Secretory otitis media can be treated surgically. However, it should be treated conservatively for 3 months first, and the indications for surgery should be strictly controlled. The principle of treatment is to remove the fluid in the middle ear and improve the ventilation and drainage function of the Eustachian tube. Commonly used surgical methods include: tympanocentesis, tympanotomy, tympanic tube placement and Eustachian tube balloon dilatation.
1. Tympanic membrane puncture and fluid extraction: local anesthesia for adults, general anesthesia for children. A 7-gauge needle with a short beveled tip is used to puncture the tympanic chamber from the anterior lower quadrant of the tympanic membrane under aseptic operation to aspirate the fluid. If necessary, can be repeated in 1 ~ 2 weeks after the puncture, can also be injected into the glucocorticosteroid drugs after fluid extraction.
2. Tympanotomy: the fluid is viscous, the tympanic membrane puncture can not be sucked when the tympanotomy should be made. Surgery can be performed under local anesthesia (general anesthesia for children). With tympanotomy knife in the lower quadrant of the tympanic membrane for radial or curved incision, pay attention to do not hurt the inner wall of the tympanic mucosa, while suctioning the fluid.
3. Tympanic tube placement and Eustachian tube balloon dilatation: If the condition is prolonged or recurrent, and the fluid in the middle ear is too viscous to be easily discharged, tympanic tube placement can be considered to improve ventilation and drainage, and to promote the restoration of the function of the Eustachian tube. Balloon dilatation of the Eustachian tube can also be considered to promote the recovery of Eustachian tube function.
When suffering from secretory otitis media, you can actively seek medical treatment, systematic examination, clear diagnosis, standardized treatment in accordance with the doctor’s instructions, and actively treat the primary underlying diseases.