Indication for adenoidectomy in children include all except:

There is growing evidence in literature for adenoidectomy as a first line surgical intervention for chronic rhinosinusitis in children who have failed maximal medical treatment . INDICATIONS: 1. Adenoid hyperophy causing snoring, mouth breathing, sleep apnoea syndrome or speech abnormalities, i.e. (rhinolalia clausa). 2. Recurrent rhinosinusitis. 3. Chronic otitis media with effusion associated with adenoid hyperplasia. 4. Recurrent ear discharge in benign CSOM associated with adenoiditis/adenoid hyperplasia. 5. Dental malocclusion. Adenoidectomy does not correct dental abnormalities but will prevent its recurrence after ohodontic treatment. Ref Scott Brown 7/e,Vol 1,p 1084