Otolaryngology Book

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Serous Otitis Media

Aka: Serous Otitis Media, Non-suppurative Otitis Media, Mucoid Otitis Media, Otitis Media with Effusion, Secretory Otitis Media, Glue Ear
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  1. Definition
    1. Retention of transudate fluid in middle ear
  2. Signs:
    1. Dull grey, amber or red TM
    2. Bubbles or air fluid levels
    3. TM retracted and moves to negative pressure
    4. TM thickened and increased vascularity => opaque
    5. EntSerousOtitisMedia.jpg
    6. Hearing Loss (<30 DB)
  3. Management
    1. Measures shown to be not efficacious
      1. Avoid Decongestants
      2. Avoid Antihistamines
      3. Avoid Systemic Corticosteroids
        1. Butler (2001) Arch Pediatr Adolesc Med 155:641-7
        2. Mandel (2002) Pediatrics 110:1071-80
    2. Consider intranasal Corticosteroids
      1. (2012) Presc Lett 19(2): 9
    3. Antibiotic Indications
      1. Bacterial URI present
      2. Children at risk for Otitis Media
    4. Valsalva Maneuver
    5. Myringotomy and Tympanostomy Tube placement Indications
      1. See Tympanostomy Tube
  4. Complications
    1. Adhesive Otitis Media

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