Adenoidectomy in Children with Otitis Media with Effusion: Is It Effective?

Hamed M. Abdulatti Abdulatti

doi:10.64516/yh8ar263

Authors

Hamed M. Abdulatti Abdulatti Tobruk Medical Centre, Faculty of Medicine, University of Tobruk, Tobruk, Libya Author

DOI:

https://doi.org/10.64516/yh8ar263

Keywords:

Otitis media with effusion, Adenoidectomy, Tympanometry, Eustachian tube dysfunction, Paediatric ENT

Abstract

Background: Otitis media with effusion (OME) is a common condition in children, often linked to adenoidal hypertrophy, which contributes to Eustachian tube dysfunction and recurrent middle ear effusion. Methods: A prospective study was carried out at Tripoli Central Hospital’s ENT Department from February to September 2007. Thirty-eight children (2–15 years) with OME and adenoidal hypertrophy underwent adenoidectomy or adenotonsillectomy. Pre- and postoperative assessments included otoscopy and tympanometry. Results: Preoperatively, 50% of ears had type B tympanograms and 15.79% had type C. Postoperatively, 80% showed type A tympanograms. Otoscopy improved similarly, and 94.44% of patients experienced symptom relief. Statistical analysis revealed significant improvements (p < 0.001). Conclusions: Adenoidectomy improves middle ear ventilation and resolves persistent OME in children. It is an effective treatment option when conservative therapy fails.

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