Adenoid hypertrophy conservative treatment

Written by Li Rui
Otolaryngology
Updated on November 08, 2024
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Adenoid hypertrophy is a relatively common disease, mainly seen in children, with only a small portion of adults possibly experiencing adenoid hypertrophy.

In terms of treatment, the first consideration is conservative medical treatment, which currently commonly involves oral medications and nasal sprays. Additionally, rinsing the nasal cavity with saline solution and adopting a side-sleeping position during sleep can be considered. Most patients see a significant improvement in symptoms after standardized medication treatment, and with increasing age, many adenoids may gradually atrophy.

However, there is a small group of patients for whom medication does not work well and symptoms are more apparent; in these cases, adenoidectomy might be considered. After the surgery, regular follow-ups are necessary to monitor the relief of symptoms and to check for any recurrence.

(The use of medications should be carried out under the guidance of a doctor.)

Other Voices

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Written by Li Mao Cai
Otolaryngology
47sec home-news-image

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 Deng Bang Yu
Otolaryngology
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Minimally invasive surgery for adenoid hypertrophy

Adenoids refer to the glands in the nasopharyngeal area. Enlarged adenoid tissues can block the nasal cavity or the pharyngeal orifice of the Eustachian tube. Clinical symptoms often require surgical removal of the adenoids. The main steps in the surgery include the following: firstly, general anesthesia is administered; secondly, the adenoids are exposed, primarily by suspending the soft palate with a catheter, followed by the insertion of a tonsil opening device; thirdly, the adenoids are gradually ablated and removed using a nasopharyngoscope and a plasma ablation knife head; finally, the surgery is concluded. After the surgery, it is necessary to continue treating the enlarged adenoids with medications such as mometasone furoate nasal spray. (Medication should be used under the guidance of a doctor.)

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Written by Zhang Jun
Otolaryngology
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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
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Does adenoid hypertrophy affect development and height?

Adenoid hypertrophy affects development and height. In this case, due to prolonged enlargement of the adenoids, the patient will experience persistent nasal congestion, along with snoring during sleep. Prolonged hypoxia will lead to developmental delays, short stature, and adenoid facies among other symptoms. Adenoid hypertrophy is mainly caused by the symptoms arising from repeated inflammatory infections, most commonly occurring in children aged three to eight. It can lead to nasal congestion, snoring, hearing loss, tinnitus, and a feeling of blocked ears. In severe cases, it can cause abnormal development of adenoid facies, as well as short stature. It is necessary to visit a hospital for a detailed examination, where an electronic nasopharyngoscope can confirm the diagnosis. In terms of treatment, prolonged adenoid hypertrophy may require adenoidectomy to completely cure the condition.

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Written by Xu Qing Tian
Otolaryngology
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Can you drink milk with enlarged adenoids?

Patients with adenoid hypertrophy can consume milk. The adenoids, also known as the pharyngeal tonsils, are a common ENT disorder, occurring mostly in children. The adenoid tissues become hyperplastic and active, blocking the posterior nasal passages and causing symptoms such as snoring during nighttime sleep, nasal congestion, runny nose, and sinusitis. When adenoid hypertrophy occurs, surgery is primarily used for treatment. In terms of diet, patients can consume milk and eggs, but should avoid cold and spicy foods to prevent exacerbating the swelling and congestion of the adenoids.