May develop periostitis of the mastoid and have the ear pushed out and redness and tenderness over the mastoid. Myringotomy and IV antibiotics usually necessary. If an abscess develops in the subperiostal tissue, surgery may be required. Definition - The presence of fluid in the middle ear without signs or symptoms of infection. In some instances, aspiration may yield the presence of bacteria.
Pneumatic otoscope is recommended for assessing the middle ear.
Examination will have decreased mobility of TM, yellow-orange fluid, may have air fluid level, and drum may appear thickened. Hearing evaluation may be used in diagnostic evaluation. Agency on Health Care Policy and Research Observation with interval rechecks of the status of the effusion Treatment with antibiotics. Studies have shown a slight advantage in resolution of the fluid with antibiotic treatment. Environmental risk factor control counseling After 6 weeks, hearing evaluation is an option.