ABSTRACT
Otitis media with effusion refers to fluid in the middle ear space without symptoms of acute infection; it is the most common cause of hearing loss in children Otitis media with effusion is very common in children, especially between the ages of one and three years with a prevalence of 10% to 30% and a cumulative incidence of 80% at the age of four years Research has shown that medication is not so effective in treating Otitis Media with effusion, many are initially treated by simply watching an d waiting. A combination of antibiotic with steroids, anti-inflammatory drugs, decongestant, antihistamines and prostaglandin all failed to produce a sustained and significant therapeutic effect Surgery may resolve OME and improve hearing in the short term, but there is less certainty about long-term outcomes. There is large variation in effect between children The operation of myringotomy and ventilation tubes has many complications, damage to the ossiculr chain, dehiscent facial nerve, the tub e may lost in the middle ear, tympano-sclerosis, persistent ear discharge, perforation of the tympanic membrane, obstruction of the tube Supherb's EN Free is a natural preparation for immediate relief and prevention of recurrent middle ear infections, therefore the use of herbs with anti-inflammatory properties, which act to strengthen the immune system [Echinacea, Plantago], have a smoothing and analgesic effect [chamomile] treat secretion, phlegm and congestion in nasal and ear passages and tearing eyes [eyebright]