Does adenoidectomy have an adjuvant effect on ventilation tube insertion and thus reduce the need for re-treatment?

Abstract

Two hundred and twenty-two children with bilateral otitis media with effusion were followed for 5 years. A ventilation tube was inserted into one ear only and reinserted if the condition had not resolved. The need for reinsertion in 139 children in whom the adenoids were also removed was compared with the 83 children treated by tube insertion alone. In the combined group in year 1, 91% required one tube compared with 62% treated with only a tube. By year 5, 66% of the combined group required one tube compared with 32.5% in those without adenoidectomy. There was some relationship between tube reinsertion and age, and also with parental smoking. It is possible that the combination of adenoidectomy with tube insertion may prove more cost-effective than tube insertion in selected cases alone. In addition, once adenoidectomy becomes more established as a day case procedure, the cost benefit will be more advantageous in those children treated with adenoidectomy and a tube compared with those treated with only a tube.

Management of ‘Otitis-Prone’ Children: A Diagnostic and Therapeutic Challenge

“…The positive effect of adenoidectomy on otitis media and its sequelae is well recognized in the literature [6]. Adenoidectomy is thought to reduce the frequency of otitis media episodes, to prevent the subsequent need for ventilation tubes and to lead to a long-term resolution of cOME [26][27][28]. Our previous study [29] as well as other reports in the literature support the concept of a surgical removal of a potential infectious focus in the nasopharynx.…”

Adenoidectomy with or without grommets for children with otitis media: an individual patient data meta-analysis

“…One article 40 was excluded because it was found to report a non-RCT. Furthermore, we identified 11 of the publications 9,[41][42][43][44][45][46][47][48][49][50] as providing the same data as more recent articles included in this meta-analysis. Publications focused on adenotonsillectomy were also excluded except for those in which a separate analysis for adenoidectomy was undertaken.…”

Leitlinie „Seromukotympanum“ – Langfassung

“…Bei Vorliegen einer Rachenmandelhyperplasie (adenoide Vegetationen) und einem Seromukotympanum sollte eine Adenotomie und Parazentese und, wenn erforderlich, Paukenröhrchenein-lage als Ersteingriff vorgenommen werden. Die Kombination aus Adenotomie und Parazentese ist der alleinigen Parazentese oder isolierten Paukenröhrchen-einlage hinsichtlich der Langzeitergebnisse überlegen [18,19]. Die Adenotomie, ggf.…”