IT IS THE purpose of this paper to direct attention to a frequently observed change seen at the umbo in cases of secretory otitis media. Many instances have been encountered in which annoying conductive type hearing losses have persisted for weeks after an apparent subsidence of the physical findings associated with a catarrhal otitis. The Eustachian tube would inflate readily and clearly. The drumhead showed the usual varying degrees of retraction, but one departure from the normal was noted; the spatulated end, so-called, of the handle of the malleus seemed much larger, or the appearance of this area was that of a collection of fluid medial to the dermal layer. The size of this fluid collection varied from 2 to 5 mm. in diameter, the larger ones showing at times a visible fluid level. Perhaps these changes are similar to the cases of Buck as quoted by Keeler1 in
LEROY E. WIBLE. UMBO IN SECRETORY OTITIS MEDIA. AMA Arch Otolaryngol. 1952;55(4):468–470. doi:10.1001/archotol.1952.00710010480011
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