Abstract

The Palatine tonsils are areas of lymphoid tissue located in the tonsillar fossa. The adenoids or Luschka’s Tonsils are also lymphoid tissue which are located in the nasopharynx and are normally present in all children. These lymphoid structures are vulnerable to frequent infections, resulting in enlarged adenoids which cause obstruction in nasal breathing. As the adenoids lie in close proximity to Eustachian tube, their enlargement or infection may contribute to recurring diseases which includes acute or chronic otitis media, Eustachian tube catarrh, serous otitis media etc. OME is defined as the presence of fluid in the middle ear cleft in the absence acute middle ear infections which may lead to hearing loss or long-term sequel and has a negative impact on speech development and behaviour of the child. Here we discuss a case of 9yr old male child who presented to ENT OPD with chief complaint of recurrent throat pain, fever, snoring and decreased hearing. The patient was managed conservatively for 2 weeks followed by surgical management (Adenotonsillectomy under GA with grommet insertion). The main aim was to see if tonsil size is related to recurrent otitis media with effusion (OME) in paediatric patient and to compare the relationship between the size of adenoid and tonsil with eustachian tube block and middle ear effusion.