How is adenoid hypertrophy surgery performed?

Written by Deng Bang Yu
Otolaryngology
Updated on September 13, 2024
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The adenoid is a lymphoepithelial tissue located in the nasopharyngeal region. Enlargement of the adenoid can block the nasal passages, leading to snoring and sleep apnea, often requiring surgical removal of the adenoid. The surgery is performed under general anesthesia. Firstly, we use a catheter to suspend the soft palate to expose the adenoid tissue. Then, using a nasal endoscope, with the right hand holding a plasma knife, the enlarged adenoid is ablated. The surgery involves inserting the nasal endoscope and adenoid knife through the mouth. The procedure is relatively short, lasting about five to ten minutes. There is very little bleeding after the surgery, making it truly a minimally invasive procedure.

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Written by Li Rui
Otolaryngology
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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.

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Written by Li Rui
Otolaryngology
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What anti-inflammatory drugs should be taken for adenoid hypertrophy?

Most glandular hypertrophy does not require antibiotics or anti-inflammatory drugs, as it is a common condition or physiological manifestation in children. Glandular hypertrophy is the proliferation of lymphoid tissue in the nasopharyngeal area, causing partial obstruction of the posterior nasal aperture. Initially, clinical symptoms should be assessed. If there is only simple hypertrophy without any discomfort, it can be observed without treatment. However, if glandular hypertrophy is accompanied by clinical symptoms such as nasal congestion, runny nose, snoring during sleep, and mouth breathing, the use of oral medications and nasal sprays should be considered, but generally, anti-inflammatory drugs are not needed. If there is an acute inflammatory response in the glands, the use of antibiotics along with regular follow-ups and nasal cavity cleaning should be considered. (Note: This answer is for reference only. Medication should only be taken under the guidance of a professional medical doctor, and blind medication should be avoided.)

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Written by Deng Bang Yu
Otolaryngology
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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
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Can people with adenoid hypertrophy eat fish?

The adenoid, also known as the pharyngeal tonsil, is present in everyone's body. In childhood, due to the active proliferation of lymphatic tissue, it can lead to excessive enlargement of the adenoid, causing symptoms such as blockage of the posterior nasal apertures, nasal congestion, runny nose, and sinusitis. When adenoid enlargement occurs, treatment is generally surgical, involving the removal of the enlarged adenoid tissue. Patients with enlarged adenoids should avoid spicy, stimulating foods and cold drinks to prevent nasal inflammation and further growth of the adenoid tissue. Consumption of fish and shrimp is permissible, but if the patient has significant allergies or other symptoms, their consumption should be reduced.

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Written by Huang Kun Mei
Pediatrics
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What are the symptoms of adenoid hypertrophy in children?

Children with adenoid hypertrophy mainly have the following symptoms: The first is that children are prone to nasal congestion, and they may snore and breathe through their mouths while sleeping at night. The second is that their facial appearance might change. The third is that children may experience a decrease in memory and lack of concentration. It is recommended to visit the otolaryngology department for diagnosis. If diagnosed with adenoid hypertrophy in children, treatment should be targeted, based on the specific condition and severity of the child.