| | Tonsillitis, Tonsillectomy, & Adenoidectomy (Dec.1999) |
 | | In children with recurrent or chronic otitis media, adenoidectomy can be performed with the initial tympanostomy tube insertion if nasal obstructive symptoms are present or in children who continue to have problems with otitis media after the initial set of tympanostomy tubes have extruded. |
 | | On the other hand, in a review of tympanostomy tube placement and adenoidectomy for persistent middle ear effusion, Gates (1994) found that tympanostomy tube surgery alone is associated with a higher rate of repeat surgeries, increased rate of otorrhea, and greater expense and human cost of illness than initial myringotomy with adenoidectomy. |
 | | Relative contraindications to adenoidectomy are palatal clefting and VPI; if adenoidectomy is deemed necessary in patients with these conditions, some surgeons may perform a limited lateral or anterior resection of the adenoid pad. |
| www.utmb.edu /otoref/Grnds/TandA-9912/TandA-9912.htm (5841 words) |