<prompt> In serous otitis media which one of the following statements is true -Sensorineural deafness occurs as a complication in 80 of the casesIntracranial spread of the infection complicates the clinical coursesTympanostomy tubes are usually required for treatementGram-positive organisms are grown routinely in culture in the aspirate  <response>: Lets look at the options one by one:Serous otitis media:Option aSensori neural deafness occurs as a complication in 80 of casesThis is not correct because serous otitis media leads to conductive type of hearing loss.Option bIntracranial spread of the infection complicates the clinical courseThis is not true as complications of serous otitis media are:Adhesive otitis mediaAtrophy of tympanic membrane Tympanosclerosis chalky white deposits seen on membraneAtelectasis of middle earOssicular necrosisCholesteatoma due to retraction pocketsCholesterol granuloma due to stasis of secretionsOption cThis is correct because if medical management fails, best treatment is myringotomy with insertion of Tympanostomy tube Grommet or ventilation tubeOption dGram positive organism are grown routinely in culture in the aspirateAbsolutely incorrect because fluid collection in serous otitis media is sterile 