#ADENOID AUDITORY TUBE HOW TO#

Many authors have reported favorable effects of adenoidectomy on disease states in the middle ear cleft. The clinical value of adenoidectomy in the treatment of OME has been much disputed through out the years. The following forms of treatment of OME are available sustained antibiotic treatment, adenoidectomy myrigotomy, and finally insertion of ventilation tubes. On the other hand hypertrophied adenoid tissue may lead to increase tension in the adjacent nasopharyngeal tissue with extrinsic compression of the cartilaginous part of the eustachian tube as a result adenoidectomy may increase the pliability of eustachian tube leading to improved middle ear ventilation. Since this is seldom found obstruction of the lymphatic drainage for middle ear and eustachian tube might be a factor of great importance. There are at least two possible mechanical factors responsible for this first is the effect of direct eustachian tube orifice closure by excessively enlarged adenoids. The mechanism by which hypertrophied adenoid tissue influences the eustachian tube and middle ear ventilation is not yet settled. The peak age incidence of recurrent middle ear effusions corresponds to the period of maximum lymphoid hyperplasia in the nasopharynx. Up to 80% of all children experience one or more episodes of eustachian tube dysfunction and OME before school age.

Otitis media with effusion (OME) is an extremely frequent disease and the prevalence seems to be increasing although the true prevalence is hard to ascertain Saudi J Otorhinolaryngol Head Neck Surg 2004 6:1-3. The treatment of children with large adenoids and otitis media with effusion:a comparative study.

#ADENOID AUDITORY TUBE HOW TO#

How to cite this URL: Telmesani LM, Nufaily Y. Saudi J Otorhinolaryngol Head Neck Surg 2004 6:1-3 How to cite this article: Telmesani LM, Nufaily Y. Keywords: Adenoidectomy, otitis media with effusion, large adenoid, OME While in-group B 81% of the ears improved and 19% of them had recurrence of otitis media with effusion.Ĭonclusion: Adenoidectomy alone is as effective as adenoidectomy and otosurgery in children with otitis media with effusion and large adenoid. In group A 85% of the ears improved and 15% of them showed recurrence. While thirty- four patients had adenoidectomy and myringotomy with ventilation tube insertion if needed. Results: Fifteen patients had adenoidectomy alone. Tympanometric findings of type C or A were the criteria for improvement. The patient’s parents decided treatment allocation to an either group. Group B: patients had adenoidectomy and myringotomy with ventilation tube insertion if needed. Group A: patients had adenoidectomy alone. All children with OME and large adenoid who did not respond to medical treatment for minimum of three months were included in the study. Material and Method: A prospective study on 49 children with OME and large adenoid was carried out between October 1998 and March 2000. Settings: This study was conducted at King Fahad Hospital of the University in A!-Khobar, Saudi Arabia. Objctive: To see if adenoidectomy alone is an effective modality of treatment of children with otitis media effusion(OME) and large adenoids

Adenoid auditory tube