A 5 year old child presents to your clinic with complaint of recurrent respiratory tract infection. Mother complains about this recurrent infection, mouth breathing and decreased hearing. Treatment of choice for this condition is:
Ans. (b) AdenoidectomyRef: Dhingras ENT 6th ed./431-32* Serous otitis media is also known as Glue ear.* It is an insidious condition characterized by accumulation of non-purulent effusion in the middle ear cleft.* One of common causes of serous otitis media (Glue ear) in children is blockage of Eustachian tube secondary to adenoid hyperplasia.* Therefore, the treatment aims at removal of adenoid (adenoidectomy) and drainage of middle ear by grommet.# Grommet is a small tube inserted in tympanic membrane to drain the middle ear.* Serous otitis media in adults should arouse suspicion of nasopharyngeal carcinoma and hence the treatment aims at removal of carcinoma* Adenoiditis is an acute condition and requires treatment conservatively.
Myringoplasty
Adenoidectomy
Grommet insertion
Myringotomy
Ear