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Head and Neck Cancers • Radiation Oncology
How do you manage radiation induced serous otitis media?
Do you ever hold treatment? Would you consider any of the following: decongestants, anti-inflammatories (e.g. steroid burst), antibiotics, or myringotomy?
Answer from: Radiation Oncologist at Academic Institution
In my practice, we routinely limit the cochlea to 30 Gy. Usually, this is achievable in all but the most extensive nasopharyngeal patients.In this context, we have approximately a 10% rate of symptomatic serous otitis media. These symptoms are usually mild and do not require therapy. However, in pat...
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