My own recommendation is that children undergoing a second set of tubes have an examination of the nasopharynx under general anesthesia. If the adenoids are seen to be crowding and over growing the eustachian tube drainage into the nasopharynx, then adenoidectomy at the time of the second or third set of tubes seems warranted. Congenital Hearing Loss and Deafness Congenital hearing loss and deafness are uncommon, but do occur. These are very difficult problems which require serious, sophisticated diagnosis and treatment. Early diagnosis and early intervention is strongly encouraged .
Many excellent resources are available to the parents of children with congenital hearing loss.
Consultation with a knowledgeable and caring otolaryngologist is mandatory.