Study on management of secretory otitis media: a clinical study

Abstract

<p class="abstract"><strong>Background:</strong> The secretory otitis media is insidious in onset and usually runs long course. The clinical presentation varies accordingly. The condition occurs in childhood as hearing loss, as an educational or behavioral problem. In younger children it may present as speech and language, delay, or as articulation defect<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> Fifty cases of suspected secretory otitis media under the age group of 13 years were selected for clinical pathological evaluation and management. Once the diagnosis was confirmed by pure tone audiometry as a secretory otitis media, the fluid aspiration was done and sent for culture sensitivity X-ray mastoid was taken in all cases<span lang="EN-IN">. </span></p><p class="abstract"><strong>Results:</strong> <span>The fluid was aspirated through the tympanic membrane by way of </span>sterile needle and sent for bacteriology. It was observed that, <em>Streptococcus <span>pneumoniae</span></em><span> was the predominant organism isolated. Next in the order was </span><em>H. influenzae</em>, <em>N. catarrhalis</em><span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> In the culture sensitivity there was preponderance of <em>Streptococcus pneumoniae</em> organisms in the fluid.</p>