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AAP Grand Rounds 2:64-65 (1999)
© 1999 American Academy of Pediatrics

OTOLARYNGOLOGY

The Role of Tonsillectomy and Adenoidectomy in Otitis Media

Source: Paradise J, Bluestone C, Colborn D, et al. Adenoidectomy and adenotonsillectomy for recurrent acute otitis media. JAMA. 1999;282:945–953.

The first 20% of the full text of this article appears below.

Does the removal of the adenoids and tonsils reduce the frequency of acute otitis media (OM) or the persistence of middle ear effusions in children? Current dogma has implicated the nasopharynx (rather than the oropharynx) in middle ear disease. Several studies have supported the removal of the adenoids in conjunction with tympanostomy tube placement in the management of recurrent OM,1 and otolaryngologists continue to cite the diagnosis of recurrent OM as the primary reason for performing adenotonsillectomy (T&A) and adenoidectomy.2 To evaluate the role of these procedures without tympanostomy tube insertion in the treatment of OM, Paradise et al recruited 582 children, aged 3 to 15 years referred to the Children’s Hospital of Pittsburgh, who had not previously undergone tympanostomy tube placement and who had either recurrent OM (3 acute episodes in . . . [Full Text of this Article]

Randall Clary, MD, FAAP
Otolaryngology/Pediatrics, Washington University School of Medicine, St. Louis, MO