Sekretorisk otitis media (SOM)
Sist oppdatert: Sist revidert:
Sist revidert av:Ingard Løge
Definisjon:
Væskeansamling i mellomøret uten at det foreligger akutt infeksjon. Hyppigst etter mellomørebetennelse eller forkjølelse
Forekomst:
Relativt hyppig hos barn i aldersgruppen 2-6 år
Symptomer:
Dottfornemmelse i øret og nedsatt hørsel
Funn:
Ved otoskopi ses væske i mellomøret og nedsatt bevegelighet av trommehinnen
Diagnostikk:
Tympanometri bekrefter væske i mellomøret. Audiometri viser nedsatt hørsel
Behandling:
Avvente spontan tilheling, væsken forsvinner av seg selv hos 80%. Henv. ØNH for vurdering, ev. innleggelse av dren ved plager i mer enn 3-4 måneder
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- Griffin G, Flynn CA. Antihistamines and/or decongestants for otitis media with effusion (OME) in children. Cochrane Database of Systematic Reviews 2011, Issue 9. Art. No.: CD003423. DOI: 10.1002/14651858.CD003423.pub3 DOI
- Venekamp RP, Javed F, van Dongen TM, Waddell A, Schilder AG. Interventions for children with ear discharge occurring at least two weeks following grommet (ventilation tube) insertion. Cochrane Database Syst Rev 2016; 11: CD011684. pmid:27854381 PubMed
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- Paradise JL, Feldman HM, Campbell TF, et al. Tympanostomy tubes and developmental outcomes at 9 to 11 years of age. N Engl J Med 2007; 356: 248-61. New England Journal of Medicine
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- Lau L, Mick P, Nunez DA. Grommets (ventilation tubes) for recurrent acute otitis media in children. Cochrane Database of Systematic Reviews 2018, Issue 4. Art. No.: CD004741. DOI: 10.1002/14651858.CD004741.pub3. DOI
- Hoberman A, Preciado D, Paradise JL et al. Tympanostomy Tubes or Medical Management for Recurrent Acute Otitis Media. N Engl J Med. 2021 May 13;384(19):1789-1799. PMID: 33979487. PubMed
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- Boonacker CW, Rovers MM, Browning GG, et al. Adenoidectomy with or without grommets for children with otitis media: an individual patient data meta-analysis. Health Technol Assess. 2014 Jan;18(5):1-118. PubMed
- Gouma P, Mallis A, Daniilidis V, et al. Behavioural trends in young children with conductive hearing loss: a case-control study. Eur Arch of Otorhinolaryngol 2011; 268: 63-6. doi:10.1007/s00405-010-1346-4 DOI
- Ingard Løge, spesialist allmennmedisin, redaktør NEL
Tidligere fagmedarbeidere
- Kurt Østhuus Krogh, spesialist i barnesykdommer, Redaksjonsmedarbeider Norsk Helseinformatikk/Overlege Barne-og ungdomsklinikken, St. Olavs Hospital, Trondheim
- Per Møller, spesialist i øre/nese/hals, Haukeland sykehus og professor ved Universitetet i Bergen