A Clinical Prospective Study of Secretory Otits Media – And its Management

Abstract

Secretory otitis media is the most common cause of conductive hearing loss in children. Secretory otitis media  is  generally  self-limiting,  but occurs  during a  period  when poor  hearing will  impede speech and language development. This is a prospective study of the epidemiological profile, predisposing factors, clinical profile of secretory otitis media. This study also compares the conservative treatment with early surgical Treatment in Patient with secretory otitis media. Eustachian tube dysfunction is one of the commonly associated problems in OME. Enlarged and infected adenoids the leading cause of Eustachian tube dysfunction in children and young adults. Adenoidectomy in children having hypertrophied adenoidswith SOM, not only relieves. Eustachian tube obstruction but also removes the source of infection. This leads to clearance of middle ear effusion and improvement in hearing postoperatively. Adenoidectomy  is being increasingly used  for  the  treatment of  SOM because recent studies have  confirmed its effectiveness. The historical rationale for their moval of adenoids in children with SOM has been enlargement causing nasal  obstruction and  mouth breathing.