Complications and management of otitis media in children

Parameshwar Keshangari, Pampapathi Goud Katakam, Nagababu Pyadala


Background: Otitis media is a main cause of hearing difficulty in children. The aim of this study was to determine the efficacy of medical treatment in the management of otitis media.

Methods: This cross sectional study was conducted at the department of ENT, MNR Medical College and Hospital, during the period of February 2015 to March 2017. A total of 62 patients were included in this study and standard medical treatment of otitis media was given. All the data were recorded and analyzed.  

Results: Among 62 patients, 42 (67.7%) completely recovered from the disease while 20 patients (32.25%) did not improve.

Conclusions: Conservative treatment is effective in the management of otitis media.


Otitis media, Conservative treatment, Hearing difficulty, Effectiveness

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Paparella MM, Jung TT, Goycoolea MV. Otitis media with effusion, Otolaryngology. Vol-2. 3rd edition. W.B. Saunders; 1991: 1377-1380.

Chang CW, Yang YW, Fu CY, Shiao AS. Differences between children and adults with otitis media with effusion treated with CO2 laser myringotomy. J Chin Med Assoc. 2012;75:29–35.

Koopman JP, Reuchlin AG, Kummer EE, Boumans LJ, Rijntjes E, Hoeve LJ, et al. Laser myringotomy versus ventilation tubes in children with otitis media with effusion: a randomized trial. Laryngoscope. 2004;114:844–9.

Ullah Z, Ullah M, Ullah S. Surgical management of otitis media with effusion. A prospective study of 120 patients. J Postgrad Med Inst. 2001;15(2):165-70.

Kuo CL, Wang MC, Chu CH, Shiao AS. New therapeutic strategy for treating otitis media with effusion in postirradiated nasopharyngeal carcinoma patients. J Chin Med Assoc. 2011;75:329–34.

Kouwen HB, DeJonckere PH. Prevalence of OME is reduced in young children using chewing gum. Ear Hear. 2007;28:451–5.

Vlastarakos PV, Nikolopoulos TP, Korres S, Tavoulari E, Tzagaroulakis A, Ferekidis E.. Grommets in otitis media with effusion: the most frequent operation in children. But is it associated with significant complications? Eur J Pediatr. 2007;66:385-91.

Kouwen H, Van Balen FA, Dejonckere PH. Functional tubal therapy for persistent otitis media with effusion in children: myth or evidence? Int J Pediatr Otorhinolaryngol. 2005;69:943–51.

Malm L, White P. Beta agonists and surfactant in Eustachian tube function. Acta Otolaryngol Suppl. 1992;493:133–6.

Williamson JG, Dunleavey J, Brain J Robinson BA. The natural history of otitis media with effusion--a three-year study of the incidence and prevalence of abnormal tympanograms in four South West Hampshire infant and first schools. J Otolaryngol Otol. 1994;108:930–4.

Ovesen T, Borglum JD. New aspects of secretory otitis media, Eustchain tube function and middle ear gas. J Ear Nose Throat. 1998;77:770–7.

Rubenstein MM, McBean JB, Hedgecock LD, Stickler GB. The treatment of acute otitis media in children. 3. A third clinical trial. Am J Dis Child. 1965;109:308–13.

Maw AR. Otitis media with effusion. In: Adams DA, Cinnamond MJ, editors. Scott Brown’s Paediatric Otolaryngology. 6th ed. Oxford: Butterworth Heinemann; 1997: 3–7.

Koten M, Uzun C, Yagiz R, Adali MK, Karasalihoglu AR, Tatman-Otkun M, et al. Nebulized surfactant as a treatment of choice for otitis media with effusion, an experimental study in the rabbit. J Otolaryngol Otol. 2001;115:363–8.

Paradise JL. Paediatrician’s view of middle ear effusion, more questions than answers. Ann Otol Rhinol Laryngol. 1976;82(2):20–4.

Maw AR. Secretory otitis media. In: Ludman H, Wright T, editors. Diseases of the ear. 6th ed. New York: Oxford University Press; 1998: 364–7.

Rubenstein MM, McBean JB, Hedgecock LD, Stickler GB. The treatment of acute otitis media in children. 3. A third clinical trial. Am J Dis Child 1965;109:308–13.

Olson Al, Lkein Sw, Charney E, MacWhinney JB Jr, McInerny TK, Miller RL, et al. Prevention and therapy of serous otitis media by oral decongestant, Adouble blind study in paediatric practice. Pediatrics. 1998;61:679–84.