Otitis media with effusion in children admitted for adenoidectomy

This cross-sectional prospective study was done in the Department of Otolaryngology Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka during the period of January 2008 to December 2009 with the aim to find out the frequency of otitis media with effusion in patients with enlarged adenoid admitted for Adenoidectomy, To see the frequency of otitis media with effusion in different age group, To find out the degree of hearing loss in enlarged Adenoid patients. A total number of 60 patients who were admitted for adenoidectomy with or without tonsillectomy were purposively collected. Male female ratio was 1.6:1. Majority of patients (61.67%) came from lower socioeconomic group. Amongst the patients with enlarged adenoids, OME was found in 32(53.33%) cases. Out of 25 grossly enlarged adenoid cases, OME was found in 19(76%) cases. In 35 cases of moderately enlarge adenoid, OME was found in 13(37.14%) cases. Out of 28 enlarged adenoid cases in age group 0-5 years, OME was present in 19(67.86%) cases and out of 32 enlarge adenoid cases in age group 6-15 years; OME was present in 13(40.62%) cases. Most of the patients presented with multiple clinical features, the commonest was mouth breathing (80%), other features were snoring (58.33%), nasal discharge (56.67%) and hearing impairment (53.33%). In tympanometry, flat curve without peak was found in 25 cases and negative middle ear pressure was seen in 7 cases. Regarding hearing status of patients, 25 cases had a mild to moderate degree of hearing loss and PTA was not done in 7 cases due to lower age group (below 4 years).