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December 1958

Secretory Otitis Media in Children

AMA Arch Otolaryngol. 1958;68(6):737-747. doi:10.1001/archotol.1958.00730020761012

The history of secretory otitis media dates almost as far back as the history of otology as a specialty; yet secretory otitis media is perhaps not the correct term for this disease entity. Fluid in the middle ear and adnexa may be either a transudate or an exudate. Although Eggston and Wolff1 have noted that goblet cells may appear in the middle ear mucosa in the presence of infection, there is little evidence that middleear fluid is secreted in the strict sense that word implies, at least in the early stages of the disease. Among the several other terms used to describe the condition is serous otitis media. However, the fluid may be either serous or mucous, or any and all gradations between the two. Through common usage, as with so many other disease processes in the science of medicine, secretory otitis media seems to have become the most

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