Abstract

The nasopharynx and middle ear are connected via the Eustachian tube. In infants and children, it is shorter, wider, and more horizontal, which explains why they have a higher risk of otitis media.The Eustachian tube controls pressure while ventilating, shielding, and draining the middle ear. The most crucial of these three tasks is pressure regulation. The tensor veli palatini muscle contracts during swallowing, jaw movements, and yawning, causing active intermittent openings of the Eustachian tube to allow the middle ear pressure (MEP) to acclimatize to air pressure. Inadequate tubal function causes the middle ear to experience negative pressure. Aim: The goal of the current study is to highlight the significance of adenoidectomy or adenotonsillectomy in improving Eustachian tube function and to determine how it affects MEP and hearing threshold. Methods and Materials: 50 patient attending ENT outpatient department of Late Shri Lakhiram Agarwal Memorial Government Medical College Raigarh, with symptoms and signs of chronic adenoiditis and/or adenotonsillitis, with or without features of chronic OME and undergoing adenoidectomy or adenotonsillectomy were included for the study. A prospective, experimental study was done after obtaining institutional ethical committee clearance. Relevant history was taken, and clinical examination was done to look for the presence of adenoid hypertrophy, tonsil hypertrophy, and also for the retraction or perforation of tympanic membrane (TM) and or presence of air–fluid level. X-ray Nasopharynx soft-tissue lateral view was done in all the cases to confirm the presence of adenoids.

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