[Skip to Navigation]
January 1982

Spontaneous Course and Frequency of Secretory Otitis in 4-Year-Old Children

Author Affiliations

From the Ear, Nose, and Throat University Clinic, The Gentofte Hospital, Copenhagen.

Arch Otolaryngol. 1982;108(1):4-10. doi:10.1001/archotol.1982.00790490006002

• Five repetitive tympanometric screenings performed during one year in 288 randomized, otherwise healthy 4-year-old children showed that 50% of ears changed tympanogram type between each trial. The total frequency of secretory otitis was high; thus, 32% of all 576 ears had type B at least once and 73% had either type B or C2, indicating a middle ear pressure of −200 mm H2O or lower. At three trials during at least six months, 8% had type B and 24% either type B or C2. spontaneous improvement of secretory otitis was high, and type B improved in 78% to 88% of ears, although in some ears the type again deteriorated. Severe changes of the tympanic membrane were found in 0.5% of ears, and it is therefore advised to postpone surgical treatment of secretory otitis for three to six months.

(Arch Otolaryngol 1982;108:4-10)

Add or change institution