Otitis media with radiation is the main source of hearing misfortune in youngsters. It's assessed that 80% of youngsters have had a scene of OME by the age of 10 years. This paper looks to build up, through the accessible writing, the examination between various strategies for treatment of secretory otitis media in youngsters to preclude the best strategy for treatment, through deliberate survey and meta-investigation. This efficient audit was directed on kids with secretory otitis media everywhere on the world. Studies that included kids matured 0 to 12 years with repetitive or reciprocal AOM were qualified. Four examinations were incorporated from 2005 to 2014 with complete cases 1169 cases 582 in clinical gathering and 587in fake treatment announced Complications after treatment . There was a measurably critical heterogeneity in the investigations (I2 69%, P 0.02). Utilizing the arbitrary impacts model, the result results uncovered that fake treatment was unimportantly not quite the same as clinical in regards to inconveniences after treatment.there were three investigations included from 2014to 2019 with all out cases 362 cases 193 in Surgery with tube addition and 169 in without tube detailed Tympanic Membrane Normal after treatment . There was a measurably critical heterogeneity in the examinations (I2 87%, P 0.0005). Utilizing the irregular impacts model, the result results uncovered that Surgery with tube addition was inconsequential not the same as without tube with respect to Tympanic Membrane Normal after treatment. In serous otitis media with emanation—where, in spite of its chronicity and the disappointment of clinical therapy, manifestations are less serious than in the mucoid sort, it very well might be prudent to utilize a less obtrusive careful measure, for example, myringotomy without the inclusion of grommet tubes.