Following statements are true about otitis media with effusion in a child
A. Immediate myringotomy is doneB. Type B tympanogram
C. The effusion of middle ear is sterile
D. Most common cause of deafness in a child in day care patients.
E. None of the above.
Ans. (B) Type B tympanogram; (C) The effusion of middle ear is sterile; (D) Most common cause of deafness in a child in day care patients
• Otitis media with effusion or secretory otitis media or mucoid otitis media or glue ear is an
insidious condition characterized by accumulation of non-purulent effusion in the middle ear
cleft.
oThe effusion is often thick and viscid but may be thin and serous and is nearly always sterile
• The disease commonly affects school going children, 5-8 yrs of age.
• C/F- Hearing loss is the presenting and sometimes the only symptom
- Delayed and defective speech
- Mild ear aches
• Diagnosis
Otoscopy- Dull opaque TM with loss of light reflex -decreased mobility of TM
- Hearing tests Conductive hearing loss of 20-40 dB.
- Clouding of mastoid air cells in X—ray mastoids.
- Type—B tympanogram.
• Treatment: In secretory otitis media, Myringotomy is done for aeration of middle ear (grommet insertion) & removal of secretions.
