Tympanocentesis is a commonly used treatment for secretory otitis media. Whether or not a single puncture can cure the condition needs to be judged according to the condition. Later maintenance is also an important factor to ensure the effectiveness of the treatment. The causative factors of secretory otitis media include obstruction of the Eustachian tube, viral infection, immune response, gastroesophageal reflux, cleft palate, and dental malocclusion. Only by eliminating the causative factors from the root cause can recurrence be effectively avoided. There is basically no fluid in the tympanic chamber within a week after performing a tympanocentesis, but if the factor of fluid accumulation in the tympanic chamber still exists, the effect of pumping fluid can only last for a week, and another tympanocentesis may be needed at a later stage. Secretory otitis media should do a good job of waterproofing the ear, and regularly do cleaning of secretions in the ear to keep the ear clean and dry. Eat a light diet with less greasy and irritating foods. Tympanic membrane puncture can only play a role in pumping out the fluid in the middle ear to relieve the symptoms, and at the same time, it is also necessary to take standardized medication and treatment.