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Regular Departments
May 1973

Serous Otitis-Reply

Arch Otolaryngol. 1973;97(5):430. doi:10.1001/archotol.1973.00780010442024

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Dr. Morgenstein has misinterpreted my results. Actually, in the group of 200 ears which were followed for one year, 95.5% were clear or were able to be cleared by nonsurgical treatment within the one-year period. The 68% figure represented 136 ears which had not had one single episode of serous or purulent otitis within the 12-month period. An additional 55 ears in this group had had one or more recurrences but were readily cleared nonsurgically. In other words, 191 out of 200 ears (95.5%) responded to medical management and were no longer therapeutic problems. Of the remaining nine ears, three were reoperated on and tubes inserted. The other six have had multiple recurrences of fluid and have been treated with repeated middle ear inflations, allergic management and general supportive measures.

The observation that less than 4% of the ears had refilled when seen one month following surgery is most important