Should my child have surgery for an enlarged adenoid? Read it and decide again

Mondo Health Updated on 2024-02-04

Many parents find that their dolls are snoring when they sleep, thinking that snoring means sleeping soundly, but in fact, this may be a sign of adenoid hypertrophy.

I'm sure you've all seen a lot of adenoids on the Internet in recent years. Some say that adenoid hypertrophy should be removed, otherwise it will make the child ugly and stupid, and some say that adenoid hypertrophy does not need to be cut, just regulate and recuperate.

In the face of complicated network information, parents look at the more anxious, the more they look at the more overwhelmed, after all, the child is still young, it is the best period of growth and development, can not be easily followed by the network information to "test" the most reliable method or it is recommended that parents take their children to find a reliable hospital reliable doctor, according to the actual situation of the child to accept the appropriate way.

Today, I will talk to you about the enlarged adenoids in children.

Adenoid hypertrophy is a common and frequent occurrence in children aged 3 to 10 years, with a reported incidence of 99% ~29.9%。Although the incidence is high, there has been no trend in recent years.

Some parents will wonder when they see this: "Why do you feel that there are more and more children with adenoid hypertrophy around you?" ”

In fact, it is not the incidence of adenoid hypertrophy**, but because with the development of society and the improvement of family living standards, people have become more concerned about adenoid hypertrophy.

Adenoids are located at the junction of the top and posterior walls of the nasopharynx, between the pharyngeal crypts on both sides, and are also known as proliferative bodies or pharyngeal tonsils, which are a type of lymphoid tissue.

01.Adenoid facies: long-term mouth breathing, resulting in disordered facial bone development, long jaw margins, high arched palatal bones, irregular teeth, protruding upper incisors, lack of expression, and adenoid facies.

02.Nasal symptoms: often complicated by rhinitis, sinusitis, nasal congestion and runny nose, nasal speech, sleep snoring, sleep apnea. If children snore during sleep, they often lack deep sleep or the entire sleep structure is disturbed, and the quality of sleep is significantly affected. In this case, growth hormone cannot be secreted normally, which will affect the child's development, mainly manifested as growth retardation, and the height is lower than that of children of the same age.

03.Throat and lower respiratory tract symptoms: due to the downward flow of inflammatory secretions and frequent irritation of the respiratory mucosa, it often causes nocturnal cough and is prone to tracheitis.

04.Ear disease: Obstruction of the pharyngeal opening of the Eustachian tube, causing secretory otitis media, leading to hearing loss and tinnitus.

To sum it up: ugly, not tall, often sick, backward IQ.

If you find that your child is snoring frequently, apnea, or repeatedly awakened with his mouth open for breathing, he or she should be taken to the hospital for examination.

Many parents ask me if my child has to have surgery for adenoid hypertrophy.

Not necessarily.

There are two kinds of adenoid hypertrophy, one is normal physiological hypertrophy, that is, after the child is born, the adenoids gradually increase, grow rapidly at the age of 2-6 years, and begin to shrink at the age of 8-10 years, which has almost no effect on the child; The other is pathological hyperplasia, which is a hyperplasia caused by the adenoids being repeatedly stimulated by inflammation, and even if the inflammation subsides, it is difficult for the adenoids to retract back to their original appearance. Many parents waver, in the process of children's growth and development, the harm caused by adenoid hypertrophy is real, if you do not intervene in time, it is too late to regret.

01.Conservative**

For mild to moderate blockage caused by adenoid hypertrophy, the doctor will usually use a drug method to conserve ** first, so that the adenoids can shrink a little, as long as it does not endanger the child's health. Surgery is considered only if the drug is ineffective.

02.Surgery**

Surgery is recommended for children with moderate to severe obstructive sleep apnea due to adenoid hypertrophy and tonsillar hypertrophy**.

In short, a responsible doctor will comprehensively evaluate whether adenoid hypertrophy is susceptible to sleep-disordered breathing, recurrent infectious diseases (rhinosinusitis, otitis media, etc.), poor growth and development, maxillofacial dysplasia, etc.; Other associated conditions, such as tonsillar hypertrophy, are also evaluated. According to the evaluation results, select the ** method.

Therefore, in the end, it is still the same sentence, find a reliable hospital, a reliable doctor, and accept a reliable **.

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