6 year old child with recurrent URTI with mouth breathing and failure to grow with high marked palate and impaired hearing is :

Correct Answer: Adenoidectomy with grommet insertion
Description: Ans. is 'd' i.e. Adenoidectomy with grommet insertion insertion Hearing impairment and the option of myringotomy and grommet insertion suggests that the patient is also suffering from Serous otitis media (glue ear/secreting otitis media) which is one of the complication of adenoid hyperplasia. Treatment of glue ear requires myringotomy and grommet insertion.
Category: ENT
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