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Objective: To find out the causal effect relationship between enlarged adenoids and conductive hearing impairment
Material and Methods: This prospective, longitudinal and analytical study was conducted in the departments of ENT
Head & Neck Surgery, MTI Lady Reading Hospital, Peshawar, Pakistan and Peshawar Institute of Medical Sciences
simultaneously from July 2015 to December 2016. Patients from 4 to 11 years age presented to outpatients departments
of these two institutes and diagnosed as having enlarged adenoids on the basis of history, clinical examination were
included in the study. Radiological and audio logical assessment was done in all patients to compliment the diagnosis.
Data were collected and analyzed using SPSS version 16.
Results: In total 96 patients ranging from4 to 11 years, male to female ratio was 1.4 to 1. Most of the patients (45.83%)
included were in the age range of 6 to 8 years. Mouth breathing (61.45%) and hearing impairment (57.25%) were the
two common presenting complaints. Hearing impairment was 26 to 35 dB in most of the patients (66.13%). In majority
cases (58.06%) the fluid aspirated on myringotomy was serous in nature.
Conclusion: Enlarged adenoids are usually associated with conductive hearing loss as most of the patients presenting
with enlarged adenoids were associated with Otitis Media with Effusion (OME) (62 of 96 i.e. 64.58%). Of these cases
majority having hearing impairment were in the range of 26 to 35dB.
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