Patient: A month or so ago, my ears felt blocked and I was diagnosed with secretory otitis media. Thank you! Yin Shankai, Department of Otolaryngology, Shanghai Sixth People’s Hospital: 1. Is the stuffiness in your ears unilateral or bilateral? Is it accompanied by hearing loss? Is there any nasal congestion? 2.What tests have you undergone (e.g. hearing test, nasal dye slack IIüCT, etc.) and what are the results? 3.What treatment have you received? The drugs used clinically to treat secretory otitis media include antibiotics, decongestants (e.g. ephedrine), antihistamines (e.g. keratan) and steroids (e.g. prednisone, ryanodine, endosulfan), mucus cilia delivery drugs (e.g. ginotron), surfactants, etc. Tympanic membrane puncture is both a diagnostic tool and an effective treatment. You do not have to worry about the perforation on the tympanic membrane; it heals quickly. Eustachian tube blowing treatment has been studied by many scholars since the 20th century and has achieved good results. This method is mainly aimed at secretory otitis media caused by the dysfunction of the eustachian tube. However, there is a risk of otopneumatic injury and the introduction of inflammatory secretions from the nasopharynx into the middle ear. Tympanic tube placement is the preferred method of surgical treatment, which means that the eardrum is cut open and a ventilation tube is placed to drain it. After the function of the eustachian tube is restored, the tube will fall out on its own and the tympanic incision will heal naturally. Long-term perforation of the tympanic membrane is a more common complication of tympanic tube placement, which is highly dependent on the type and duration of the tube placement. At present, we usually use tympanic tube placement for patients for whom conservative treatment has failed. In adults with unilateral secretory otitis media, blood and swollen lymph nodes in the neck, other diseases should be considered and various ancillary tests should be performed to confirm the diagnosis of simple secretory otitis media.