A 18-month-old boy is brought by parents to his family physician with a 2-day history of fever, irritability, and frequent tugging of his left ear. The physician diagnoses acute otitis media and treated with antibiotics. In follow-up 2 months later, otoscopic examination, air-fluid levels are seen in the left ear. Medical management is failed to resolve the effusion. Treatment of choice in this child is:
Surgical measures of serous otitis media: Myringotomy and aspiration of fluids Grommet inseion Tympanotomy or coical mastoidectomy Surgical treatment of causative factor
Conservative
Tympanoplasty
Myringotomy with ventilation tube inseion
Myringotomy with diode laser
Myringotomy with ventilation tube inseion