1. The ear is connected to the back of the nose by a tube known as the Eustachian tube. A collection of lymphoid tissue similar to the (Palatine) tonsils is found in the mid-line at the back of the nose between the openings of these Eustachian tubes. This is known as the Adenoid
tissue and it increases in size in children between the ages of 3 and 7 years. After this it regresses and usually disappears by the age of 12 to 15 years. 2. Get an X-ray Skull lateral view for Adenoids done. Does she have a history of snoring
or mouth breathing
3. Get her ears examined and get a PTA (Pure Tone Audiogram) and Impedance Audiogram (I/A) done. If on examination her eardrums are dull and if the PTA and I/A are abnormal or show collection of fluid behind the eardrum (Serous [not serious!] Otitis Media
) then she will require aggressive medical treatment to avoid an operation.
4. If this was her first and only attack of ear pain
, and if the above tests are normal, she may require no further treatment. Chronic tonsillitis
, which may require tonsillectomy
, is defined by more than 5 to 6 attacks per year over 2 to 3 years.
5. Kindly post her additional history details, examination and test results for further advice.