A 18-month-old boy is brought by parents to his family physician with a 2-day history of fever, irritability, and frequent tugging of his left ear. The physician diagnoses acute otitis media and treated with antibiotics. In follow-up 2 months later, otoscopic examination, air-fluid levels are seen in the left ear. Medical management is failed to resolve the effusion. Treatment of choice in this child is:
Surgical measures of serous otitis media: Myringotomy and aspiration of fluids Grommet inseion Tympanotomy or coical mastoidectomy Surgical treatment of causative factor
Conservative
Tympanoplasty
Myringotomy with ventilation tube inseion
Myringotomy with diode laser