In serous otitis media, which one of the following statements is true?
Ans. C tympanostomy tubes are usually required for treatmentLets see at the options one by one:Serous otitis media:Option aSensori neural deafness occurs as a complication in 80% of casesThis is not correct because serous otitis media leads to conductive type of hearing loss.Option bIntracranial spread of the infection complicates the clinical courseThis is not true as complications of serous otitis media are:Adhesive otitis mediaAtrophy of tympanic membraneTympanosclerosis (chalky white deposits seen on. membrane)Atelectasis of middle earOssicular necrosisCholesteatoma due to retraction pocketsCholesterol granuloma due to stasis of secretionsOption cTympanostomy tubes are usually required for treatment:This is quite correct as myringotomy and aspiration of middle ear effusion without ventilation tube/Tyrnpanostomy tube/ grommet inseion has a sho lived benefit and is not-recommendedHence if otitis media with effusion I serous OM is notresolved spontaneously, tympanostomy tube is inseed. Option dGram positive organism are grown routinely in culture in the aspirateAbsolutely incorrect because fluid collection in serous otitis media ls sterile
Sensorineural deafness occurs as a complication in 80% of the cases
Intracranial spread of the infection complicates the clinical courses
Tympanostomy tubes are usually required for treatment
Gram-positive organisms are grown routinely in culture in the aspirate