Glue Ear Or Serous Otitis Media

Also known as : Secretory Otitis Media 

 # Collection of thick sterile glue like fluid in the middle ear .

 #Adenoid hypertrophy in school going children causing B/L glue ear is the most common etiology . 

 #Nasopharyngeal Carcinoma in an adult causing unilateral Glue ear is a rare etiologfy .

 C/F : Heaviness in the ear . Not a painful condition . Conductive hearing loss 10-40 dB .  Adenoid face . Poor school performance . 

 Investigation : 1. PTA  2. Tympanometry -B curve 3. Treatment of choice : Myringotomy with Grommet insertion + Adenoidectomy 
Myringotomy for glue ear is done at anteroinferior quadrant .

 Grommet is a ventilation tube . 

 Aero Otitis Media : Or Barotrauma of the ear . 
  
# It happens during descent of a flight 

 # It fails to open up it leads to sudden retraction of tympanic membrane which causes severe earache .

 Treatment : Valsalva 
                   ET catheterisation 
                   Politzerization , if it fails then do Myringotomy and grommet insertion  





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