Comparison between the fate of Secretory Otitis Media in patients with adenoids hypertrophy undergoing Adenoidectomy alone or with Myringotomy or with Myringotomy and Tympanostomy Tube application

Badran, Ahmed Antar Saleh M.; Alhussaini, Ahmed Abdelhay; Abokrisha, Ahmed Ayman; Alhussaini, Mohamed Ahmed

doi:10.21608/ejnso.2023.224411.1079

Comparison between the fate of Secretory Otitis Media in patients with adenoids hypertrophy undergoing Adenoidectomy alone or with Myringotomy or with Myringotomy and Tympanostomy Tube application

Document Type : Original Article

Authors

ENT department, Faculty of medicine, Assiut University, Assiut, Egypt

10.21608/ejnso.2023.224411.1079

Abstract

Background: Otitis Media with Effusion (OME) is defined as the presence of a middle ear fluid in the absence of symptoms of acute infection. The adenoid plays an important role in the pathogenesis of OME. Management of OME consisted of many choices, including auto inflation and medical treatment. Surgery was indicated in cases where the effusion does not resolve spontaneously or has failed medical treatment for 3 months.
Aim: The purpose of this study is to compare the outcome of secretory otitis media in patients with adenoids hypertrophy who underwent adenoidectomy alone, adenoidectomy and myringotomy, or adenoidectomy with tympanostomy tube (TT) application.
Patients and methods: This study included a total of 150 patients who suffered from persistent OME due to adenoid enlargement and were planned for adenoidectomy alone, with myringotomy or with TT insertion. The included patients were divided randomly into three groups.
Results: The results of the tympanogram after six months of healed myringotomy were significantly improved in group III compared to group I and group II. According to age class, 18 cases <4 years old, 23 cases between 4 and 8 years old, and 21 cases >8 years old were cured, and these differences were statistically significant. Regarding other factors, there were no statistically significant results.
Conclusion: Below the age of 4 years old, Clinicians may perform adenoidectomy as an adjunct to TT insertion for children with symptoms directly related to the adenoids, while above age of 4 years old, adenoidectomy and TT insertion has the best results.

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