What is the management of chronic secretory otitis media?

  1. A 10 day course of oral antibiotic to clear any remaining infection.
  2. If there is no improvement after 3 months, refer the child to an ENT specialist.

An audiogram to assess for hearing loss is important, especially if the hearing is abnormal in both ears. An ENT specialist may insert a grommet (small plastic tube) into the eardrum to allow the fluid to drain. With correct treatment normal hearing returns.

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