BMJ  2004;328 (28 February), doi:10.1136/bmj.328.7438.0

Adenoidectomy does not reduce recurrent otitis in young children

Neither adenoidectomy nor chemoprophylaxis reduces the risk of recurrent otitis media in young children. Koivunen and colleagues (p 487) randomised 180 children aged 10 months to 2 years who presented with recurrent otitis media to one of three groups: adenoidectomy, chemoprophylaxis with sulfafaruzole, or placebo. In the subsequent two years the groups had similar numbers of episodes of otitis media, visits to a doctor, antibiotic prescriptions, and days with symptoms of respiratory infection. In children under 2 years, adenoidectomy cannot be recommended as the primary method of prophylaxis for recurrent otitis media, the authors say.

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Adenoidectomy versus chemoprophylaxis and placebo for recurrent acute otitis media in children aged under 2 years: randomised controlled trial

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