This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Ear, Subject name: ENT
[{'content': 'Medical treatment is not effective in which type of otitis media \nSelect and explain. \nA. Tuberculous otitis media, B. Secretory otitis media, C. Acute suppurative otitis media, D. Chronic suppurative otitis media', 'role': 'user'}, {'content': 'Answer: B \nExplanation: The aim of treatment in secretory otitis media is the removal of fluid and prevention of recurrence. So medical treatment alone does not help, the fluid must be surgically removed. Surgical treatment includes Myringotomy and aspiration of fluid, grommet inseion, tympanotomy or coical mastoidectomy and surgical treatment of causative factor. (Ref: Textbook of diseases of ENT, PL Dhingra 7th edition; pg no 70)', 'role': 'assistant'}]