Middle ear infection due to enlarged adenoids has affected my child's hearing. Please help.

Question

Hi doctor,

Please have a look at her hearing test report and give your suggestion. Please find the patient's details. Her adenoids and tonsils were removed. Due to enlarged adenoids, she got an infection in her middle ear, and she did not hear clearly. Then her middle ear was cleaned, and the tube was inserted. Again, she cannot hear clearly. A hearing test is done now, and her doctor suggested a hearing device.

Do we have any other treatment, or is a hearing device the only solution?

I am sending you her reports. Please give your valuable opinion.

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

The reason why she is still not hearing properly is probably due to remnant adenoids, which could have been left behind and would have undergone compensatory hypertrophy, causing the same problem for which surgery has been done.

I would recommend she use Metatop (Mometasone Furoate Monohydrate) nasal sprays, two puffs in each nostril, two times a day for the next three weeks. This nasal spray shrinks the adenoid tissue, which would have become inflamed and increased in size, blocking the eustachian tubes and causing the issues out there.

Along with this, please apply Otrivin P (Xylometazoline Hydrochloride solution) nasal drops, three drops in each nostril three times a day for one week. Avoid giving anything cold to the child; any spicy or oily food should be strictly avoided for the next six months.

Please keep your ears dry and refrain from using earbuds. This is a common problem that occurs, and there is absolutely nothing that you need to worry about. Please be patient, as it can take some time for the remnant adenoids to shrink in size.

Adequate antibiotics will also be required if the child has any ear discharge as well.

I hope I have answered your query.

If there is anything more you need to inquire about, please do let us know, and we will get back to you as soon as possible.

Thank you.