Diseases of The Middle Ear
A child presenting. with recurrent respiJatory .tract infection, mouth breathing and.decreased heilring Treatment is: [LQ]
Child is presenting with mouth breathinq. Palate is high arched. There is nasal obstruction and, recurrent respiratory tract infections along with hearing impairment. AII these features are suggestive of adenoid hyperplasia. In case of adenoid hyperplasia impairment of hearing is due to secretory otitis.
Thus the-logical step in the management would be myringotomy with grommet lnsertion and adenoidectomy (to remove the causative factor). Now since in Q.16 all 3 are given in option, we aregoihg for all three-but in Q. 15 choice is between myringotomy with grommet insertion and adenoidectomy and grommet insertion better option is adenoidectomy and grommet insertion (as it is obvious gromet cannot be inserted in tympanic membrane without myringotomy).