II. Definition

  1. Retention of transudate fluid in middle ear

III. Signs:

  1. Dull grey, amber or red TM
  2. Bubbles or air fluid levels
  3. TM retracted and moves to negative pressure (Eustachian Tube Dysfunction)
  4. TM thickened and increased vascularity to opaque
  5. Hearing Loss (<30 DB)
  6. Images
    1. EntSerousOtitisMedia.jpg

IV. Course: Natural course following Otitis Media

  1. At 2 weeks: 70% have persistent effusion
  2. At 4 weeks: 40%
  3. At 2 months: 20%
  4. At 3 months: 10%

V. Management

  1. Otolaryngology referral indications
    1. Persistent serous effusion >3 months
    2. Adhesive Otitis Media signs
  2. Myringotomy and Tympanostomy Tube placement Indications
    1. See Tympanostomy Tube for indications
    2. Consider after 3 months of persistent effusion
  3. Measures shown to be not efficacious
    1. Avoid Decongestants
    2. Avoid Antihistamines
    3. Avoid antibiotics
    4. Avoid Systemic Corticosteroids
      1. Butler (2001) Arch Pediatr Adolesc Med 155:641-7 [PubMed]
      2. Mandel (2002) Pediatrics 110:1071-80 [PubMed]
  4. Consider Intranasal Corticosteroids if comorbid Allergic Rhinitis
    1. (2012) Presc Lett 19(2): 9

VI. Complications

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Ontology: Otitis Media with Effusion (C0029883)

Definition (NCI) Otitis media associated with accumulation of fluid in the middle ear.
Definition (MSH) Inflammation of the middle ear with a clear pale yellow-colored transudate.
Concepts Disease or Syndrome (T047)
MSH D010034
ICD10 H65.3 , H65.9
SnomedCT 62450001, 194251006, 267754001, 43481006, 232255003, 155220003, 194264007, 78868004
English Otitis Media with Effusion, Otitis Media, Secretory, OME - Otitis media+effusion, Ear Effusion, Middle, Ear Effusions, Middle, Effusion, Middle Ear, Effusions, Middle Ear, Middle Ear Effusion, Middle Ear Effusions, Otit med with effusion, mucoid, mucoid otitis media (diagnosis), transudative otitis media, secretory otitis media, mucoid otitis media, secretory nonsuppurative otitis media, mucoid nonsuppurative otitis media, transudative otitis media (diagnosis), transudative nonsuppurative otitis media, secretory otitis media (diagnosis), Serous otitis media (glue ear), Secretory otitis media NOS, Mucoid otitis media NOS, Transudative otitis media NOS, Otitis Media with Effusion [Disease/Finding], chronic effusion media otitis, ears glue, Effusion;middle ear, effusion otitis media, ear glue, effusion media otitis, media otitis secretory, otitis media with effusion, middle ear effusions, glue ear, otitis media effusion, Mucoid otitis media (disorder), "Glue ear", Secretory otitis media (disorder), Otitis media with effusion (disorder), Mucoid otitis media NOS (disorder), Middle ear effusion, Otitis media with effusion, Glue ear, Mucoid otitis media, Secretory otitis media, Transudative otitis media, OME - Otitis media with effusion, SOM - Secretory otitis media, Glue ear - mucoid, Otitis media with effusion - mucoid, media; otitis, transudative, otitis; media, effusion, otitis; media, mucoid, otitis; media, secretory, otitis; media, transudative, Secretory Otitis Media, Otitis media, with effusion, Otitis media, mucoid, Otitis media, secretory, Otitis media, transudative, middle ear effusion
Italian Versamento dell'orecchio medio, Otite media secretiva, Otite sierosa media (colla auricolare), Otite media secretoria, Otite media con versamento
Dutch secretoire otitis media, glue ear, sereuze otitis media (glue ear), media; otitis, transsudatief, otitis; media, effusie, otitis; media, mucoïd, otitis; media, secretoir, otitis; media, transsudatief, vochtophoping in middenoor, Effusie, Otitis media met, Middenooreffusie, Otitis media met effusie, Otitis media, met effusie, Otitis media, secetoire
French Otite moyenne adhésive, Otite moyenne adhésive (oreille collante), Effusion de l'oreille moyenne, Otite moyenne sécrétoire, Otite moyenne séromuqueuse, Otite moyenne avec épanchement séro-muqueux, Otite moyenne avec épanchement séromuqueux
German Leimohr, sekretorische Otitis media, seroese Otitis media (Leimohr), Mittelohrerguss, Otitis media, sekretorische, Mittelohrerguß, Otitis media mit Erguß
Portuguese Otite média serosa, Otite média secretora, Otite Média Secretora, Derrame do Ouvido Médio, Efusão da orelha média, Derrame da Orelha Média, Otite Média com Derrame, Otite Média Secretória
Spanish Otitis media secretora, Otitis media serosa (oido gomoso), Otitis media serosa, otitis media secretoria (concepto no activo), otitis media mucoide, otitis media mucoide (concepto no activo), otitis media secretoria, otitis media mucoide, SAI (trastorno), otitis media mucoide, SAI, Otitis Media Secretora, otitis media con derrame, otitis media transudativa, Efusión en oído medio, Derrame del Oído Medio, Otitis Media con Derrame, Otitis Media Secretoria
Japanese 中耳滲出液, 分泌性中耳炎, ショウエキセイチュウジエン, ブンピツセイチュウジエン, ブンピセイチュウジエン, チュウジシンシュツエキ, 滲出性中耳炎, 中耳炎-漿液性, 中耳炎-滲出性, 漿液性中耳炎
Swedish Öronkatarr
Czech otitis media s výpotkem, Výpotek ve středním uchu, Nahromadění mazu v uchu, Serózní otitis media (nahromadění mazu v uchu), Exudativní otitis media, sekretorická mezotitida, otitis media secretorica, chronický tubotympanální katar, zánět středního ucha s výpotkem, catarrhus tubotympanalis chronicus, klihové ucho
Finnish Sekretorinen välikorvatulehdus
Russian OTIT SREDNII SEROZNYI, OTIT SREDNII SEKRETORNYI, OTIT SREDNII EKSSUDATIVNYI, OTIT SREDNII TRANSSUDATIVNYI, ОТИТ СРЕДНИЙ СЕКРЕТОРНЫЙ, ОТИТ СРЕДНИЙ СЕРОЗНЫЙ, ОТИТ СРЕДНИЙ ТРАНССУДАТИВНЫЙ, ОТИТ СРЕДНИЙ ЭКССУДАТИВНЫЙ
Croatian OTITIS MEDIA, SEROZNI
Polish Zapalenie ucha środkowego wysiękowe
Hungarian Szekretorikus otitis media, mucotympanon, Serosus otitis media (mucotympanon), középfül fluidum

Ontology: Acute serous otitis media (C0155415)

Concepts Disease or Syndrome (T047)
ICD9 381.01
ICD10 H65.0 , H65.00
SnomedCT 11957006, 194240006
Spanish otitis media aguda no supurativa - serosa, Otitis media serosa aguda, Otitis media serosa aguda NEOM, otitis media aguda serosa (trastorno), otitis media aguda no supurativa - serosa (trastorno), otitis media aguda serosa (concepto no activo), otitis media aguda serosa
Dutch acute sereuze otitis media, otitis media sereus acuut, sereuze otitis media acuut NAO, otitis; media, acuut, sereus, otitis; media, sereus, acuut, Acute sereuze otitis media
French Otite moyenne séreuse aiguë, Otite moyenne séreuse aiguë SAI
German akute seroese Otitis media, Otitis media seroes akut, Otitis media seroes akut NNB, Akute seroese Otitis media
Italian Otite media acuta sierosa, Otite media sierosa acuta NAS, Otite media sierosa acuta
Portuguese Otite média serosa aguda, Otite média serosa aguda NE
Japanese 急性滲出性中耳炎, 急性漿液性中耳炎, 急性滲出性中耳炎NOS, キュウセイシンシュツセイチュウジエン, キュウセイシンシュツセイチュウジエンNOS, キュウセイショウエキセイチュウジエン
English acute serous otitis media, acute serous otitis media (diagnosis), Acute non-supp otit med,serous, Otitis media serous acute, Otitis media serous acute NOS, Ac serous otitis media, Acute serous otitis media, unspecified ear, Acute serous otitis media (disorder), Acute non-suppurative otitis media - serous, Acute non-suppurative otitis media - serous (disorder), Acute serous otitis media, otitis; media, acute, serous, otitis; media, serous, acute, Acute serous otitis media (disorder) [Ambiguous]
Czech Akutní serózní otitis media, Akutní serózní otitis media NOS
Korean 급성 장액성중이염
Hungarian Otitis media serosa acuta k.m.n., Acute serosus otitis media, Otitis media serosa acuta

Ontology: Chronic serous otitis media (C0155421)

Concepts Disease or Syndrome (T047)
ICD9 381.1
ICD10 H65.2 , H65.20
SnomedCT 81564005, 155219009, 194245001, 194250007
English Chronic serous otit.media NOS, Chronic serous otitis media NOS, CNSOM with effusion, serous, Otit med with effusion, serous, Chron secret ot media - serous, chronic serous otitis media (diagnosis), chronic serous otitis media, Otitis media serous chronic, Otitis media serous chronic NOS, Simple chronic serous otitis media, NOS, Chronic serous otitis media, NOS, Chronic serous otitis media, unspecified ear, Otitis media with effusion - serous (disorder), Chronic serous otitis media NOS (disorder), Chronic serous otitis media, Chronic secretory otitis media, serous, Glue ear - serous, Otitis media with effusion - serous, Chronic non-suppurative otitis media with effusion - serous, Chronic serous otitis media (disorder), Simple chronic serous otitis media, catarrhal; otitis media, chronic, media; otitis, chronic, catarrhal, otitis; media, catarrhal, chronic, otitis; media, chronic, catarrhal, otitis; media, chronic, serous, otitis; media, serous, chronic
Dutch otitis media sereus chronisch, sereuze otitis media chronisch NAO, chronische sereuze otitis media, catarraal; otitis media, chronisch, media; otitis, chronisch, catarraal, otitis; media, catarraal, chronisch, otitis; media, chronisch, catarraal, otitis; media, chronisch, sereus, otitis; media, sereus, chronisch, Chronische sereuze otitis media
French Otite moyenne séreuse chronique, Otite moyenne séreuse chronique SAI
German Otitis media seroes chronisch NNB, chronische seroese Otitis media, Otitis media seroes chronisch, Chronische seroese Otitis media
Italian Otite media cronica sierosa, Otite media sierosa cronica NAS, Otite media sierosa cronica
Portuguese Otite média serosa crónica NE, Otite média serosa crónica
Spanish Otitis media serosa crónica NEOM, Otitis media serosa crónica, otitis media serosa crónica, SAI, otitis media serosa crónica, SAI (trastorno), otitis media crónica serosa (trastorno), otitis media crónica serosa, otitis media serosa crónica simple
Japanese 慢性滲出性中耳炎, 慢性滲出性中耳炎NOS, 慢性漿液性中耳炎, マンセイショウエキセイチュウジエン, マンセイシンシュツセイチュウジエンNOS, マンセイシンシュツセイチュウジエン
Czech Chronická serózní otitis media, Chronická serózní otitis media NOS
Korean 만성 장액성 중이염
Hungarian Otitis media, serosus, chronicus k.m.n., chronicus serosus otitis media, Otitis media serosa chronica

Ontology: Serous otitis media (C0271453)

Concepts Disease or Syndrome (T047)
MSH D010034
ICD10 H65.9
SnomedCT 194262006, 80327007
English Serous otitis media, Serous Otitis Media, serous otitis media, serous otitis media (diagnosis), serous nonsuppurative otitis media, Otitis media serous, Otitis media serous NOS, Serous otitis media NOS, media otitis serous, Otitis media;serous, otitis media serous, Serous otitis media NOS (disorder), Serous otitis media (disorder), otitis; media, serous, Otitis Media, Serous, Otitis media, serous
Dutch otitis media sereus, sereuze otitis media NAO, Otitis media met effusie, otitis; media, sereus, Otitis media, sereuze
French Otite moyenne séreuse SAI, Otite moyenne séreuse
German Otitis media seroes, Otitis media seroes NNB, Otitis media, seröse
Italian Otite media sierosa NAS, Otite media sierosa
Portuguese Otite média serosa, Otite média serosa NE, Otite Média Serosa
Spanish Otitis media serosa, Otitis media serosa NEOM, Otitis Media Serosa, otitis media serosa, SAI (trastorno), otitis media serosa, SAI, otitis media serosa (trastorno), otitis media serosa
Japanese 滲出性中耳炎NOS, 滲出性中耳炎, シンシュツセイチュウジエン, シンシュツセイチュウジエンNOS
Czech Serózní otitis media NOS, Serózní otitis media, serózní otitis media, serózní zánět středního ucha
Hungarian Otitis media serosus, Otitis media serosus k.m.n.