A Study on the role of Adenoidectomy in Otitis Media with Effusion

Naveen George Kodiyan, (2017) A Study on the role of Adenoidectomy in Otitis Media with Effusion. Masters thesis, Madurai Medical College, Madurai.


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INTRODUCTION: Serous otitis media is a chronic accumulation of mucus within the middle ear and mastoid air cells. The time that the fluid to be present for serous otitis media to be chronic is taken as twelve weeks. serous otitis media is most commonly diagnosed in school going children.So many literatures has widely supported the role of adenoid hypertrophy and /or inflammation of the adenoid tissue in the development of serous otitis media. Although many clinical studies established the benefit of adenoidectomy in the treatment of serous otitis media, there are still controversies about that. The major motivation for this study is that the serous otitis media in children is the demonstration of subacute or chronic inflammation in the upper airway tract with its epicenter in the nasopharynx. OBJECTIVE: To study the role of adenoidectomy in the management of otitis media with effusion. TYPE OF STUDY: A prospective clinical study. MATERIALS AND METHODS: 50 cases studied in department of Govt Rajaji Hospital, Madurai Medical college, Madurai. The duration of study was 6 months. Hearing loss assessment in the form of PTA & tympanometry before and after adenoidectomy was done. OBSERVATIONS AND RESULTS: Children 5-15 years were included in the study. Sex wise distribution was observed. Patients categorized according to the symptoms, gender and degree of hearing loss. Satisfactory results observed after adenoidectomy in relation to the improvement in hearing loss. There can be some complications after adenoidectomy but in our studies proper precautions were taken and no complications seen. CONCLUSION: Adenoidectomy is a very effective surgical modality of treatment in patients who are having otitis media with effusion due to adenoid hypertrophy. Conservative management has no role and grommet insertion is not of much value. Adenoidectomy alone has been shown to produce otoscopic clearance of middle ear effusion, alteration of tympanometric status and improvement of hearing loss.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Otitis media with effusion, Hearing loss, Adenoidectomy.
Subjects: MEDICAL > Otolaryngology
Depositing User: Devi S
Date Deposited: 16 Mar 2020 01:33
Last Modified: 16 Mar 2020 11:39
URI: http://repository-tnmgrmu.ac.in/id/eprint/12287

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