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British Medical Bulletin 43:950-965 (1987)
© 1987 The British Council

research-article

Secretory otitis media in childhood

A Richard Maw

Department of Otolaryngology, Bristol Royal Infirmary, and the Royal Hospital for Sick Children Bristol

Abstract

Secretory otitis media occurs very commonly during infancy and in early childhood. It may be mild, transient and without obvious symptoms, but its more severe forms can impair hearing ability and result in difficulties of speech, language, or learning. Spontaneous resolution of more severe forms usually occurs after the age of seven or eight, but some cases persist with residual middle ear changes for many years. Diagnosis is made by pneumatic otoscopy, tympanometry and audiometry, but is ultimately confirmed by myringotomy and aspiration. Medical treatment for established cases will not effect a cure. In such children surgery may be required to correct hearing impairment and prevent recurrence. Myringotomy with or without insertion of a grommet or ventilation tube may be performed alone or in combination with adenoidectomy in selected cases. The indications for surgery and the long term effects of such treatment require further evaluation.


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