Management of adenoid hypertrophy in children with recurrent otitis media:
When planning surgical management for otitis media with effusion (OME), which often accompanies recurrent otitis media, consider adjuvant adenoidectomy unless there is an abnormality with the palate. This means that adenoidectomy is considered alongside grommet insertion to improve outcomes in children with OME-related hearing loss. Discuss the benefits and risks of adenoidectomy with the child and their family or carers, including potential risks such as haemorrhage and velopharyngeal insufficiency, and make a shared decision about the procedure. This approach is recommended to manage OME and its complications effectively in children, which may include those with adenoid hypertrophy contributing to recurrent infections.