Peritubal adenoidectomy in chronic and/or persistent otitis with effusion

ABSTRACT

Patients having recurrent and/or persisent OME should have their nasopharynx examined for any adenoid hypertrophy or remnant even in those cases which had had previous conventional adenoid surgery. The superolateral aspect of the nasopharynx should be especially and specifically examined under direct endoscopic visualization. Endoscopic visualization and removal of that adenoid is recommended to break the visious cycle of recurrent or persistent OME. The procedure proved to be safe, reliable and accurate. Plain X-ray was shown to be of limited value where the lateral lymphoid tissue predominates while the endoscope proved to be value in diagnosis and management. Tube extrusion and reversal of the cycle was noted with normal tympanic membrane in 84% of our cases