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Original Research

RMJ. 2019; 44(3): 513-516


Comparison of rate of recurrence of otitis media with effusion in children treated by myringotomy and ventilating tube insertion with patients treated by additional adenoidectomy

Farhat Jabeen, Sadia Chaudhry, Zafar Ahmed, Nudrat Khalil, Beenish Amin, Syeda Samar Rizvi.

Abstract
Objective: To compare frequency of recurrence of otitis media with effusion in children undergoing the two procedures myringotomy + Grommet insertion with and without additional adenoidectomy.
Methodology: This Randomized Controlled Trial was carried out at ENT department, Fauji Foundation Hospital, Rawalpindi, Pakistan from January 1, 2017 to January 1, 2018. A sample of 80 patients was calculated using WHO calculator. Non probability consecutive sampling was used for enrolment of participant. Patients were divided randomly into two groups. Group A underwent Myringotomy plus Grommet insertion with Adenoidectomy while Group B underwent Myringotomy + Grommet insertion without Adenoidectomy. Recurrence of disease was noted at 3 month follow up. Post stratification chi-square test was applied. P value≤0.05 was considered significant.
Results: Out of 80 patients, there were 23(29%) males and 57(71%) females. Mean age was 7.65±3.5 years. An association between two groups & recurrence (P=0.01), interventional groups & age (p=0.01), hearing loss (p=0.001) with respect to recurrence was significant. An insignificant association was found with gender, laterality and duration of disease (p>0.05).
Conclusion: Myringotomy + Grommet insertion with Adenoidectomy had better efficacy in terms of lower recurrence rate as compared to Myringotomy + Grommet insertion without Adenoidectomy in management of otitis media with effusion.

Key words: Myringotomy, adenoidectomy, otitis media with effusion, acute otitis media.


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