Abstract
Adenoid vegetation has been considered to be one of the possible causes of otitis media with effusion (OME). Judging from endoscopic findings of the nasopharynx of children with OME, mechanical compression of the adenoid against the pharyngeal orifice of the Eustachian tube appears to result in dysfunction of the tube. However, accumulated clinical experience has revealed that adenoidectomy is not always effective for OME. In this study an attempt was made to assess the effect of adenoidectomy upon the Eustachian tube and middle ear function in children with OME. First, the effect of adenoidectomy on hearing was evaluated in comparison with other combined surgical procedures such as insertion of a ventilating tube and myringotomy. Second, the influence of adenoidectomy on the ventilatory function of the Eustachian tube was examined before and immediately after adenoidectomy.
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