Clinical Profile Of Secretory Otitis Media In Patients Visiting Ent Department Of Sir T. General Hospital, Bhavnagar

Clinical Profile Of Secretory Otitis Media In Patients Visiting ENT Department

Abstract

Background: Secretory otitis media is chronic inflammation of middle ear cleft characterized by accumulation of nonpurulent fluid behind intact tympanic membrane. This study was done to identify various modes of presentation of secretory otitis media in different age groups and gender and to evaluate its outcome by various modalities of treatment. Material And Methods: This study comprised of 50 cases of bilateral or unilateral secretory otitis media of all the age groups. It is prospective observational study. Secretory otitis media is diagnosed by history, otoscopic examination and audiometric evaluation. Complete history and examination was done according to the proforma. All the patients were given conservative and medical treatment and followed up regularly. Cases refractory to medical treatment required surgical treatment based on clinical presentation and associated symptoms. It was carried out during the period of August 2021 to April 2022, in ENT department of Sir T. general hospital Bhavnagar. Result: In this study, maximum number (28%) of cases belonged to age group of 10-20 years, more commonly seen in males with Male : Female ratio of 1.78:1.Most of the cases (44%) were from lower socioeconomic class. Ear blockage or fullness of the ear (76%) was the most common clinical presentation. On otoscopy, fluid level with air bubbles was seen most commonly (84%).All the cases (100%) were put on medical treatment and regularly followed up. 50% responded well but the remaining 50% refractory cases required other surgical modalities of treatment based on clinical presentation and associated symptoms. Surgical treatment included adenoidectomy and adenotonsillectomy (20%), myringotomy with grommet insertion (4%). Myringotomy was done in 20% of cases. Septoplasty was done in 6% of the patients of secretory otitis media. Conclusion: Secretory otitis media was common in 10-20 years age group. More common in males with lower socioeconomic class. Most common clinical presentation was ear blockage or fullness of ear. On otoscopy, fluid level with air bubbles was the most common sign. Treatment consisted of medical and surgical modalities. All the cases obtained subjective relief and improvement in the symptoms. [Mehta J Natl J Integr Res Med, 2023; 14(3): 25-27, Published on Dated: 18/05/2023]