Adenoid hypertrophy

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Written by Zhang Jun
Otolaryngology
1min 8sec home-news-image

Can adenoid hypertrophy be felt by touch?

Adenoid hypertrophy is palpable, as the adenoids are a cluster of lymphoid tissue located at the top of the nasopharynx. If there is localized hypertrophy, it can be directly felt through the mouth. Adenoid hypertrophy most commonly occurs in children, especially those between the ages of three and six, and often follows acute colds, rhinitis, and adenoid hypertrophy, eventually leading to persistent bilateral nasal obstruction. Additionally, it may be accompanied by symptoms such as snoring during sleep, decreased hearing, tinnitus, and a feeling of ear fullness. In severe cases, it may lead to a facial appearance characteristic of adenoid hypertrophy. It is necessary to first visit a hospital for a thorough examination, which can include an electronic nasopharyngoscopy, nasopharyngeal CT, and nasopharyngeal palpation to confirm the diagnosis. In terms of treatment, acute adenoid hypertrophy requires symptomatic anti-inflammatory treatment, along with nebulized inhalation. If conservative treatment is ineffective, adenoidectomy may be necessary for cure.

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Written by Zhang Jun
Otolaryngology
1min 21sec home-news-image

Can adenoid hypertrophy be seen with the naked eye?

Adenoid hypertrophy is not visible to the naked eye because the adenoids are located on the posterior wall of the nasopharynx. It can only be detected through an electronic nasopharyngoscope or a CT scan of the nasopharynx to determine if there is adenoid hypertrophy. Adenoid hypertrophy is most likely to occur during childhood, typically due to long-term inflammatory infections. It often follows acute rhinitis or acute sinusitis. After adenoid hypertrophy, it can lead to bilateral nasal congestion that progressively worsens, along with snoring during sleep, tinnitus, a feeling of ear congestion, and a decrease in hearing. In severe cases, it can lead to a characteristic facial appearance known as "adenoid facies." It is necessary to have a detailed examination at a hospital for adenoid hypertrophy. An electronic nasopharyngoscope and adenoid CT can confirm the diagnosis. For treatment, during the acute phase of adenoid hypertrophy, symptomatic anti-inflammatory treatment is necessary, along with the use of nebulized inhalation to reduce congestion and swelling of the adenoids. If conservative treatment is ineffective and the adenoid hypertrophy continues to worsen, adenoidectomy may be required to completely cure the condition.

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Written by Li Mao Cai
Otolaryngology
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Does adenoid hypertrophy cause a runny nose?

Adenoid hypertrophy can cause a runny nose, which is a very common symptom of adenoid hypertrophy. Since the adenoids are located at the back of the nasal cavity, specifically in the nasopharynx, the mucus secreted by the nasal cavity normally flows backward, precisely to the back of the nasal cavity, passing over the adenoids. When the adenoids are enlarged, they block the drainage pathway of the mucus, causing most of it to flow out from the front of the nasal cavity. Therefore, adenoid hypertrophy can lead to a runny nose, which is one of its symptoms, and can also cause related symptoms of rhinitis such as nasal congestion. After nasal congestion, it may lead to various other manifestations, including snoring.

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Written by Zhang Jun
Otolaryngology
1min 19sec home-news-image

Is nasal discharge a sign of improvement in adenoid hypertrophy?

Enlargement of the adenoids accompanied by a runny nose is not a sign of improvement but a symptom of worsening. Enlargement of the adenoids is primarily due to symptoms caused by acute viral or bacterial infections following a decrease in the body’s immunity and resistance. This can lead to diffuse congestion and edema of the glands, causing the patient to experience persistent nasal congestion and discharge of yellow nasal mucus. In severe cases, it can cause nocturnal suffocation. Initially, a detailed examination at the hospital is necessary. Diagnosis can be confirmed with an electronic nasopharyngoscope and a nasopharyngeal CT. During the examination, granular masses can be found on the posterior wall of the nasopharynx; these are soft in texture and not painful. In terms of treatment, during the acute phase of adenoid hypertrophy, symptomatic anti-inflammatory treatment is required, including the use of antibiotics and concurrent nebulizer inhalation to reduce congestion and edema of the adenoids. If the enlargement persists and conservative treatment is ineffective, adenoidectomy may be necessary to achieve a complete cure.

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Written by Deng Bang Yu
Otolaryngology
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Does adenoid hypertrophy cause dizziness?

The adenoid is a normal tissue located in the nasopharyngeal area of the human body. Enlargement of the adenoid can block the nasopharyngeal passage, leading to various symptoms and causing dizziness. The primary reason is that adenoid enlargement can lead to snoring and mouth breathing, which affects the supply of oxygen, resulting in dizziness. Additionally, adenoid enlargement may lead to secondary sinusitis, which can also cause symptoms of dizziness and even headaches. Therefore, overall, the enlargement of the adenoid or its associated symptoms can lead to dizziness.

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Written by Zhang Jun
Otolaryngology
1min 4sec home-news-image

How to perform pediatric massage for adenoid hypertrophy

Children's adenoid hypertrophy does not respond to massage therapy. It is typically caused by an acute inflammatory response, leading to sudden congestion, edema, proliferation, and exudation of the glands. Symptoms include fever, nasal congestion, sneezing, and snoring during sleep; severe cases can also lead to a decrease in hearing, tinnitus, and a feeling of fullness in the ears. In treating acute adenoid hypertrophy, symptomatic anti-inflammatory treatment is required first. This includes oral or intravenous antibiotics, which are usually effective due to bacterial infections, with penicillin antibiotics often having good outcomes. Local treatments such as nebulization can also help to reduce gland congestion and swelling. A light diet, drinking more water, and resting can generally lead to improvement. However, if the condition recurs frequently, local surgical treatment may be necessary. (Medication should be used under the guidance of a doctor.)

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Written by Deng Bang Yu
Otolaryngology
56sec home-news-image

Can adenoid hypertrophy heal itself?

The adenoids are normal lymphoepithelial tissue located in our nasopharynx. In young children, especially around the ages of 5-6, the adenoids become enlarged or hyperplastic. This can then easily lead to the obstruction of surrounding structures causing issues such as snoring, sinusitis, and otitis media. Generally, adenoid hypertrophy is self-resolving because, after the age of around ten, the adenoids gradually atrophy. However, there are a minority of patients in whom the adenoids do not atrophy. Although the adenoids of the vast majority of patients will atrophy around the age of ten, it is important to recognize that from hypertrophy to atrophy, there is a long duration during which if deformities or conditions that affect body development occur, they cannot be reversed to normal. Therefore, it is essential to treat and intervene timely in patients with adenoid hypertrophy.

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Written by Xu Qing Tian
Otolaryngology
49sec home-news-image

Can adenoid hypertrophy be seen with the naked eye?

Adenoid hypertrophy is a common disease in otolaryngology, and it is not visible to the naked eye. The diagnosis of excessive growth and hypertrophy of adenoid tissue is mainly made through electronic nasopharyngoscopy and lateral nasopharyngeal radiograph examinations. Typically, if the adenoid tissue occupies more than 2/3 of the posterior nasal aperture, it can be diagnosed as adenoid hypertrophy. Patients mainly show symptoms such as snoring, breath-holding, and hypoxia during sleep at night, as well as daytime sleepiness and reduced memory. Patients with adenoid hypertrophy require surgical ablation of the hypertrophied adenoid tissue to improve their sleep conditions at night and achieve cure.

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Written by Deng Bang Yu
Otolaryngology
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Adenoid hypertrophy should be seen by the ENT department.

The glandular body, located in the nasopharyngeal region, is an organ made up of lymphoepithelial tissue. Enlargement of the glandular body leads to an increase in its size, blocking the passage of the nasopharynx. Based on this explanation, it is understandable that glandular hypertrophy should be evaluated by an otolaryngologist. If a more detailed subdivision of specialization is necessary, it can be divided into rhinology, laryngology, and otology, with the main focus being on rhinology or laryngology depending on the specific regulations of different hospitals. In summary, glandular hypertrophy should be assessed by an otolaryngologist. Additionally, it is important to note that glandular hypertrophy can lead to developmental abnormalities, especially in dental development. If these complications occur, consultation with the relevant departments, such as dentistry, may be necessary.

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Written by Li Rui
Otolaryngology
53sec home-news-image

Is adenoid hypertrophy massage effective?

Adenoid hypertrophy generally does not respond well to massage therapy, as the affected area is in the nasopharyngeal region and primarily occurs in children. Typically, children reach the peak of adenoid growth around six or seven years of age, and then the adenoids usually begin to shrink after the age of eight. If the adenoid hypertrophy is severe and blocks the posterior nasal passages, it can lead to nasal congestion, snoring, and mouth breathing while sleeping. If severe and left untreated for a long period, it can result in a condition known as "adenoid facies," which causes abnormal development or deformities of the jaw and facial bones. Treatment generally focuses on medication. If medication is ineffective, surgery may be considered. Massage therapy does not have a direct effect on adenoid hypertrophy.