Adeno- tonsillitis is the commonest disease of the children and the adolescent among the ENT diseases all over the world. Adeno- tonsillectomy is the surgery mostly performed. Conventional curettage method is usually done by most of the surgeons. Residual adenoid tissue remains following this blind approach even with skill hands which is responsible for most of the recurrences. Whatever the device or instrument used in mirror guided surgery chance of recurrence is almost none. Moreover complication is also negligible. 137 cases were studied using this procedure showed very effective result with few complications. Bangladesh J Otorhinolaryngol; April 2016; 22(1): 31-35

Background: Adenoids are common childhood upper respiratory tract problem which frequently obstruct the nasopharyngeal opening with tubal occlusion causes reduction in middle ear pressure with conductive hearing loss. Objective: To observe middle ear pressure and level of hearing in children with enlarged adenoids. Methods: This cross sectional observational study conducted among 72 children of enlarged adenoids admitted or attended in Dhaka Medical College Hospital and Bangabandhu Sheikh Mujib Medical University Dhaka. Results: 72 children of enlarged adenoids of age ranges between 5-12 years with male female ratio was 1.25:1. Mouth breathing (65.27%), hearing impairment (59.72%), nasal obstruction (55.55%) and snoring (56.94%) were the presenting symptoms of the patients. Majority of the patients of this study came from middle class (52.77%). Most of the patients with enlarged adenoids were grossly enlarged (51.38%). 43.05% grossly enlarged adenoids had significant hearing loss . In this series 65 ears (45.13%) had type A Tympanogram. 58 ears (40.27%) has Type B Tympanogram and 21 ears (14.58%) has Type C Tympanogram. Conclusion: This study revealed significant association between enlarged adenoids and conductive hearing loss of variable degree and negative middle ear pressure. Bangladesh J Otorhinolaryngol; April 2021; 27(1): 73-80