Can adenoid hypertrophy recur after removal?

Written by Deng Bang Yu
Otolaryngology
Updated on September 27, 2024
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The adenoid is located in the lymphatic epithelial tissue of the nasopharyngeal area. Enlargement of the adenoid can block breathing and obstruct the pharyngeal opening of the Eustachian tube, leading to secretory otitis media, and may result in secondary infections of the sinuses. Therefore, for symptoms such as snoring and hearing loss that occur simultaneously after adenoid enlargement, surgical removal is performed. The adenoid does not have a complete capsule, so it is only possible to remove the adenoid tissue as much as possible, and it cannot guarantee the complete removal of all adenoid tissue. Therefore, there is a small rate of recurrence after adenoid removal, with a recurrence rate of about 0.5%, meaning that the recurrence leading to the reappearance of symptoms is around 0.5%. Whether further treatment is needed after recurrence requires an in-person assessment at a hospital.

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Written by Li Mao Cai
Otolaryngology
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What department should I go to for adenoid hypertrophy?

Glandular hypertrophy is a common condition in the field of otolaryngology, so for glandular hypertrophy, one should consult the otolaryngology department. The glands are located at the back of the nasal cavity, specifically in the nasopharyngeal area. Thus, when the glands are enlarged, it can cause various related symptoms in the ears, nose, and throat. The most common symptoms include nasal congestion, runny nose, snoring, mouth breathing, adenoid facies, secretory otitis media, and even suppurative otitis media. Therefore, in such cases, it is essential to visit the otolaryngology department of a hospital, undergo a nasopharyngoscopy to assess the extent of glandular hypertrophy, and decide on the appropriate treatment based on the specific diagnosis.

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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 Zhang Jun
Otolaryngology
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Does adenoid hypertrophy require nasal irrigation?

Enlarged adenoids require nasal cleansing, which can be done using saline solution for nasal irrigation. During irrigation, the inflammatory secretions on the surfaces of the nasal cavity and the pharyngeal adenoids can be washed off, thereby alleviating the symptoms of enlarged adenoids. This can relieve the patient's nasal congestion and snoring during sleep. This is a conservative treatment method for enlarged adenoids. Additionally, during the acute phase of enlarged adenoids, symptomatic anti-inflammatory treatment is also necessary, using antibiotics such as penicillins or cephalosporins, which are effective. Administration of budesonide via nebulization can also be combined to reduce congestion and edema of the mucous membrane on the surface of the adenoids, relieving symptoms. If the adenoids remain enlarged for an extended period, and conservative treatments are ineffective, and if the patient has severe snoring symptoms, then adenoidectomy might be necessary to completely cure the condition. (Medications should be used under the guidance of a doctor.)

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Written by Xu Qing Tian
Otolaryngology
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Can adenoid hypertrophy be treated with massage?

Patients with adenoid hypertrophy generally do not see significant therapeutic effects from massage therapy. Adenoid hypertrophy is due to the proliferation of lymphoid tissue at the posterior nasopharyngeal wall, which leads to nasal congestion and sleep apnea at night. When sleep apnea occurs, it is first necessary to complete sleep monitoring and blood oxygen saturation monitoring and other relevant tests to make a clear diagnosis of the patient's condition. For patients with adenoid hypertrophy occupying more than two-thirds of the posterior nasal aperture, plasma surgery is usually required to ablate the hypertrophied adenoid tissue and restore normal nasal ventilation function, thereby alleviating the patient’s sleep apnea and hypoventilation syndrome.

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What are the symptoms of adenoid hypertrophy in children?

Children's adenoid hypertrophy has a variety of symptoms, mainly including the following aspects. First: It may lead to nasal congestion, accompanied by runny nose and nasal speech due to obstructive nasal sounds and other clinical manifestations. Second: It may cause the child to develop secretory otitis media or purulent otitis media, resulting in ear pain and hearing loss among other clinical manifestations. Third: Due to the long-term hypertrophy of adenoid tissue affecting ventilation, it may cause children to breathe through the mouth. Prolonged mouth breathing may result in a condition known as adenoid facies. Fourth: Some systemic symptoms may occur, such as slowed growth and development, cognitive impairments, irritability, drowsiness, teeth grinding, easy awakening, lack of concentration, and bedwetting among other symptoms.