Management dilemma of otitis media with effusion [OME]

The aim of this study was to propose a management protocol for OME and to assess the role of different treatment modalities cited in the literatures. Our hypothesis was that presence of adenoid enlargement in cases of OME usually necessitates surgical treatment in the form of adenoidectomy with or without ventilation tubes insertion. Retrospective study that included 175 patients complaining of OME, between 1996 and 2004 with a minimum follow up of 6 months. Patients were divided into 2 groups according to presence or absence of adenoid enlargement; data concerning management and follow up were gathered and statistically analyzed