Grommet in Otitis Media with Effusion

Abstract

Objective: Importance of Grommet in otitis media with effusion to improve the hearing in children.

Study Design: Observational.

Place & Duration: Department of Otorhinolaryngology and Head, Neck Surgery Peoples University of

Medical & Health Sciences, Hospital Nawabshah during June 2011 to July 2013.

Material & Methods:    This study includes 100 patients suffering from chronic otitis media with

effusion. Patients aging 5 years to 13 years were included. History, examination, and hearing test were

performed in all patients pure tone audiometry and tympanometry was done pre and post operatively in

all the patients.

Results: Total 100 patients were operated 75% were male, majority of patients 60% were between 5 to 8

years of age. Average age was 7 years, distribution was done area wise and on economic status 60%

belongs to poor class 30% middle class and 10% belong to upper class. In this study majority of the

patients 60% had chronic otitis media with thick effusion and 40% with thin fluid. In 65% of patient

satisfactory result obtained, hearing was very much improved according to PTA result post operatively.

Complication: Recurrence was seen in 35% cases. While 12% develop keloid, 9% infection, 8%

perforation, 3% sclerosis & 3% bleeding.

Conclusion: We conclude that Grommet should be the preferred surgical option in chronic otitis media

with effusion of thick fluid.