6 year old child with recurrent UI with mouth breathing and failure to grow with high arched palate and impaired hearing has to undergo:
The child is gaving recurrent UI with high arched palate and failure to grow which indicates child is having adenoids and since there is impaired hearing it means child has developed otitis media as a complication. Hence logically the child should be treated with adenoidectomy with grommet inseion.This is fuher suppoed by following lines from Scott Brown. "Current practice is to perform adenoidectomy as an adjunct to the inseion of ventilation tubes." Ref Scott Brown 7/e,Vol 1,p 902.
Tonsillectomy
Grommet inseion
Myringotomy with grommet inseion
Adenoidectomy with grommet inseion