What’s wrong with the stuffy ears in the morning?

Ear stuffiness in the morning, excluding cerumen embolism in the ear, is usually considered to be secretory otitis media if there is no cerumen embolism on examination. It presents with ear stuffiness, hearing loss, and a prior history of upper respiratory tract infection. On examination, the tympanic membrane is seen to be invaginated, sometimes with air-fluid flattening and poor mobility. Electrical audiometry shows conductive deafness and acoustic impedance suggests a B-curve. Treatment requires active treatment of upper respiratory tract infections, such as oral cefixime, nasal spray tretinoin and oral aminoglutethimide for a course of about five days. If the effect is not obvious, tympanic membrane aspiration is feasible, and if necessary, tympanic ventricle tube placement should be performed.

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