Secretory otitis media may or may not heal on its own, depending on the cause of the otitis media. 1. If secretory otitis media is secondary to acute rhinitis, after the normal function of the body’s immune system is restored in time, mild acute rhinitis is self-healing. With the gradual elimination of pathogenic factors, the ventilation and drainage conditions of the Eustachian tube return to normal, and secretory otitis media has the possibility of self-healing. 2. If secretory otitis media is secondary to chronic rhinitis, sinusitis, nasal polyps, chronic tonsillitis and other diseases, the course of the disease is longer, not self-healing, so the secretory otitis media symptoms will also exist for a long time, the general possibility of self-healing is not great. After the diagnosis of secretory otitis media, you should standardize the treatment according to the doctor’s instructions, do not blindly wait for self-healing.