Adenoidectomy in Children with Otitis Media with Effusion: Is It Effective?

Background: Otitis media with effusion (OME) is a common condition in children, often linked to adenoidal hypertrophy, which contributes to Eustachian tube dysfunction and recurrent middle ear effusion. Methods: A prospective study was carried out at Tripoli Central Hospital’s ENT Department from February to September 2007. Thirty-eight children (2–15 years) with OME and adenoidal hypertrophy underwent adenoidectomy or adenotonsillectomy. Pre- and postoperative assessments included otoscopy and tympanometry. Results: Preoperatively, 50% of ears had type B tympanograms and 15.79% had type C. Postoperatively, 80% showed type A tympanograms. Otoscopy improved similarly, and 94.44% of patients experienced symptom relief. Statistical analysis revealed significant improvements (p < 0.001). Conclusions: Adenoidectomy improves middle ear ventilation and resolves persistent OME in children. It is an effective treatment option when conservative therapy fails.