Correlation between Adenoid Hypertrophy, Tympanometry Findings, and Viscosity of the Middle Ear Fluid in Otitis Media with Effusion

Background: A prominent cause of nasal blockage in children is adenoid hyperplasia.Mouth breathing, snores, sleep apnea, hyponasality, sinusitis, as well as otitis media with effusion (OME) are caused by chronic infection and hypertrophy.Compared to the mucoid kind, which typically requires surgical intervention, the serous variety is typically easier to treat. Objectives:In order to help recommend the best course of treatment, this study attempts to determine whether there is a relationship between the form of middle ear fluid in pediatric patients aged 12 years and under in patients with OME and adenoid hypertrophy.Methods: 100 patients with COME and adenoid hypertrophy were enrolled in the study.Unilateral or bilateral type B and C tympanometry were used to make the diagnosis of OME.We divided the middle ear fluid into two categories for therapeutic purposes: mucoid, which is thick, heavy, or sticky, and serous, having thin watery fluid.Categorical data such as Tympanoplasty, grade of adenoid hypertrophy and type of fluid were compared using chi-square test for evaluating statistical significance of correlation at p<0.05.Results: Most of the patients with grade IV adenoid hypertrophy had type B tympanometry whereas most of the patients with grade II or grade III adenoid hypertrophy had type Cs tympanometry (p<0.0001).All the patients with grade IV adenoid hypertrophy had mucoid middle ear effusion whereas most of the patients with grade II adenoid hypertrophy (88.89%) had serous middle ear effusion (p<0.0001). Conclusions:The strong relationship between adenoid size and OME incidence is supported by this study.Tympanometry type B and grade IV adenoid hypertrophy are significantly correlated.