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 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 Xu Qing Tian
Otolaryngology
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What should I pay attention to in the diet for adenoid hypertrophy?

Adenoid hypertrophy is a common condition in children, primarily due to excessive growth of adenoid tissue on the posterior wall of the nasopharynx. This condition leads to symptoms such as nasal congestion, snoring during sleep, runny nose, and sinusitis. The main treatment for adenoid hypertrophy is surgical removal. Regarding diet, it is first recommended to reduce the intake of cold beverages and spicy, irritating foods to avoid exacerbating local inflammatory responses. Secondly, it is advised to limit foods containing hormones, as they may stimulate the proliferation and congestion of lymphatic tissue, worsening the degree of adenoid hypertrophy.

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Written by Li Rui
Otolaryngology
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Does adenoid hypertrophy require medication?

Adenoid hypertrophy does not necessarily require medication because it is relatively common clinically. Some cases may need medication, while others can be observed. This mainly depends on the severity of the adenoid hypertrophy and the specific clinical symptoms. If the enlargement is not severe and there are no clinical symptoms, it is possible to consider observation without drug treatment, as the adenoids can gradually shrink as age increases. If the adenoids are significantly enlarged and may be accompanied by clinical symptoms such as nasal congestion, snoring, and mouth breathing, it is necessary to consider timely drug treatment. If drug treatment is ineffective, some cases may need to consider adenoidectomy surgery.

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Written by Xu Qing Tian
Otolaryngology
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Postoperative care for adenoid hypertrophy removal surgery

Adenoid hypertrophy is currently treated primarily via surgical removal using a plasma scalpel to ablate the hypertrophied adenoid tissue, effectively treating the condition. The advantages of using a plasma scalpel include minimal bleeding during and after the surgery, less pain, smaller wounds, and faster healing and recovery, achieving significant therapeutic results. Post-surgery, it is advised that patients avoid hot baths and foot baths for two to three weeks, refraining from strenuous activities, heavy lifting, and excessive exercise, which could lead to bleeding. Diet-wise, it is recommended to avoid overly hot foods to prevent delayed postoperative bleeding of the adenoids.

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Written by Zhang Peng
General Surgery
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Does adenoid hypertrophy always require surgery?

Is surgery necessary for adenoid hypertrophy? The answer is not necessarily. Adenoid hypertrophy is generally caused by acute rhinitis, tonsillitis, or acute epidemic influenza, among other factors. These factors can lead to the rapid proliferation and enlargement of the adenoids, which may compress the tissues of the nasal cavity, causing nasal obstruction or sinusitis. In such cases, it depends on the symptoms triggered and how significant the impact is on the patient. If the symptoms are not particularly severe, some non-surgical treatments can be adopted, such as enhancing the body's own disease resistance. Oral medications for clearing heat and detoxifying, and if necessary, traditional Chinese medicine for promoting blood circulation and removing blood stasis can be used to adjust the condition. If the enlargement of the adenoids is significantly alleviated with these medicinal treatments, surgery may not be necessary. However, if the disease is not well-controlled and severely affects breathing or swallowing, surgical treatment may be considered.