Comparative Study in Management of Serous Otitis Media Edical Management Versus Grommet Insertion

Abstract

Aims of the study: 1. To assess the best line of treatment for serous otitis media. 2. To prevent the complications of serous otitis media. Materials And Methods: In Andhra medical college Government ENT hospital, a Tertiary referral hospital in Andhra Pradesh, a total of 56,800 patients were examined from January 2014 to December 2015 i.e. in 24 months period. 260 cases of serous otitis media, with hard of hearing, aural fullness, pain in the ear and tinnitus were identified for this study. Finally 60 cases of persistent serous otitis media after 1 month of medical management were selected. They were divided into 2 groups each with 30 patients. In Group I, the medical management was continued for 6 months. In Group II, the grommet was inserted in anterior inferior quadrant. The sex predominance, incidence in age group, etiological factors and its complications are analyzed at the end of 6 months. Comparative study of Audiological assessment was not included. Conclusion: In this study, Adenoid Hypertrophy was found to be the commonest cause of serous otitis media in the age group of 6-15 years. It was observed that grommet should be inserted in serous otitis media not responding to one month of medical treatment. If they are prolonged with medical management, complications like, retraction of different grades to adhesive otitis media and chronic suppurative otitis media with either sinus cholesteatoma or attic cholesteatoma will precipitate. Tympanosclerosis of Tympanic membrane was found to be equally developing in patients with medical management and also in grommet insertion.