A study on the effect of adenoidectomy with tonsillectomy in otitis media with effusion in children

Authors

  • Ajayan P. V. Department of ENT, Government Medical College, Thrissur, Kerala, India
  • Divya Raj M. L. Department of ENT, Government Medical College, Thrissur, Kerala, India
  • Anju Mariam Jacob Department of Anaesthesiology, Government Medical College, Thrissur, Kerala, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20171521

Keywords:

Adenoidectomy, Otitis media with effusion, Tonsillectomy

Abstract

Background: The aural symptoms attributed to adenoid hypertrophy are Eustachian tube block (ET) and otitis media with effusion (OME). It is thought that adenoid hypertrophy causes a block in air flow through the ET, thus creating a negative pressure in the middle ear leading to effusion which acts as a focus of infection. The role of hypertrophied tonsils in the aetiology of OME is controversial. Adenoid and tonsillar hypertrophy and associated inflammation continue to be a major problem in paediatric age group despite the advances in medicine. Otitis media with effusion is a treatable cause of deafness which may hamper the learning ability of a child. This study was undertaken to study the effect of adenoidectomy with tonsillectomy on established otitis media with effusion in children.

Methods: 35 children presenting to the department of ENT, Government Medical College, Thrissur, Kerala, India over one and a half years with features suggestive of secretory otitis media, tonsillar and adenoid hypertrophy who underwent adenoidectomy with tonsillectomy in Government Medical College, Thrissur, Kerala, India were included in the study. A predesigned questionnaire was prepared which included details on clinical symptoms, relevant investigations and preoperative and postoperative evaluation of hearing after 6 weeks and 3 months. Data collected was analyzed using paired t-test and chi square test to determine the improvement in hearing after 6 weeks and 3 months following surgery.

Results: Out of the 35 children included in the study, it was seen that 56% of cases, after 6 weeks showed complete resolution of OME which improved to 67% after 3 months. This was assessed by PTA and tympanometry. 33% showed partial improvement with Type C curve in tympanometry and improvement in PTA values.

Conclusions: All cases of OME associated with adenoid and tonsillar hypertrophy responded to our treatment with 67% showing complete cure of the condition. It can be assumed that, in the 33% partial responders there may be other factors like allergy, anatomical deformities, immunological which prevented the complete resolution of symptoms in OME. 

Author Biography

Ajayan P. V., Department of ENT, Government Medical College, Thrissur, Kerala, India

Additional Professor,ENT

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Published

2017-04-26

How to Cite

V., A. P., M. L., D. R., & Jacob, A. M. (2017). A study on the effect of adenoidectomy with tonsillectomy in otitis media with effusion in children. International Journal of Research in Medical Sciences, 5(5), 1796–1801. https://doi.org/10.18203/2320-6012.ijrms20171521

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Original Research Articles