You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is A 5-year-old child has had eight episodes of acute otitis media in 6 months and has difficulty resolving the effusions between infections. What should be done to effectively eliminate the infections? and explain in detail?
Adenoid hyperophy: MC in children Adenoids cause tubal dysfunction by mechanical obstruction of the tubal opening Serous otitis media Long standing collection of serous or mucoid fluid in the middle ear. Causes: Adenoid hyperophy or tumor No pain but hearing loss present (CHL) On examination: - Fluid filled middle ear - Thin bulging TM Management: Medical : decongestant , antihistamines , antibiotics Surgical : -Treatment of causative factor- Adenoidectomy, tonsillectomy and/or wash out of the maxillary antra maybe required. - Myringotomy & drainage of the fluid - Grommet tube inseion in the anteroinferior quadrant.