Effect of Grommet Insertion With Concurrent Adenoidectomy on The Hearing of Children Having Otitis Media With Effusion

Dr.K.G.Somashekara; Dr. Amrita Suzanne Mathew; Dr. Keshav Pai

Volume : IV, Issue : I, January - 2015

Effect of Grommet Insertion With Concurrent Adenoidectomy on The Hearing of Children Having Otitis Media With Effusion

Dr. K. G. Somashekara, Dr. Amrita Suzanne Mathew, Dr. Keshav Pai

Abstract :

Objectives:To determine the clinical profile of persistent OME with he� impairment in children, and the effect of grommet insertion with concurrent adenoidectomy on he� as assessed by pure tone audiometry. Materials and methods:100 children aged 5–12 years,with OME and resulting unilateral/bilateral he� impairment were included in a prospective observational study.Clinical evaluation,audiometry,tympanometry and X–ray nasopharynx were done.All subjects underwent adenoidectomy with tympanostomy tube insertion in the affected ear(s) with follow ups at 2,6 months. Results:Mean age was 7.48±2.35 years.87% had bilateral he� impairment.88% had otoscopically abnormal tympanum bilaterally. Majority(68%) had moderate he� loss on audiometry (mean air conduction threshold of 26.78±6.94 dB).Postoperatively,statistically significant reduction in air conduction threshold was noted during the first 2 months; not between 3rd–6thmonth. Conclusion:Evaluation and treatment of children with OME as outlined in the study,is useful,safe,effective and thus still relevant in current daily clinical practice.