Keywords: Otitis media with effusion, therapeutical approaches

Abstract: The pathogenesis of secretory media otitis (SMO) multifactorial, including bacterial ethiology. The aim this study is to compare the responses of the child treated with cotrimexazole with or without corticotherapy and those treated by placebo. Forty patients received placebo: and 108, cotrimexazole with or without predinison. Fifty six point six per cent with drugs therapy healed a 5% of the group with placebo showed cure. We did the folow up this healed the patients from 8 months and 17,5% of them presented SMO again. The autoors discuss the validity of the clinic treatment before surgery, mainly when the patients did not present a severe hearing 1 We must be attempt to the possibility of temporary cure and so we advise to follow up the patients submitted this kind of treatment.