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Editor,- Ruut A De Melker failed to mention the important contribution of allergy to secretory otitis media (glue ear).
The children with secretory otitis media also had a high prevalence of asthma (over 35%), often previously undiagnosed, and eczema (20%), with blood eosinophilia in 35%.
Otitis media with effusion (OME), also called serous or secretory otitis media (SOM) or glue ear, is simply a collection of fluid that occurs within the middle ear space due to the negative pressure produced by altered Eustachian tube function.
A veterinarian will rule out basic causes of scratching or discomfort such as ear mites, fleas, and allergies, and then, primary secretory otitis media (PSOM - glue ear), as well as spinal or limb injuries, before assuming that a Cavalier has SM.