Treatment of a 6-year-old child with recurrent UI, mouth breathing, failure to grow with high arched palate and impaired hearing is
Mouth breathing with recurrent UI suggest adenoid hyperplasia, treatment is adenoidectomy. Hearing impairment and the option of myringotomy and grommet inseion suggests the patient is also suffering from serious otitis media (glue ear/secretory otitis media), which is one of the complications of adenoid hyperplasia. Treatment of glue ear requires myringotomy and grommet inseion. Ref: Textbook of disease of ENT, PL Dhingra,7th edition; pg no: 70
Tonsillectomy
Grommet inseion
Myringotomy with grommet inseion
Adenoidectomy with grommet inseion
Ear