Treatment of choice for glue ear is -
Ans. is 'c' i.e. Myringotomy with ventilation tube insertion Treatment of choice for glue ear is - Myringotomy and aspiration of effusion with placement of ventilation tube.Glue ear or Otitis media with effusion (OME)(also k/a Serous otitis media, secretory otitis media, Mucoid otitis media)OME is characterized by a non-purulent effusion of the middle ear that may be either mucoid or serous.Symptoms usually involve hearing loss or aural fullness but typically do not involve pain or fever. In children hearing loss is generally mild and is often detected only with an audiogram.The fluid is nearly sterile.The condition is commonly seen in school-going children. It is the leading cause of hearing loss in children. PathogenesisTwo main mechanisms are thought to be responsible.Eustachian tube dysfunctionIncreased secretory activity of middle ear mucosa TreatmentTreatment may be medical or surgicalMedical measures are controversial and involveDecongestantsAntiallergic measuresAntibioticsMiddle ear aerationValsalva manoeuvrepolitzerisation or eustachian tube catheterizationchewing gumSurgicalMyringotomy and aspiration of fluidGrommet or ventilation tube insertionSurgical t/t of causative factor - adenoidectomy, tonsillectomy, and/or wash out of maxillary antra.
Conservative
Myringotomy with cold knife
Myringotomy with ventilation tube insertion
Myringotomy with diode laser
Ear