Otitis Media with Effusion (OME)/ Secretory Otitis Media (SOM)
Accumulation of fluid into middle ear cavity (spaces) that alter the function of eustachian tube function result in arise negative pressure.
It interfere with hearing.
Middle ear filled with glue like thick substance, causing conductive hearing impairment and aural fullness.
OME characterized by mucoid or serous effusion, not purulent effusion.
Clinical Manifestations
1. Hearing impairment
2. Discharge from ear
3. Fullness of ear
4. Otalgia
5. Fever
Diagnostic Evaluation
1. Culture
2. Audiogram
Treatment
1. Antimicrobial agents
Amoxicillin, amoxicillin-clavulanic, erythromycin
2. Surgical management
Tympanocentesis
Laser Myringotomy
Adenoidectomy
0 Comments