Masudul Haq, Shahid Hussain, Rizwan Waseem.
Adenoidectomy, results and assessment.
Pak Paed J Jan ;32(4):215-20.

If child’s adenoids become very large, they can block the openings to the eustachian tubes that provide aeration to the middle ear for sound conduction. They also cause recurrent infections, changed facial features called adenoid facies, rhinosinusitis, glue ear (that leads to deafness) and sleep apnoea. Adenoidectomy helps to unblock the eustachian tubes. It is a common ENT surgery of the paediatric patients. Smell and taste may also improve after adenoidectomy. There are reservations on the subject of the immune function of adenoid. Between Jan 2003 and Jan 2007, 51 cases of adenoids were identified at teaching hospitals of LMDC. The age, sex presenting symptoms, type, duration of symptoms, treatment modalities, complications of surgery in 7 cases were studied. Incidence of adenoids was 0.036 out of the total hospital admissions. There were 88.23% males and 11.76% female children. Maximum cases recorded were in the age range of 6 to 7 years at 41.17%. Out of 28 that had adenoidectomy alone, 9 patients had discharging ears, one case had both ears that were discharging and 8 had unilateral ear discharge out of which 5 were right and 3 left ears. 54.9% had adenoidectomy alone, 17.64% had adenoidectomy with myringotomy and grommets; 9.8% had adenoidectomy with myringotomy alone, same number had adenotonsillectomy, while 3.92% had adenotonsillectomy with myringotomy and grommets. As regards myringotomy results, out of 16 patients 65.65% had thick glue and 21.87% had watery fluid. No fluid was found in 6.25% cases despite tympanogram showing fluid in middle ear. Major complications were primary and secondary haemorrhage at 3.92% each.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com