Abstract
Myringotomy with tympanostomy tube placement and tonsillectomy (with or without adenoidectomy)
are two of the most common procedures performed in the pediatric population. Indications
for these surgical treatments are for correspondingly prevalent conditions affecting
children, including middle ear and adenotonsillar disease, which are treated by many
specialty groups spanning family physicians, pediatricians, emergency care physicians,
and otolaryngologists. Despite the common nature of these diseases and respective
indicated surgeries, their management has in the past had limited evidence-based guidelines.
This article consolidates the most up-to-date evidence from the otolaryngology, pediatric,
and infectious disease literature to guide the management with tympanostomy tube insertion
and adenotonsillectomy in the pediatric population.
Keywords
tympanostomy - adenotonsillectomy - adenoidectomy - tonsillectomy - otitis media -
tonsillar hypertrophy - adenoid hypertrophy - adenotonsillitis - pharyngitis
