This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Disorders of Middle Ear (Otitis Media), Subject name: ENT
Adenoidectomy with Grommet insertion is treatment of choice for: 
Select and explain. 
A. Serous otitis media in adults, B. Serous otitis media in children, C. Adenoiditis in children, D. Otitis interna in children
B: Serous otitis media in children
Answer: B: Serous otitis media in children 
Explanation: Ans. (b) Serous otitis media in childrenRef: Dhingra 5th edp. 71-72* Serous otitis media is also known as Glue ear.* It is an insidious condition characterized by accumulation of non-purulent effusion in the middle ear cleft.* One of common causes of serous otitis media (Glue ear) in children is blockage of Eustachian tube secondary to adenoid hyperplasia.* Therefore, the treatment aims at removal of adenoid (adenoidectomy) and drainage of middle ear by grommet.# Grommet is a small tube inserted in tympanic membrane to drain the middle ear.* Serous otitis media in adults should arouse suspicion of nasopharyngeal carcinoma and hence the treatment aims at removal of carcinoma* Adenoiditis is an acute condition and requires treatment conservatively.