Medical MCQ - Treatment of a 6-year-old child with recurrent UI, mouth breathing, failure to grow with high arched palate and impaired hearing is

Treatment of a 6-year-old child with recurrent UI, mouth breathing, failure to grow with high arched palate and impaired hearing is

Tonsillectomy

Grommet inseion

Myringotomy with grommet inseion

Adenoidectomy with grommet inseion

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Correct Answer:

Adenoidectomy with grommet inseion

Description:

Mouth breathing with recurrent UI suggest adenoid hyperplasia, treatment is adenoidectomy. Hearing impairment and the option of myringotomy and grommet inseion suggests the patient is also suffering from serious otitis media (glue ear/secretory otitis media), which is one of the complications of adenoid hyperplasia. Treatment of glue ear requires myringotomy and grommet inseion. Ref: Textbook of disease of ENT, PL Dhingra,7th edition; pg no: 70

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