| Abstract: | ? The literature supports the benefit of adenoidectomy in patients with otitis media with effusion (OME). ? It is difficult to clear adenoid tissue from around the Eustachian tubes using curettes and this conventional method of adenoidectomy is contra‐indicated in patients with cleft palates. ? Laser reduction of peri‐Eustachian adenoid tissue without myringotomies or grommet insertion was performed in three patients with OME. Two patients had previous adenoidectomies performed with curettes and one patient had a cleft palate. ? In all three patients, the OME resolved and all had closure of the air‐bone gap that was maintained during long‐term follow‐up (14 months–4 years). ? This technique resolved OME without the need for myringotomies or grommet insertion and should be considered particularly in patients who have peri‐tubal recurrence of adenoidal tissue following conventional adenoidectomy or in patients with cleft palate where there is concern with regards to palatal incompetence. |
