Abstract
Introduction: Secretory Otitis media (SOM) is the leading cause of hearing loss in children. Despitenumerous studies on the prevention and treatment of SOM during the past decades, itsmanagement remains challenging and controversial. A study was conducted to find the effect ofadenoidectomy in cases of SOM with hypertrophied adenoids and to determine the effect ofadenoidectomy on hearing as assessed by the pure tone and impedance audiometry. Material andMethods: Children aged 5 – 12 years, diagnosed as SOM with adenoid hypertrophy were included.The study was conducted from April 2019 to May 2020, in the department of ENT, GSL MedicalCollege. A detailed history and clinical examination were done. Investigations such as pure toneaudiogram, impedance audiometry, X-ray nasopharynx, and diagnostic nasal endoscopy were carriedout to confirm the diagnosis. Results: Out of the 50 participants, a maximum (60%) belonged tothe 5 – 7 years age group, the male-female ratio was 1.2. Hard of hearing was a common symptomin 66%, tonsillitis, and sinusitis in 36% and 18% respectively. On pure tone audiometry, the averagehearing loss was 24.95dB. Conclusion: Adenoidectomy in children having hypertrophied adenoidswith SOM, not only relieves Eustachian tube obstruction but also removes the source of infection.This leads to clearance of middle ear effusion and improvement in hearing postoperatively.
Highlights
Secretory Otitis media (SOM) is the leading cause of hearing loss in children
A study was conducted to find the effect of adenoidectomy in cases of SOM with hypertrophied adenoids and to determine the effect of adenoidectomy on hearing as assessed by the pure tone and impedance audiometry
The study was conducted from April 2019 to May 2020, in the department of ENT, GSL Medical College
Summary
Secretory Otitis media (SOM) is the leading cause of hearing loss in children. Despite numerous studies on the prevention and treatment of SOM during the past decades, its management remains challenging and controversial. A study was conducted to find the effect of adenoidectomy in cases of SOM with hypertrophied adenoids and to determine the effect of adenoidectomy on hearing as assessed by the pure tone and impedance audiometry. Conclusion: Adenoidectomy in children having hypertrophied adenoids with SOM, relieves Eustachian tube obstruction and removes the source of infection. This leads to clearance of middle ear effusion and improvement in hearing postoperatively. Secretory otitis media (SOM) is one of the most common medical problems of childhood It is the leading cause for office visits a common reason for prescribing antibiotics and the most frequent reason that children undergo surgery [1,2]. Myringotomy, adenoidectomy, tympanostomy tubes, and even tonsillectomy have been advocated [4]
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