SEROUS otitis media is the commonest cause of hearing loss in children. It is the purpose of this paper to report on 162 cases of serous otitis media of which 85 were given systemic steroids and decongestants and 77 treated with decongestants alone. The therapeutic results of the absence of middle ear fluid, and restoration of the hearing to normal, was three times as great in the group given systemic steroids than those who received only decongestants.
There are many theories about the formation of fluid in the middle ear. One of the more prevalent states that the basic cause of serous otitis media is an infection in the nasopharynx, nose, or sinuses and edema of the eustachian tube. This obstruction leads to the absorption of air in the middle ear, with extravasation of fluid. The reaction to inflammation also contributes to the formation of fluid in the middle
Oppenheimer P. Short-Term Steroid Therapy. Arch Otolaryngol. 1968;88(2):138–140. doi:10.1001/archotol.1968.00770010140004
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