A 5-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 can be the probable diagnosis for this patient? What further investigation would you recommend? * This case is from Docplexus editorial team for educative purpose only Source: Faculty of Medicine Ain Shams University