<prompt> 6 year old child with recurrent URTI with mouth breathing and failure to grow with high marked palate and impaired hearing is :TonsillectomyGrommet insertionMyringotomy with grommet insertionAdenoidectomy with grommet insertion  <response>: Ans. is d i.e. Adenoidectomy with grommet insertion insertion Hearing impairment and the option of myringotomy and grommet insertion suggests that the patient is also suffering from Serous otitis media glue earsecreting otitis media which is one of the complication of adenoid hyperplasia. Treatment of glue ear requires myringotomy and grommet insertion. 