Especially common in children because their eustachian tubes are narrower and more horizontal in orientation than in adults
Less common in adults, in whom it usually occurs
In an adult with persistent unilateral serous otitis media, nasopharyngeal carcinoma must be excluded
Short course oral corticosteroids (eg, prednisone, 40 mg daily orally for 7 days)
Oral antibiotics (eg, amoxicillin, 250 mg three times daily for 7 days)
Combination of oral corticosteroids and antibiotics
The role of these regimens remains controversial; they are probably of little lasting benefit
et al. Treatment of eustachian tube dysfunction with balloon dilation: a systematic review. Laryngoscope. 2018 Jan;128(1):237–47.
et al. Otitis media with effusion: our national practice. Otolaryngol Head Neck Surg. 2017 Aug;157(2):171–2.
et al. Otitis media. Nat Rev Dis Primers. 2016 Sep 8;2:16063.