A 7-year-old boy was referred to an ENT specialist because of mouth breathing and impairment of hearing of 2 years duration. His mother reported that her child has almost constant mucoid nasal discharge that sometimes changes to a mucopurulent one and he snores during his sleep. On examination, the child has nasal speech and obvious mouth breathing. Examination of the ears showed retracted tympanic membranes.
Tympanograms were flat type B. What could be the cause of his symptoms? Source: Cases in ENT *This case is from Docplexus editorial team for educative purpose only
