All cases of acute suppurative otitis media and serous otitis
An NPC normally turns up with a variety of symptoms such as nasal obstruction, epistaxis, cranial nerve palsy, serous otitis
, or cervical metastasis.
Involvement of the middle ear after viral infections of the upper airways may lead to serous otitis
media with effusion in the absence of bacterial infection.
A middle ear disease, which affects 50-85% of girls and woman with TS, usually starts in early childhood and results in recurrent suppurative otitis media, serous otitis
media, chronic suppurative otitis media and cholesteatoma .
reported a case of a young female who presented with bilateral serous otitis
media followed by bilateral sensorineural hearing loss and bilateral facial nerve palsy .
The serum oxidative level was measured by superoxide dimutase, xantin oxidase, and malondialdehyde (MDA) in six animal models with serous otitis
media and six healthy models showing significant increase in free oxygen radical and revealing the role of these radicals in tissue destruction in otitis media (15).
Disease complications included serous otitis
media in 57 patients (30%) TM perforation in 28 patients (15%) and external auditory canal osteitis in9 patients (5%).
The etiologies of the rest of the cases were acute sinusitis, gastroenteritis, parvovirus, serous otitis
media, or influenza.
Multiple factors can be weighed to choose more or less aggressive treatment including frequency and severity of infections, exposure to secondhand smoke, day care enrollment, sibling history, parental comfort and anxiety, presence of serous otitis
media between episodes, time of year, and effect on overall hearing.
There have also been recommendations in the literature to prescribe an antibiotic for serous otitis
media (an accumulation of fluid in the middle ear due to poor drainage), which may have played a part in Ruth's dizziness (Macknin, 1988).
As opposed to acute otitis media, which is often accompanied by fever and pain, serous otitis
media is often asymptomatic.