A 5-year-old child has had eight episodes of acute otitis media in 6 months and has difficulty resolving the effusions between infections. What should be done to effectively eliminate the infections?
Continuing treating each infection as it arises
Place ventilating tubes
Prescribe prophylactic antibiotics for 6 months
Child should be operated for Adenoidectomy
Adenoid hyperophy: MC in children Adenoids cause tubal dysfunction by mechanical obstruction of the tubal opening Serous otitis media Long standing collection of serous or mucoid fluid in the middle ear. Causes: Adenoid hyperophy or tumor No pain but hearing loss present (CHL) On examination: - Fluid filled middle ear - Thin bulging TM Management: Medical : decongestant , antihistamines , antibiotics Surgical : -Treatment of causative factor- Adenoidectomy, tonsillectomy and/or wash out of the maxillary antra maybe required. - Myringotomy & drainage of the fluid - Grommet tube inseion in the anteroinferior quadrant.
Otitis Media