II. Definition
- Retention of transudate fluid in middle ear
III. Signs:
- Dull grey, amber or red TM
- Bubbles or air fluid levels
- TM retracted and moves to negative pressure (Eustachian Tube Dysfunction)
- TM thickened and increased vascularity to opaque
- Hearing Loss (<30 DB)
- Images
IV. Course: Natural course following Otitis Media
- At 2 weeks: 70% have persistent effusion
- At 4 weeks: 40%
- At 2 months: 20%
- At 3 months: 10%
V. Management
- Otolaryngology referral indications
- Persistent serous effusion >3 months
- Adhesive Otitis Media signs
-
Myringotomy and Tympanostomy Tube placement Indications
- See Tympanostomy Tube for indications
- Consider after 3 months of persistent effusion
- Measures shown to be not efficacious
- Avoid Decongestants
- Avoid Antihistamines
- Avoid antibiotics
- Avoid Systemic Corticosteroids
- Consider Intranasal Corticosteroids if comorbid Allergic Rhinitis
- (2012) Presc Lett 19(2): 9
VI. Complications
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| Definition (NCI) | Otitis media associated with accumulation of fluid in the middle ear. |
| Definition (MSH) | Inflammation of the middle ear with a clear pale yellow-colored transudate. |
| Concepts | Disease or Syndrome (T047) |
| MSH | D010034 |
| ICD10 | H65.3 , H65.9 |
| SnomedCT | 62450001, 194251006, 267754001, 43481006, 232255003, 155220003, 194264007, 78868004 |
| English | Otitis Media with Effusion, Otitis Media, Secretory, OME - Otitis media+effusion, Ear Effusion, Middle, Ear Effusions, Middle, Effusion, Middle Ear, Effusions, Middle Ear, Middle Ear Effusion, Middle Ear Effusions, Otit med with effusion, mucoid, mucoid otitis media (diagnosis), transudative otitis media, secretory otitis media, mucoid otitis media, secretory nonsuppurative otitis media, mucoid nonsuppurative otitis media, transudative otitis media (diagnosis), transudative nonsuppurative otitis media, secretory otitis media (diagnosis), Serous otitis media (glue ear), Secretory otitis media NOS, Mucoid otitis media NOS, Transudative otitis media NOS, Otitis Media with Effusion [Disease/Finding], chronic effusion media otitis, ears glue, Effusion;middle ear, effusion otitis media, ear glue, effusion media otitis, media otitis secretory, otitis media with effusion, middle ear effusions, glue ear, otitis media effusion, Mucoid otitis media (disorder), "Glue ear", Secretory otitis media (disorder), Otitis media with effusion (disorder), Mucoid otitis media NOS (disorder), Middle ear effusion, Otitis media with effusion, Glue ear, Mucoid otitis media, Secretory otitis media, Transudative otitis media, OME - Otitis media with effusion, SOM - Secretory otitis media, Glue ear - mucoid, Otitis media with effusion - mucoid, media; otitis, transudative, otitis; media, effusion, otitis; media, mucoid, otitis; media, secretory, otitis; media, transudative, Secretory Otitis Media, Otitis media, with effusion, Otitis media, mucoid, Otitis media, secretory, Otitis media, transudative, middle ear effusion |
| Italian | Versamento dell'orecchio medio, Otite media secretiva, Otite sierosa media (colla auricolare), Otite media secretoria, Otite media con versamento |
| Dutch | secretoire otitis media, glue ear, sereuze otitis media (glue ear), media; otitis, transsudatief, otitis; media, effusie, otitis; media, mucoïd, otitis; media, secretoir, otitis; media, transsudatief, vochtophoping in middenoor, Effusie, Otitis media met, Middenooreffusie, Otitis media met effusie, Otitis media, met effusie, Otitis media, secetoire |
| French | Otite moyenne adhésive, Otite moyenne adhésive (oreille collante), Effusion de l'oreille moyenne, Otite moyenne sécrétoire, Otite moyenne séromuqueuse, Otite moyenne avec épanchement séro-muqueux, Otite moyenne avec épanchement séromuqueux |
| German | Leimohr, sekretorische Otitis media, seroese Otitis media (Leimohr), Mittelohrerguss, Otitis media, sekretorische, Mittelohrerguß, Otitis media mit Erguß |
| Portuguese | Otite média serosa, Otite média secretora, Otite Média Secretora, Derrame do Ouvido Médio, Efusão da orelha média, Derrame da Orelha Média, Otite Média com Derrame, Otite Média Secretória |
| Spanish | Otitis media secretora, Otitis media serosa (oido gomoso), Otitis media serosa, otitis media secretoria (concepto no activo), otitis media mucoide, otitis media mucoide (concepto no activo), otitis media secretoria, otitis media mucoide, SAI (trastorno), otitis media mucoide, SAI, Otitis Media Secretora, otitis media con derrame, otitis media transudativa, Efusión en oído medio, Derrame del Oído Medio, Otitis Media con Derrame, Otitis Media Secretoria |
| Japanese | 中耳滲出液, 分泌性中耳炎, ｼｮｳｴｷｾｲﾁｭｳｼﾞｴﾝ, ﾌﾞﾝﾋﾟﾂｾｲﾁｭｳｼﾞｴﾝ, ﾌﾞﾝﾋﾟｾｲﾁｭｳｼﾞｴﾝ, ﾁｭｳｼﾞｼﾝｼｭﾂｴｷ, 滲出性中耳炎, 中耳炎-漿液性, 中耳炎-滲出性, 漿液性中耳炎 |
| Swedish | Öronkatarr |
| Czech | otitis media s výpotkem, Výpotek ve středním uchu, Nahromadění mazu v uchu, Serózní otitis media (nahromadění mazu v uchu), Exudativní otitis media, sekretorická mezotitida, otitis media secretorica, chronický tubotympanální katar, zánět středního ucha s výpotkem, catarrhus tubotympanalis chronicus, klihové ucho |
| Finnish | Sekretorinen välikorvatulehdus |
| Russian | OTIT SREDNII SEROZNYI, OTIT SREDNII SEKRETORNYI, OTIT SREDNII EKSSUDATIVNYI, OTIT SREDNII TRANSSUDATIVNYI, ОТИТ СРЕДНИЙ СЕКРЕТОРНЫЙ, ОТИТ СРЕДНИЙ СЕРОЗНЫЙ, ОТИТ СРЕДНИЙ ТРАНССУДАТИВНЫЙ, ОТИТ СРЕДНИЙ ЭКССУДАТИВНЫЙ |
| Croatian | OTITIS MEDIA, SEROZNI |
| Polish | Zapalenie ucha środkowego wysiękowe |
| Hungarian | Szekretorikus otitis media, mucotympanon, Serosus otitis media (mucotympanon), középfül fluidum |
Ontology: Acute serous otitis media (C0155415)
| Concepts | Disease or Syndrome (T047) |
| ICD9 | 381.01 |
| ICD10 | H65.0 , H65.00 |
| SnomedCT | 11957006, 194240006 |
| Spanish | otitis media aguda no supurativa - serosa, Otitis media serosa aguda, Otitis media serosa aguda NEOM, otitis media aguda serosa (trastorno), otitis media aguda no supurativa - serosa (trastorno), otitis media aguda serosa (concepto no activo), otitis media aguda serosa |
| Dutch | acute sereuze otitis media, otitis media sereus acuut, sereuze otitis media acuut NAO, otitis; media, acuut, sereus, otitis; media, sereus, acuut, Acute sereuze otitis media |
| French | Otite moyenne séreuse aiguë, Otite moyenne séreuse aiguë SAI |
| German | akute seroese Otitis media, Otitis media seroes akut, Otitis media seroes akut NNB, Akute seroese Otitis media |
| Italian | Otite media acuta sierosa, Otite media sierosa acuta NAS, Otite media sierosa acuta |
| Portuguese | Otite média serosa aguda, Otite média serosa aguda NE |
| Japanese | 急性滲出性中耳炎, 急性漿液性中耳炎, 急性滲出性中耳炎ＮＯＳ, ｷｭｳｾｲｼﾝｼｭﾂｾｲﾁｭｳｼﾞｴﾝ, ｷｭｳｾｲｼﾝｼｭﾂｾｲﾁｭｳｼﾞｴﾝNOS, ｷｭｳｾｲｼｮｳｴｷｾｲﾁｭｳｼﾞｴﾝ |
| English | acute serous otitis media, acute serous otitis media (diagnosis), Acute non-supp otit med,serous, Otitis media serous acute, Otitis media serous acute NOS, Ac serous otitis media, Acute serous otitis media, unspecified ear, Acute serous otitis media (disorder), Acute non-suppurative otitis media - serous, Acute non-suppurative otitis media - serous (disorder), Acute serous otitis media, otitis; media, acute, serous, otitis; media, serous, acute, Acute serous otitis media (disorder) [Ambiguous] |
| Czech | Akutní serózní otitis media, Akutní serózní otitis media NOS |
| Korean | 급성 장액성중이염 |
| Hungarian | Otitis media serosa acuta k.m.n., Acute serosus otitis media, Otitis media serosa acuta |
Ontology: Chronic serous otitis media (C0155421)
| Concepts | Disease or Syndrome (T047) |
| ICD9 | 381.1 |
| ICD10 | H65.2 , H65.20 |
| SnomedCT | 81564005, 155219009, 194245001, 194250007 |
| English | Chronic serous otit.media NOS, Chronic serous otitis media NOS, CNSOM with effusion, serous, Otit med with effusion, serous, Chron secret ot media - serous, chronic serous otitis media (diagnosis), chronic serous otitis media, Otitis media serous chronic, Otitis media serous chronic NOS, Simple chronic serous otitis media, NOS, Chronic serous otitis media, NOS, Chronic serous otitis media, unspecified ear, Otitis media with effusion - serous (disorder), Chronic serous otitis media NOS (disorder), Chronic serous otitis media, Chronic secretory otitis media, serous, Glue ear - serous, Otitis media with effusion - serous, Chronic non-suppurative otitis media with effusion - serous, Chronic serous otitis media (disorder), Simple chronic serous otitis media, catarrhal; otitis media, chronic, media; otitis, chronic, catarrhal, otitis; media, catarrhal, chronic, otitis; media, chronic, catarrhal, otitis; media, chronic, serous, otitis; media, serous, chronic |
| Dutch | otitis media sereus chronisch, sereuze otitis media chronisch NAO, chronische sereuze otitis media, catarraal; otitis media, chronisch, media; otitis, chronisch, catarraal, otitis; media, catarraal, chronisch, otitis; media, chronisch, catarraal, otitis; media, chronisch, sereus, otitis; media, sereus, chronisch, Chronische sereuze otitis media |
| French | Otite moyenne séreuse chronique, Otite moyenne séreuse chronique SAI |
| German | Otitis media seroes chronisch NNB, chronische seroese Otitis media, Otitis media seroes chronisch, Chronische seroese Otitis media |
| Italian | Otite media cronica sierosa, Otite media sierosa cronica NAS, Otite media sierosa cronica |
| Portuguese | Otite média serosa crónica NE, Otite média serosa crónica |
| Spanish | Otitis media serosa crónica NEOM, Otitis media serosa crónica, otitis media serosa crónica, SAI, otitis media serosa crónica, SAI (trastorno), otitis media crónica serosa (trastorno), otitis media crónica serosa, otitis media serosa crónica simple |
| Japanese | 慢性滲出性中耳炎, 慢性滲出性中耳炎ＮＯＳ, 慢性漿液性中耳炎, ﾏﾝｾｲｼｮｳｴｷｾｲﾁｭｳｼﾞｴﾝ, ﾏﾝｾｲｼﾝｼｭﾂｾｲﾁｭｳｼﾞｴﾝNOS, ﾏﾝｾｲｼﾝｼｭﾂｾｲﾁｭｳｼﾞｴﾝ |
| Czech | Chronická serózní otitis media, Chronická serózní otitis media NOS |
| Korean | 만성 장액성 중이염 |
| Hungarian | Otitis media, serosus, chronicus k.m.n., chronicus serosus otitis media, Otitis media serosa chronica |
Ontology: Serous otitis media (C0271453)
| Concepts | Disease or Syndrome (T047) |
| MSH | D010034 |
| ICD10 | H65.9 |
| SnomedCT | 194262006, 80327007 |
| English | Serous otitis media, Serous Otitis Media, serous otitis media, serous otitis media (diagnosis), serous nonsuppurative otitis media, Otitis media serous, Otitis media serous NOS, Serous otitis media NOS, media otitis serous, Otitis media;serous, otitis media serous, Serous otitis media NOS (disorder), Serous otitis media (disorder), otitis; media, serous, Otitis Media, Serous, Otitis media, serous |
| Dutch | otitis media sereus, sereuze otitis media NAO, Otitis media met effusie, otitis; media, sereus, Otitis media, sereuze |
| French | Otite moyenne séreuse SAI, Otite moyenne séreuse |
| German | Otitis media seroes, Otitis media seroes NNB, Otitis media, seröse |
| Italian | Otite media sierosa NAS, Otite media sierosa |
| Portuguese | Otite média serosa, Otite média serosa NE, Otite Média Serosa |
| Spanish | Otitis media serosa, Otitis media serosa NEOM, Otitis Media Serosa, otitis media serosa, SAI (trastorno), otitis media serosa, SAI, otitis media serosa (trastorno), otitis media serosa |
| Japanese | 滲出性中耳炎ＮＯＳ, 滲出性中耳炎, ｼﾝｼｭﾂｾｲﾁｭｳｼﾞｴﾝ, ｼﾝｼｭﾂｾｲﾁｭｳｼﾞｴﾝNOS |
| Czech | Serózní otitis media NOS, Serózní otitis media, serózní otitis media, serózní zánět středního ucha |
| Hungarian | Otitis media serosus, Otitis media serosus k.m.n. |
