A 62-year-old, generally healthy man presented with a "clogged" sensation and a 6-week history of diminished hearing in his right ear. He had no tinnitus, ear pain, or dizziness. Audiometry confirmed a mixed, but principally conductive, hearing loss in the right ear. Otoscopy revealed amber-colored fluid behind an intact right eardrum. Serous otitis media was diagnosed and treated with intranasal corticosteroids. His symptoms recurred 5 months later, and a right myringotomy was performed. He continued to report slightly "muffled" hearing.
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