Will adenoid hypertrophy recur after surgery?

Written by Deng Bang Yu
Otolaryngology
Updated on September 18, 2024
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The adenoid is a normal lymphoid organ in the nasopharyngeal area of the human body. Enlargement of the adenoids can block the nasal cavity, leading to otitis media, snoring during sleep, and other symptoms. The main treatment for enlarged adenoids is surgery. Since the adenoids do not have a complete capsule, there is a certain chance of recurrence after surgery. There are two scenarios for recurrence: one is a mild, localized proliferation that does not cause symptoms such as snoring or otitis media again; the other is a severe enlargement of the adenoids, leading to the reoccurrence of spontaneous conditions like snoring and otitis media. This latter situation accounts for about 0.5% of cases. Therefore, while there is a certain rate of recurrence after adenoidectomy, the rate of recurrence is relatively low.

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Written by Lian Wen Xi
Pediatrics
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Does a child sleeping with their mouth open indicate enlarged adenoids?

The mouth and nose are two organs of the human body used for breathing. Normally, breathing is done through the nose, but when the nose is blocked, mouth breathing occurs. Therefore, mouth breathing is a sign of respiratory discomfort and nasal congestion. Common causes like acute and chronic rhinitis, upper respiratory infections, enlarged tonsils, enlarged adenoids, and nasal foreign bodies can all lead to children sleeping with their mouths open. Thus, a child sleeping with an open mouth does not necessarily indicate enlarged adenoids. If a child experiences nasal congestion, snoring, or mouth breathing for more than a month, it is advisable to consult an otolaryngologist (ENT specialist) for a timely examination.

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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 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 Deng Bang Yu
Otolaryngology
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The difference between adenoid hypertrophy and tonsil hypertrophy.

There is a fundamental difference between adenoid hypertrophy and tonsil hypertrophy, yet there are certain connections between them. The adenoids are located in the nasopharynx and are also a lymphoepithelial organ. The nature of adenoid hypertrophy leads to an increase in size, causing obstruction of the posterior nasal apertures and the Eustachian tubes, resulting in symptoms such as snoring and otitis media. Tonsils, on the other hand, are located in the oropharynx and their enlargement can block the oropharynx, leading to rapid breathing and obstructed breathing. It is common for tonsil hypertrophy to occur physiologically in children; clinically, it is often observed that children with tonsil hypertrophy also have adenoid hypertrophy. Both generally occur together because they are part of the internal ring of the pharyngeal lymphatic ring, which establishes a link between them. In summary, while adenoid hypertrophy and tonsil hypertrophy differ fundamentally in location and the manner of pathological changes, they are connected in certain ways.

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Written by Deng Bang Yu
Otolaryngology
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Can adenoid hypertrophy cause a fever?

Adenoid hypertrophy is a common condition in children and is an overgrowth of normally occurring tissue. It does not cause fever on its own. However, diseases secondary to adenoid hypertrophy, such as sinusitis and otitis media, might lead to fever. During the acute infection phase of hypertrophied adenoids, referred to as acute adenoiditis, fever can occur. Therefore, clinically, it is essential to distinguish between different stages and conditions of adenoid hypertrophy to manage it correctly. Simply put, adenoid hypertrophy does not cause fever by itself.