Diseases of The Middle Ear
Procedure for serous otitis media is: (DNB June 2010)
TOC of serous otitis media ~ insertion of grommet/ventilation tube along with adenoidectomy (if features of adenoid hyperplasia are present)
In case of serous otitis media without nasopharyngeal carcinomA.
Myringotomy with ventilation tube insertion is done (In adults ventilation tube improves hearing for a very short term < 1 yr)
-If there is nasopharyngeal cancer along with serous otitis media
Then there are two treatment options: (i) Hearing aid (ii) Myringotomy without ventilation tube insertion
Recently, CO2 laser assisted tympanic membrane ventilation has been advocated for the treatment of adult OME.