introduction to Otitis media with effusion                  

Otitis media with effusion                                                         

Otitis Media with Effusion (OME) is the most common cause of deafness in children. The disease is characterized by persistence of middle ear effusion for 3 months or more without signs of active infection.

the first figure showing normal tm

the second figure showing ome

  • retracted tympanic membrane
  • foreshortened handle
  • prominent anterior and posterior malleolar fold
  • fluid in middle ear
  • lost cone of light

Figure 1: normal tympanic membrane and ome

The etiology of OME is largely thought to be multifactorial as infections, allergies, eustachian tube dysfunction, adenoid hypertrophy etc. Recently there has been an interest in gastroesophageal reflux disease (GERD) as one of the major contributing factors to this condition.