Assessment Of The Middle Ear Function In Children With Adenoid Hypertrophy By Noting Findings In Tympanometry & Pure Tone Audiometry (PTA) And Record Changes Post Adenotonsillectomy

Dr. Khushboo Arora; Dr. Amresh Kumar Saxena; Dr Sanjay Kumar; Dr Anshul Bansal; Dr Sonal Saran

Volume : VIII, Issue : V, May - 2019

Assessment Of The Middle Ear Function In Children With Adenoid Hypertrophy By Noting Findings In Tympanometry & Pure Tone Audiometry (PTA) And Record Changes Post Adenotonsillectomy

Dr. Khushboo Arora, Dr. Amresh Kumar Saxena, Dr Sanjay Kumar, Dr Anshul Bansal, Dr Sonal Saran

Abstract :

Background: The effects of adenoid hypertrophy on the nasal airway obstruction is a well documented entity among otolaryngologist but the effects of adenoid hyperplasia on the middle ear, has long remained a challenging subject. Aim: To assess the middle ear function in children with adenoid hypertrophy pre–operatively and post operatively after adenotonsillectomy. Materials And Methods: This prospective study involves children reporting to the Department of ENT at CSSH, SVSU, Meerut. A total of 50 cases of clinically and radiologically diagnosed adenoid hypertrophy were studied and subjected to Adenotonsillectomy and changes in middle ear function and he� were noted by tympanometry and pure tone audiometry (PTA) pre operatively and at six weeks follow up post operatively. Results: Our present study showed significant improvement in the type of graph, pressure, compliance and Air–Bone gap implying conductive he� gain. Conclusion: Adenotonsillectomy has a positive effect on middle ear function. Six weeks postoperatively as healing occurs, inflammation & oedema resolve and middle ear function improves significantly.