Endoscopic adenoidectomy in children with otitis media with effusion and mild hearing loss

Pasquale Capaccio, Sara Torretta, Givlia Anna Marciante, Paola Marchisio, Stella Forti, Lorenzo Pignataro

Research output: Contribution to journalArticlepeer-review


Objectives. Surgical management of children with chronic otitis media with effusion (OME) includes tympanostomy tube insertion or adenoidectomy, alone or with myringotomy and tube insertion. The aim of this study was to compare the effectiveness of transoral microdebrider endoscopic-assisted adenoidectomy (TOMEA) and traditional adenoidectomy in the management of children with mild hearing loss due to OME and chronic adenoiditis. Methods. This prospective, double-blind and controlled study involved 120 consecutive patients aged 4–12 years, who were randomised 1:1 to undergo TOMEA or traditional adenoidectomy under general anesthesia. All the patients underwent a complete otolaryngological examination, including nasopharyngeal fibre endoscopy (NFE), pneumatic otoscopy, otomicroscopy, tympanometry and supraliminar tonal audiometry, upon enrolment, and three and nine months postoperatively. Results. There were no statistically significant differences in age or gender distribution between the TOMEA group (mean age, 4.9±1.1 years; 53.3% males) and the traditional adenoidectomy group (mean age, 5.3±0.9 years; 56.7% males). Both procedures led to a significant improvement in choanal patency (P

Original languageEnglish
Pages (from-to)33-38
Number of pages6
JournalClinical and Experimental Otorhinolaryngology
Issue number1
Publication statusPublished - Mar 1 2016


  • Adenoidectomy
  • Adenoids
  • Hearing loss
  • Otitis media

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery


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