Adenoidectomy and tympanostomy tubes in the management of otitis media

Abstract

Otitis media is one of the most common childhood infections and the most frequent cause for antibiotic prescriptions in children. As respiratory infections are also associated with childhood asthma, children with recurrent otitis media or with persistent middle-ear effusion are also at an increased risk for developing asthma, which should be appreciated when a child with middle-ear disease is evaluated. The first choice of surgery in chronic middle-ear inflammatory disease is the insertion of tympanostomy tubes. It is warranted when the middle-ear effusion has lasted for 3 or more months. When chronic adenoid infection is suspected, adenoidectomy may be beneficial in treating otitis media in children who are older than 4 years of age and who have previously undergone tympanostomy-tube insertion.

Adenoidectomy with or without grommets for children with otitis media: an individual patient data meta-analysis

“…This could have led to recall bias. The risk of other bias was classified as unclear for five studies [10][11][12]18,52,53 and low for the remaining four studies. [15][16][17]20 Overall we concluded that eight studies [10][11][12][15][16][17]20,52 were at a low risk of bias and two 18,21 were at a moderate risk of bias.…”

Role of Adenoidectomy in Otitis Media and Respiratory Function

“…This results in continuous mouth breathing, sleep disturbances, and long-term effects on the growth of the facial skeleton and teeth [13]. Thereby, adenoidectomies are also performed in cases of nasopharyngeal obstruction without any evident history of recurrent or persistent otitis media [14].…”

Association of Adenoid Surface Biofilm Formation and Chronic Otitis Media With Effusion

“…COME is defined as the persistence of middle ear fluid beyond 12 weeks and has multiple causes, including environmental and host factors. 1,2 Medical treatment is the first choice of management, but it does not have a standard. It usually includes eradication of upper respiratory tract infections, control of allergy, and environmental precautions.…”