I do LASER assisted Adenotonsillar Ablation. I do not do the Grommet Insertion as it has its own sequelae. Usually, once the Adenoids are vaporised, the eustachian tube block is relieved and nasal decongestants followed by intranasal corticosteroid sprays administered transnasally drain out the middle ear pus normalising the middle ear mucosa within 2 weeks of the surgery.