Chronic secretory Otitis Media

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Otitis Media in Infants and ChildrenAnswer a) perforation at pars flaccida


Examination in chronic secretory Otitis Media:
  • Retracted drum is the main sign, diagnosed by:
  • Distorted cone of light.
  • Foreshortening of the malleus handle.
  • Prominent anterior and posterior malleolar fold.
  • Prominent short process of the malleus.
  • Diminished drum mobility.
  • The drum may show fluid level appear as a hair line.
  • Air bubbles may be present behind the drum.

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