In serous otitis media which one of the following statements is true -

Lets look at the options one by one: Serous otitis media: Option a Sensori neural deafness occurs as a complication in 80% of cases This is not correct because serous otitis media leads to conductive type of hearing loss. Option b Intracranial spread of the infection complicates the clinical course This is not true as complications of serous otitis media are: Adhesive otitis media Atrophy of tympanic membrane [ Tympanosclerosis (chalky white deposits seen on membrane) Atelectasis of middle ear Ossicular necrosis Cholesteatoma due to retraction pockets Cholesterol granuloma due to stasis of secretions Option c This is correct because if medical management fails, best treatment is myringotomy with insertion of Tympanostomy tube (Grommet or ventilation tube) Option d Gram positive organism are grown routinely in culture in the aspirate Absolutely incorrect because fluid collection in serous otitis media is sterile