In serous otitis media which one of the following statements is true –
Correct Answer: Tympanostomy tubes are usually required for treatement
Description: Lets look at the options one by one:
Serous otitis media:
Option a
Sensori neural deafness occurs as a complication in 80% of cases
This is not correct because serous otitis media leads to conductive type of hearing loss.
Option b
Intracranial spread of the infection complicates the clinical course
This is not true as complications of serous otitis media are:
Adhesive otitis media
Atrophy of tympanic membrane
[ Tympanosclerosis (chalky white deposits seen on membrane)
Atelectasis of middle ear
Ossicular necrosis
Cholesteatoma due to retraction pockets
Cholesterol granuloma due to stasis of secretions
Option c
This is correct because if medical management fails, best treatment is myringotomy with insertion of Tympanostomy tube (Grommet or ventilation tube)
Option d
Gram positive organism are grown routinely in culture in the aspirate
Absolutely incorrect because fluid collection in serous otitis media is sterile
Category:
ENT
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