Volume : 4, Issue : 1, 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 :

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