In this study we presented the treatment of 20 children with secretory otitis media
(SOM). The treatment was surgical and it considened-ventilaton tube insertion and
adenoidectomy in case of enlarged adenoid. In this clinical investigation was enroll
15 boys and 5 girls in age 5 to 10 were divided in two main groups:1. 9 children without
enlarged adenoid2. 11 children with confirmed enlarged adenoidClinical material was
analyzed according to hearing level, middle ear condition estimated by pure toneaudiiometry
and tympanometry before and after the treatment. The result showed that adenoidectomy
in combination with ventilation tube insertion facilitate secretory otitis media.
That’s enable timely improving of hearing function us a important on development of
speech, social, emotional and academic development in the early childhood.