• Sohail Ahmad Malik
  • Raza Muhammad
  • Muhammad Yousaf
  • Imran Shah


Background: Secretory otitis media is a very important and common ENT disease, especially in the children. The aetiology of Secretory otitis media is multifocal, and the treatment is initially medical or conservative and if it fails then surgery is indicated. The objective of the study was to determine the efficacy of medical treatment in the management of Secretory otitis media. Methods: This cross sectional descriptive study was conducted at the outpatient department of ENT, Ayub Medical Institute (AMI) Abbottabad, from Mar to Sep 2013. A total of 40 patients were included in this study and standard medical treatment of secretory otitis media was given. The patients were followed up at 2nd and then 4th week and results were analysed. Results: Both clinical and audiological diagnosis of secretory otitis media was made and patients were followed up at 2nd and 4th week to see the effect of treatment. Among 40 patients, 26 (65%) completely recovered from the disease while 14 patients (35%) did not improve. Conclusion: Conservative treatment is effective in the management of Secretory otitis media.Keywords: Secretory otitis media, Conservative Treatment, effectiveness


Chang CW, Yang YW, Fu CY, Shiao AS. Differences between children and adults with otitis media with effusion treated with CO2 laser myringotomy. J Chin Med Assoc 2012;75:29–35.

Kuo CL, Wang MC, Chu CH, Shiao AS. Re-evaluation of CO2 laser myringotomy for managing children with persistent acute otitis media. J Chin Med Assoc 2011;74:413–8.

Koopman JP, Reuchlin AG, Kummer EE, Boumans LJ, Rijntjes E, Hoeve LJ, et al. Laser myringotomy versus ventilation tubes in children with otitis media with effusion: a randomized trial. Laryngoscope 2004;114:844–9.

Prokopakis EP, Lachanas VA, Christodoulou PN, Bizakis JG, Karatzanis AD, Velegrakis GA. Implications of laser assisted tymanotomy in adults. Otol Neurotol 2005;26:361–3.

Kuo CL, Wang MC, Chu CH, Shiao AS. New therapeutic strategy for treating otitis media with effusion in postirradiated nasopharyngeal carcinoma patients. J Chin Med Assoc. 2011;75:329–34.

Kouwen HB, DeJonckere PH. Prevalence of OME is reduced in young children using chewing gum. Ear Hear 2007;28:451–5.

Vlastarakos PV, Nikolopoulos TP, Korres S, Tavoulari E, Tzagaroulakis A, Ferekidis E.. Grommets in otitis media with effusion: the most frequent operation in children. But is it associated with significant complications? Eur J Pediatr 2007;66:385-91.

Kouwen H, Van Balen FA, Dejonckere PH. Functional tubal therapy for persistent otitis media with effusion in children: myth or evidence? Int J Pediatr Otorhinolaryngol 2005;69:943–51.

Koten M, Uzun C, Yagiz R, Adali MK, Karasalihoglu AR, Tatman-Otkun M, et al. Nebulized surfactant as a treatment of choice for otitis media with effusion, an experimental study in the rabbit. J Otolaryngol Otol 2001;115:363–8.

Maln L, Tjernstorm O. Drug induced changes in Eustachian tube function. J Ear Nose Throat J 1998;77:778–82.

Malm L, White P. Beta agonists and surfactant in Eustachian tube function. Acta Otolaryngol Suppl 1992;493:133–6.

Ovesen T, Borglum JD. New aspects of secretory otitis media, Eustchain tube function and middle ear gas. J Ear Nose Throat 1998;77:770–7.

Williamson JG, Dunleavey J, Brain J Robinson BA. The natural history of otitis media with effusion--a three-year study of the incidence and prevalence of abnormal tympanograms in four South West Hampshire infant and first schools. J Otolaryngol Otol 1994;108:930–4.

Maw AR. Otitis media with effusion. In: Adams DA, Cinnamond MJ, editors. Scott Brown’s Paediatric otolaryngology. 6th ed. Oxford: Butterworth Heinemann; 1997.p. 3–7.

Paradise JL. Paediatrician’s view of middle ear effusion, more questions than answers. Ann Otol Rhinol Laryngol 1976;82(2 Suppl 25 Pt 2):20–4.

Maw AR. Secretory otitis media. In: Ludman H, Wright T, editors. Diseases of the ear. 6th ed. New York: Oxford University Press; 1998.p. 364–7.

Rubenstein MM, McBean JB, Hedgecock LD, Stickler GB. The treatment of acute otitis media in children. 3. A third clinical trial. Am J Dis Child 1965;109:308–13.

Olson Al, Lkein Sw, Charney E, MacWhinney JB Jr, McInerny TK, Miller RL, et al. Prevention and therapy of serous otitis media by oral decongestant, Adouble blind study in paediatric practice. Pediatrics 1998;61:679–84.



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