A 5-year-old boy was referred to an ENT specialist because of mouth breathing and impairment of hearing of 2 years duration. Patient History: 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. Physical Examination: 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 is the likely diagnosis and treatment in this case? *This case is from Docplexus Editorial Team for educative purpose only. Source: 100 Cases in ENT