Vol. 1, Issue 10 (2012)

Background and Objectives: Otitis medium with effusion is an inflammatory disorder of the middle ear characterized by the presence of fluid in the middle ear without any symptoms indicating an acute ear infection. The objective of this study was to address two inquiries: firstly, to determine the extent to which adenoid hypertrophy was linked to hearing impairment in these children, and secondly, to examine the impact of adenoidectomy on middle ear function in children with chronic adenoiditis.

Methods: In this study, a total of 70 patients were included, with an equal distribution of 35 individuals for each gender. This cross-sectional study focused on patients with chronic adenoiditis who sought treatment at the ENT outpatient service at Department of Otorhinolaryngology, Sardar Rajas Medical College and Hospital, Bhawanipatna, Orissa, India during the period from August 2011 to July 2012. We employed the technique of sequential sampling.

Results: The study's findings indicate that an adenoidectomy effectively lowers fluid in the middle ear and significantly enhances hearing after surgery. Adenoidectomy is the recognized therapy for disorders such as obstructive sleep apnea syndrome and the cardio-respiratory implications of severe chronic adenoid hypertrophy. On the other hand, milder cases of chronic adenoiditis may not necessitate surgical intervention. Multiple randomized controlled studies have demonstrated the efficacy of nasal steroid spray in improving symptoms of allergic rhinitis and chronic adenoiditis.

Conclusion: Adenoidectomy reliably eliminates middle ear fluid and results in a substantial enhancement in hearing following the surgical intervention.