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Serous Otitis Media. Diagnosis and Treatment

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Serous otitis media is a condition of the middle ear characterized by the accumulation of fluid in the middle ear cavity, without signs of acute infection.

Although it is a common condition, it is important to understand it in detail, including risk factors, signs and symptoms, diagnosis, causes, and treatment options.

What is Serous Otitis Media?

Often referred to as “serous otitis” or “middle ear otitis,” it occurs when clear and sterile fluid accumulates behind the eardrum in the middle ear cavity.

Unlike acute otitis media, which involves an active and painful infection, serous otitis media generally does not present clear signs of acute infection, such as fever or intense pain. However, it can affect hearing and cause discomfort.

Risk Factors:

Several factors can increase the risk of developing serous otitis media, some of which are:

  • Age: Children, especially those in preschool and school age, are more prone to this condition.
  • Tobacco Exposure: Exposure to tobacco smoke, whether at home or in close environments, can increase the risk.
  • Respiratory Infections: Respiratory infections, such as colds, allergies, and sinusitis, can contribute to fluid accumulation in the middle ear.
¿Qué Es La Otitis Media Serosa?

Signs and Symptoms:

Symptoms can vary, but commonly include:

Hearing Loss:

A decrease in hearing can be noticed, especially in noisy situations or when conversing with others.

Feeling of Fullness:

Some people describe a sensation of fullness or pressure in the ear.

Altered Balance:

In severe cases, serous otitis media can affect balance and coordination.

Speech Problems:

Children with serous otitis media may experience speech development delays.

Diagnóstico De La Otitis Media Serosa:

Diagnosis of Serous Otitis Media:

It is generally based on a combination of clinical observation and audiologic tests.

The doctor may use an otoscope to examine the eardrum and look for signs of fluid behind it. Audiometric tests, such as audiometry, can evaluate hearing loss.

All these evaluations help the doctor determine the condition.

Treatment for Serous Otitis Media:

Treatment can vary depending on the severity of symptoms and the duration of the condition. Treatment options may include:


In many cases, serous otitis media resolves on its own over time. The doctor may choose to observe the condition before considering other treatments.

Ventilation Tubes:

In chronic cases or when the condition significantly affects hearing, the doctor may recommend the insertion of ventilation tubes in the eardrum to drain the fluid.

Allergy Management:

If allergies are a contributing factor, proper control can help prevent recurrence.

Causes of Serous Otitis Media:

The causes are related to Eustachian tube dysfunction, a duct that connects the middle ear to the back of the throat. When this tube does not function correctly, fluid can accumulate in the middle ear.

In summary, serous otitis media is a middle ear condition characterized by fluid accumulation behind the eardrum.

If you experience symptoms of this condition, it is important to seek medical attention for proper evaluation and management.

Experiencing hearing loss or ear discomfort?

Do not ignore it. Schedule a consultation with Dr. Lech.

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Laura Ruiz Ruiz
La verdad mi hija y yo nos sentimos muy bien atendidas por el el dr. Lech, estamos siguiendo el tratamiento lo cual ha estado haciendo un buen efecto en ella y mejorando su calidad de vida. Muy agradecida siempre!!!
Yanixa Baloy
Yanixa Baloy
Excelente Dr. Muy amable y excelente atención..lo recomiendo.
Xiomara Pinillo
Xiomara Pinillo
Buen Dia Esperando todo se encuentren bien.- Lo que puedo comentarle es q el Dr. Lech es una excelente persona, no solo como medico sino como un ser humano, es muy especial en la atencion a sus paciente.- Soy fiel testigo de eso porque lo he vivido y he escuchado de otras persona y colegas. Bendiciones a tod@s.-
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Michel Guerrero
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