Minimally invasive surgery for adenoid hypertrophy

Written by Deng Bang Yu
Otolaryngology
Updated on September 08, 2024
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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 Xu Qing Tian
Otolaryngology
1min 6sec home-news-image

Do adenoids cause coughing?

Children with adenoid hypertrophy may exhibit symptoms of coughing. The reason for the aforementioned symptoms primarily stems from excessive growth and enlargement of adenoid tissues, resulting in obstruction of the posterior nasal aperture. This causes chronic sinusitis in children and postnasal drip, leading to reflex cough. Therefore, for patients with adenoid hypertrophy, it is crucial to first conduct thorough examinations such as paranasal sinus CT and electronic nasopharyngoscopy to definitively diagnose the patient's condition, enabling early detection and timely surgical treatment. This involves removing the enlarged adenoid tissues to restore normal nasal ventilation and overall physical condition. Additionally, relevant examinations should be promptly completed before and during surgery to rule out surgical contraindications. After surgery, it is advisable to avoid hot baths, foot baths, and strenuous exercise to prevent postoperative bleeding from the surgical site.

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

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 Dong Xian Yan
Pediatrics
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Does a baby snoring mean that the adenoids are enlarged?

Baby snoring cannot necessarily be attributed to enlarged adenoids; it might also be due to a cold, nasal congestion, enlarged tonsils, or the position of the tongue falling back while sleeping. Therefore, the specific cause of a baby's snoring needs to be determined by a professional physician's examination, and appropriate treatment should be given based on the specific cause. If the snoring is due to enlarged adenoids or tonsils, a professional evaluation may be required to decide whether surgery is necessary to alleviate the symptoms of snoring. If the cause is nasal congestion, oral antihistamines or local nasal sprays can be used to relieve the symptoms of snoring. (If medication is required, please proceed under the guidance of a doctor.)

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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 Zhang Jun
Otolaryngology
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Is adenoid hypertrophy more severe in winter?

Adenoid hypertrophy tends to be more severe in the winter due to the weather changes which can lead to significant adenoid hyperplasia. Adenoid hypertrophy is generally more common in children aged three to eight. It is caused by repeated stimulation from acute inflammation, leading to congestion, edema, and growth of the adenoids. This condition can cause patients to experience persistent bilateral nasal congestion, snoring during sleep, and episodes of breath-holding. Additionally, patients may also experience tinnitus, hearing loss, and other related symptoms. Diagnosis can be confirmed through an electronic nasopharyngoscope and adenoid CT scans. For treatment, patients can initially opt for conservative treatments such as oral antibiotics. Additionally, localized nebulizer inhalation can be used to reduce congestion and swelling of the adenoids. If conservative treatments are ineffective, adenoidectomy may be necessary for recovery. (Medication should be taken under the guidance of a doctor.)