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<p>To evaluate and compare the effectiveness of adenoidectomy combined with myringotomy versus adenoidectomy combined with myringotomy and grommet insertion in improving hearing outcomes and reducing recurrence rates in children with otitis media with effusion. A prospective randomised interventional comparative study was conducted on 80 patients aged 6–12 years with otitis media with effusion (OME). Participants were randomly allocated (using computer-generated randomisation) into two equal groups of 40 each: <b>Group A</b> underwent adenoidectomy with myringotomy alone, while <b>Group B</b> underwent adenoidectomy with myringotomy and grommet insertion. Preoperative assessments included pure tone audiometry and tympanometry. Postoperative follow-ups were conducted at 1, 3, and 6 months to measure hearing improvement and monitor complications and recurrence. Both groups showed significant hearing threshold improvements at 1, 3, and 6 months post-surgery compared to baseline (<i>p</i> &lt; 0.001). At 1 month, Group B achieved a mean hearing threshold of 15.83 dB compared to 23 dB in Group A (<i>p</i> &lt; 0.001), though by 6 months, thresholds were similar (16.50 dB vs. 16.82 dB, <i>p</i> = 0.390). Group B also had a higher rate of normalized middle ear ventilation (90% vs. 60% in Group A, <i>p</i> &lt; 0.01) and no recurrence, compared to a 10% recurrence rate in Group A (<i>p</i> &lt; 0.05). Statistical analysis confirmed significant differences in hearing improvement, middle ear ventilation, and recurrence rates between groups (<i>p</i> &lt; 0.05). Adenoidectomy combined with myringotomy and grommet insertion is superior to adenoidectomy with myringotomy alone in treating children with otitis media with effusion, resulting in faster hearing recovery, better middle ear ventilation, a lower recurrence rate, and an acceptable complication profile. These findings support the use of grommet insertion as part of surgical management for chronic OME in paediatric patients aged 6–12 years.</p>

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“Surgical Management of Pediatric Otitis Media with Effusion: Do Grommets Make a Difference?”

  • 期刊论文

  • 发表日期：

    2026年6月22日

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  • Venkataramani Agathiyanathan,
  • S. Vijayasundaram,
  • A. Govindarajan,
  • Padmanabhan Karthikeyan

摘要

To evaluate and compare the effectiveness of adenoidectomy combined with myringotomy versus adenoidectomy combined with myringotomy and grommet insertion in improving hearing outcomes and reducing recurrence rates in children with otitis media with effusion. A prospective randomised interventional comparative study was conducted on 80 patients aged 6–12 years with otitis media with effusion (OME). Participants were randomly allocated (using computer-generated randomisation) into two equal groups of 40 each: Group A underwent adenoidectomy with myringotomy alone, while Group B underwent adenoidectomy with myringotomy and grommet insertion. Preoperative assessments included pure tone audiometry and tympanometry. Postoperative follow-ups were conducted at 1, 3, and 6 months to measure hearing improvement and monitor complications and recurrence. Both groups showed significant hearing threshold improvements at 1, 3, and 6 months post-surgery compared to baseline (p < 0.001). At 1 month, Group B achieved a mean hearing threshold of 15.83 dB compared to 23 dB in Group A (p < 0.001), though by 6 months, thresholds were similar (16.50 dB vs. 16.82 dB, p = 0.390). Group B also had a higher rate of normalized middle ear ventilation (90% vs. 60% in Group A, p < 0.01) and no recurrence, compared to a 10% recurrence rate in Group A (p < 0.05). Statistical analysis confirmed significant differences in hearing improvement, middle ear ventilation, and recurrence rates between groups (p < 0.05). Adenoidectomy combined with myringotomy and grommet insertion is superior to adenoidectomy with myringotomy alone in treating children with otitis media with effusion, resulting in faster hearing recovery, better middle ear ventilation, a lower recurrence rate, and an acceptable complication profile. These findings support the use of grommet insertion as part of surgical management for chronic OME in paediatric patients aged 6–12 years.