1. OME (Otitis Media
with Effusion) is a build up of fluid behind an intact ear drum.
2. This is a common problem linked to Eustachian Tube Dysfunction
. The Eustachian Tube connects the ear to the nose.
3. It is not serious if treated in time. If the fluid does not drain out by medical treatment for a long time, it thickens and causes adhesions (Glue Ear). It may cause hearing loss
in the long run.
4. Treatment is initially conservative with anti allergics, decongestants (oral and local drops), mucolytics and steam inhalation. A baseline Impedance Audiometry
(I/A) and PTA (Pure Tone Audiogram) is usually done.
5. If no response is seen and I/A shows persistent 'B' Type graph, or if the negative pressure in the middle ear is more than - 150, a repeat I/A should be done. Myringotomy
with grommet insertion is the surgical procedure performed.
6. Though it is common in children following upper airway infection, obstruction and allergy, in an adult, if it is one sided, a search for the cause must be done. However, in your case, it appears to be in both ears (BE).