EFFECT OF ADENOIDECTOMY ON OTITIS MEDIA WITH EFFUSION

Abstract

Effect of adenoidectomy on treatment for otitis media with effusion (OME) has been evaluated for 6-months regarding to hearing in 107 children (179 ears).
The children aged 5 to 7 years were randomly classified into 4 treatment groups; adenoidectomy plus grommet insertion (74 ears), adenoidectomy plus myringotomy (25 ears), grommet insertion only (53 ears), and conservatively treated group (27 ears).
The children who underwent adenoidectomy (adenoidectomy plus grommet insertion and adenoidectomy plus myringotomy group) showed significant improvement in their hearing.
But, on the other hand, as to the children treated without adenoidectomy, their hearing did not improve unless the ventilation tub ewas in its proper place.
This result suggests that children suffering from OME and adenoid vegetation should have adenoidectomy as well as insertion of ventilation tube.