SEROUS OTITIS MEDIA (SOM)

Definition

SEROUS OTITIS MEDIA (SOM) Pus Formation in Middle Ear

SOM (SEROUS OTITIS MEDIA) is a Condition in Which Accumulation of Fluid in Middle Ear without evidence of an active infection. This condition is SEROUS OTITIS MEDIA

Etiology/Risk Factors

• Radiotherapy
• Barotrauma
• Eustachian tube obstruction
• Upper respiratory tract infections
• Carcinoma of eustachian tube
• Allergic conditions
• Excessive Production of Earwax
• Childhood
• Eustachian tube Infection

Pathophysiology

• Eustachian tube dysfunction/obstruction and Infection
• Barotrauma
• Negative middle ear pressure
• Serous middle ear transudate
• Serous otitis media

Clinical Manifestations/ Symptoms

• Hearing loss
• Fullness in the ear
• Ringing Sensation
• Otalgia
• Congestive sensation
• Popping and cracking noises
• Tympanic membrane will appear dull
• Air bubbles in middle ear.

Diagnostic Evaluation

• History collection
• Physical examination
• Audiometry
• Otoscopy
• Audiogram.

Management

• Myringotomy
• Corticosteroids to reduce edema.
• Antibiotics to treat Infection
• Analgesics to Relief Pain