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 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 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 Deng Bang Yu
Otolaryngology
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Adenoid hypertrophy is what?

The adenoid is a lymphoepithelial tissue located in our nasopharynx, and it has certain immune functions. Under the stimulation of various factors such as infectious or immune factors, the immune tissue and glands of the adenoid hypertrophy, leading to enlarged adenoids. Once the adenoids are enlarged, they can block our posterior nasal apertures and the pharyngeal opening of the Eustachian tube. This, in turn, can cause us to snore, breathe through the mouth, and lead to secretory otitis media. The progression of the condition can affect our hearing, impact physical development, affect the development of the facial and jaw regions, and result in an adenoid facies. Therefore, when clinical symptoms of adenoid enlargement appear, active management is generally required, mainly surgical treatment.

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Written by Zhang Jun
Otolaryngology
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Can you eat bird's nest with adenoid hypertrophy?

Adenoid hypertrophy is permissible for consumption of bird's nest, which is considered a health supplement that can enhance the body's immunity and resistance, offering significant assistance in the recovery from adenoid hypertrophy. Generally, adenoid hypertrophy is caused by repeated inflammatory stimulation following decreased immunity and resistance. Adenoid hypertrophy most commonly occurs in children aged three to eight. The adenoid is a lymphoid mass located on the posterior wall of the nasopharynx, and long-term inflammatory irritation can lead to congestion, swelling, and hyperplasia of the adenoids, causing symptoms such as nasal congestion, snoring during sleep, decreased hearing, and tinnitus. It's advisable to visit a hospital for a check-up with an electronic laryngoscope or nasopharyngoscope to confirm a diagnosis. During the acute phase of treatment, symptomatic anti-inflammatory treatment is required, followed by a bland diet and consumption of health supplements to enhance immunity and resistance when symptoms alleviate. If adenoid hypertrophy persists for a long time and conservative treatment is ineffective, local surgical removal may be necessary.

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Written by Zhang Jun
Otolaryngology
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What foods are good to eat for enlarged adenoids?

For adenoid hypertrophy, it is advisable to eat more fresh vegetables and fruits in daily life, such as apples, oranges, grapefruits, and tomatoes. Try to avoid spicy and irritating foods as they can cause the adenoids to become congested and swollen, worsening the condition. Clinically, adenoid hypertrophy is generally caused by repeated inflammatory stimuli and the irritation from spicy foods, leading to diffuse congestion, edema, and hyperplasia of the adenoids. This condition can cause the patient to experience persistent nasal congestion in both nostrils, accompanied by snoring during sleep. In severe cases, it can lead to tinnitus and hearing loss, necessitating a hospital examination where a digital nasopharyngoscope can confirm the diagnosis. In terms of treatment, acute adenoid hypertrophy requires symptomatic anti-inflammatory treatment combined with a light diet. If the patient has been suffering for a long time and conservative treatment is ineffective, adenoidectomy may be necessary to completely cure the condition.