INTRODUCTION
Enlarged adenoids are an important cause for conditions like serous otitis media, obstructive sleep apnoea, Eustachian tube dysfunction, nasal obstruction and chronic rhinosinusitis. Traditionally the technique of adenoidectomy has been a transoral approach with an adenoid curette or adenotome. As in this approach the adenoid tissue isn’t visualized directly, there is always a chance of leaving behind some adenoid tissue. Endoscopic microdebrider assisted technique is most popular these days, it involves direct transnasal visualization of adenoid tissue by a rigid zero degree nasal endoscope and removal of adenoid tissue. This technique offers the advantage of direct visualization of nasopharynx which results in more complete removal of adenoid tissue as well as less chances of injury to the surrounding structures. Various studies have been conducted to compare the conventional curettage technique of adenoidectomy with endoscopic microdebrider technique in terms of parameters such as completeness of removal of adenoid tissue, time required for procedure, amount of blood loss during the procedure, damage to the surrounding structures, post operative pain, recovery time and symptomatic improvement following the procedure. However there are no conclusive studies on whether the type of technique used bears a relationship with the improvement in middle ear function after the surgery. Our study aims at comparing the conventional curettage method of adenoidectomy with endoscopic microdebrider assisted technique in terms of post operative improvement in middle ear function.