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To the Editor.— The article entitled "Serous Otitis: A Conservative Approach to Treatment" by Dr. Gottschalk (Archives 96:110-112, 1972) contains a supposition which I believe to be a serious error in dealing with the subject at hand.
Dr. Gottschalk says, "... if the ear was clear on the second visit or readily cleared after several office treatments it was classified as a successful result. Subsequent refilling or infection was considered to be a new disease entity." Of his 96.9% ears which were clear at the end of one month, the rate falls to 68% at the end of one year. I think that Dr. Gottschalk is overlooking the inherent nature of serous otitis.
Fluid in the ear of a child is a different entity than that in an adult who has suffered barotrauma or neoplastic obstruction to the eustachian tube. In the child, we are dealing with a multiplicity of
MORGENSTEIN KM. Serous Otitis. Arch Otolaryngol. 1973;97(5):430. doi:10.1001/archotol.1973.00780010442023
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