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The efficacy of AT and myringotomy on OME was evaluated with regard to the size of the adenoids, their relationship to the tubal tori, the viscosity of middle ear effusion and the age of the child. To evaluate the effect of age, children were divided into two groups\u2014up to 4\u00a0years and over 4\u00a0years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The efficacy of AT and myringotomy in OME treatment was demonstrated in both groups. Within the entire group, a significantly greater benefit of AT and myringotomy was found in children with adenoids in contact with the tubal tori (grade B) or compressing them (grade C) (p\u2009=\u20090.039). Other parameters were not statistically significant. Neither the size of the adenoids relative to the choanae, nor the children age, nor the type of middle ear effusion (serous, mucous) had an effect on the treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>AT and myringotomy is an effective surgical procedure in the treatment of OME not only in children older than 4\u00a0years, but also in younger children. The effect of the surgery is affected by the contact of adenoids to tubal tori.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00405-025-09750-w","type":"journal-article","created":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T18:48:08Z","timestamp":1760899688000},"page":"811-819","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Efficacy of Adenoidectomy on Otitis Media with Effusion According to the Age of Child"],"prefix":"10.1007","volume":"283","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1781-7490","authenticated-orcid":false,"given":"Tomas","family":"Valenta","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4054-8719","authenticated-orcid":false,"given":"Lukas","family":"Skoloudik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4152-8138","authenticated-orcid":false,"given":"Kristyna","family":"Nema","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8353-497X","authenticated-orcid":false,"given":"Jiri","family":"Haviger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7537-139X","authenticated-orcid":false,"given":"Viktor","family":"Chrobok","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8519-3742","authenticated-orcid":false,"given":"Miroslav","family":"Vesely","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3351-4449","authenticated-orcid":false,"given":"Bretislav","family":"Gal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,10,19]]},"reference":[{"issue":"6","key":"9750_CR1","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1016\/j.anorl.2017.11.011","volume":"135","author":"L Skoloudik","year":"2018","unstructured":"Skoloudik L, Kalfert D, Valenta T, Chrobok V (2018) Relation between adenoid size and otitis media with effusion. 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