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Abstract Otitis media with effusion (OME) is characterized by a nonpurulent effusion of the middle ear that may be either mucoid or serous. Symptoms usually involve hearing loss or aural fullness but typically do not involve pain or fever. In children, hearing loss is generally mild and is often detected only with an audiogram. There is considerable variation in management in different centres throughout the world. Treatment includes observation, adenoidectomy, myringotomy with or without grommet tubes insertion. In several randomized trials adenoidectomy performed in conjunction with the insertion of tympanostomy tubes (adjuvant adenoidectomy) improved outcomes. .Other studies demonstrated that adenoidectomy was less effective in resolving otitis media with effusion The aim of the study was to assess the effect of adenoidectomy on the resolution of otitis media with effusion. This study was conducted on 50 children with otitis media with effusion and obstructive adenoid hypertrophy. Children were subdivided in two groups - group A (Adenoidectomy group) : This group included 25 children who underwent adenoidectomy as only treatment modality for middle ear effusion and followed up for three months. - group B: (No adenoidectomy |