"Corsten","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology - Head & Neck Surgery, Department of Surgery, Dalhousie University, 5850\/5920 University Ave, B3K 6R8 PO Box 9700, Halifax, Nova Scotia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher J.","family":"Chin","sequence":"additional","affiliation":[{"name":"Dalhousie Medicine New Brunswick, Saint John, New Brunswick, Canada"},{"name":"Division of Otolaryngology - Head & Neck Surgery, Department of Surgery, Dalhousie University, 5850\/5920 University Ave, B3K 6R8 PO Box 9700, Halifax, Nova Scotia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Campisi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Cavanagh","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology - Head & Neck Surgery, Department of Surgery, Memorial University of Newfoundland, St. John's, Newfoundland and Labrador, Newfoundland, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"Chadha","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology - Head & Neck Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. 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