A 6 year old child presented with recurrent UI, mouth breathing and failure to grow. On examination he has high arched palate and impaired hearing. What is the management of choice in this child?
Child in the question is showing features of adenoid hyperplasia as indicated by mouth breathing, nasal obstruction and recurrent UI. He has impaired hearing as a result of serous otitis media which occur as a complication of adenoid hyperplasia. So the treatment of choice is adenoidectomy with grommet inseion which will take care of both the adenoid as well as serous otitis media.
Myringotomy
Myringotomy with grommet inseion
Adenoidectomy with grommet inseion
Tonsillectomy