Effectiveness of Myringotomy in Serous Otitis Media

Abstract

Objective: To evalue the importance of Myringotomy for aeration of Middle ear to Prevent hearing loss in school going children. Study Design: Observational. Place & Duration; Department of Otorhinolaryngology and Head & Neck Surgery Peoples Medical College Hospital Nawabshah, during March 2007 to Feb 2009. Material & Methods: This study include 100 patients suffering from chronic, secretary otitis media, patients aged 5 years to 13 years were included. History examination & hearing tests were performed in all the patients. Pure tone audiometry & tyrnpanometery was done pre and post operatively in all the patients. Result: Total of 100 patients were operated 70% were Male. Majority ofpatients 62% were between 5 to 8 years of age. Average age was 7 years. Distribution was done area wise and on economic status, 64% were related to poor class 28% middle class & only 8% belongs to upper class. In this study majority of the patients 60% had chronic, secretory otitis media with thin serous fluid and 40% with thick glue like effusion. In 60% of patients satisfactory results were obtained. Hearing was very much improved according to PTA results post operatively. Regarding complications recurrence was seen in 40% of cases while 15% had scar (Keloid), 10% infection, 8% perforation, 4% sclerosis, 3% bleeding. Conclusion; We conclude that myringotomy should be the preferred surgical option of otitis media with effusion.