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Is Adenoid Replacement Possible After Ear Tube Surgery?
Question: Can I ask Dr Bhatti another follow up question, even though the question has closed? It is related to the failed DPOAE post ear tube surgery.
Dr Bhatti, you said that the chances of an ear sarcoma are very low, which is a relief.
1) should I insist that the Dr to order imaging studies, in case a benign growth is the cause of the failed DPOAE (eg neuroma or cholesteatoma). Are neuromas and cholesteatomas also really unlikely? Do you think that the DR is probably right in not ordering imaging studies at this stage?
2) Am I worrying too much about this? Is it okay to wait 6 months to redo the audiology tests?
3) You mentioned that a likely cause is OME, rule out adenoid enlargement. If this is in fact the problem (and the DR advised that he could have an adenoid issue as he has noisy breathing, so maybe this makes sense), could this problem get better? IE. can hearing recover if the adenoids are the problem?
note: The Dr was not worried about the noisy breathing, as there is no sleep apnea/gasping for breath at night.
Dr Bhatti, you said that the chances of an ear sarcoma are very low, which is a relief.
1) should I insist that the Dr to order imaging studies, in case a benign growth is the cause of the failed DPOAE (eg neuroma or cholesteatoma). Are neuromas and cholesteatomas also really unlikely? Do you think that the DR is probably right in not ordering imaging studies at this stage?
2) Am I worrying too much about this? Is it okay to wait 6 months to redo the audiology tests?
3) You mentioned that a likely cause is OME, rule out adenoid enlargement. If this is in fact the problem (and the DR advised that he could have an adenoid issue as he has noisy breathing, so maybe this makes sense), could this problem get better? IE. can hearing recover if the adenoids are the problem?
note: The Dr was not worried about the noisy breathing, as there is no sleep apnea/gasping for breath at night.
Brief Answer:
There is no cause for worry.
Detailed Answer:
Hi,
Thank you for writing back.
1. There is no immediate need for scans. However, an X-ray Skull lateral view for adenoids should be done.
2. Usually it is better to do the other tests mentioned in my previous answer than to rely on a single test reading. If the other tests are normal, you can safely wait and repeat the tests again later.
3. The hearing will improve if the underlying fluid build-up in the ear reduces and does not thicken to form a 'glue ear'. The Adenoids should respond to treatment. Upload the X-ray image and other test results.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards.
There is no cause for worry.
Detailed Answer:
Hi,
Thank you for writing back.
1. There is no immediate need for scans. However, an X-ray Skull lateral view for adenoids should be done.
2. Usually it is better to do the other tests mentioned in my previous answer than to rely on a single test reading. If the other tests are normal, you can safely wait and repeat the tests again later.
3. The hearing will improve if the underlying fluid build-up in the ear reduces and does not thicken to form a 'glue ear'. The Adenoids should respond to treatment. Upload the X-ray image and other test results.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards.
Above answer was peer-reviewed by :
Dr. Shanthi.E
Thank you,
1) Can I wait until the next 6 month follow up to request the skull X-Ray to investigate the possibility of enlarged adenoids? Or is it best to schedule a closer appointment?
2) Can an ABR wait as well for 6 months?
3) Can adenoid hypertrophy resolve on its own? eg without medication and/or surgery?
1) Can I wait until the next 6 month follow up to request the skull X-Ray to investigate the possibility of enlarged adenoids? Or is it best to schedule a closer appointment?
2) Can an ABR wait as well for 6 months?
3) Can adenoid hypertrophy resolve on its own? eg without medication and/or surgery?
Brief Answer:
First the X-ray and ABR. If these are normal, you can wait & watch.
Detailed Answer:
Hi,
Thank you for writing back.
1. No, the X-ray and the ABR should be done as soon as possible. If these are normal, you can wait for 6 months.
2. the Adenoids hypertrophy in all children between the ages of 3 to 7 years. Thereafter, they regress on their own and are usually not visible by the age of 12 to 15 years.
3. Hence the hypertrophy is normal t an extent and if it is asymptomatic, it will regress on its own (without medicines and/or surgery). If it is symptomatic, medication (anti-allergic, mucolytics, decongestants, steroid nasal sprays, steam inhalation) can control and decrease the adenoid enlargement. If this fails, surgery (routine or coblation assisted) helps.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards.
First the X-ray and ABR. If these are normal, you can wait & watch.
Detailed Answer:
Hi,
Thank you for writing back.
1. No, the X-ray and the ABR should be done as soon as possible. If these are normal, you can wait for 6 months.
2. the Adenoids hypertrophy in all children between the ages of 3 to 7 years. Thereafter, they regress on their own and are usually not visible by the age of 12 to 15 years.
3. Hence the hypertrophy is normal t an extent and if it is asymptomatic, it will regress on its own (without medicines and/or surgery). If it is symptomatic, medication (anti-allergic, mucolytics, decongestants, steroid nasal sprays, steam inhalation) can control and decrease the adenoid enlargement. If this fails, surgery (routine or coblation assisted) helps.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
What are the consequences of waiting 6 months? If he is not showing signs of sleep apnea, doesn't that mean that if there is adenoid enlargement, it is not too serious?
Why can't the abr wait 6 months? Is it because you think something malignant could be missed? What condition needs to be investigated so quickly?
Why can't the abr wait 6 months? Is it because you think something malignant could be missed? What condition needs to be investigated so quickly?
Brief Answer:
If the ABR is normal, you can wait safely.
Detailed Answer:
Hi,
Thank you for writing back.
1. If the adenoid enlargement is within normal limits ( it is there in all children at this age) as explained earlier (and he has no sleep apnea), there will be no lasting consequences.
2. The ABR will clear all doubt of any hearing loss. This is for the rarest of rare chance that the ventilation tube procedure may have caused a sensorineural hearing loss. A conductive hearing loss is not a problem, it will settle down.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards.
If the ABR is normal, you can wait safely.
Detailed Answer:
Hi,
Thank you for writing back.
1. If the adenoid enlargement is within normal limits ( it is there in all children at this age) as explained earlier (and he has no sleep apnea), there will be no lasting consequences.
2. The ABR will clear all doubt of any hearing loss. This is for the rarest of rare chance that the ventilation tube procedure may have caused a sensorineural hearing loss. A conductive hearing loss is not a problem, it will settle down.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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