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Otitis Media With Effusion (OME)

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    It is the accumulation of fluid in the middle ear without signs of infection such as fever and pain.
    The middle ear mucosa undergoes metaplasia and there is an increase in the number and secretion of goblet cells.
    • It is most common at the age of 3-8 years.
    • Allergies, viral and bacterial infections and eustachian tube dysfunction are to blame.
    • The most common symptom is conductive hearing loss.
    • There is no inflammation in the neck.
    note
    The most common cause of hearing loss in children is: Otitis media with effusion
    The most common cause of hearing loss in adults is: External earplug
    Membrane appearance in EOM
    Increased blood vessels -The film is matte - Air bubbles behind the membrane - The disappearance of the triangle of light
    treatment
    Antibiotic - phlegm - decongestant - Adenoidectomy - antihistamines - Ventilation tube (lower anterior quadrant of the membrane) - Anti-inflammatory- tympanoplasty is not performed - New asymptomatic patients can be followed up without treatment
    Indications for OME ventilation tube:
    Retraction in the membrane 
    Accompanied with sensorineural loss
    speech delay
    Hearing loss greater than 35 decibels
    Frequent ear infection attacks
    The presence of prolonged effusion
    Entering the fall and winter season
    Otitis media with effusion in adults
    It most commonly occurs after an upper respiratory infection
    All nasal diseases such as nasal polyposis, deviated septum, and sinusitis are causes of EOM in adults.
    note
    Otitis with unilateral effusion should be considered pharyngeal carcinoma until proven otherwise.
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