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 Li Mao Cai
Otolaryngology
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Adenoid hypertrophy is caused by what?

Adenoid hypertrophy can be divided into physiological and pathological hypertrophy. Physiological hypertrophy is a normal part of everyone's development. It begins at the age of three, peaks at about seven, and gradually shrinks around the age of ten. Pathological hypertrophy, on the other hand, often occurs on the basis of physiological hypertrophy, followed by inflammatory stimuli. Factors such as viral infections, colds, and allergic reactions are the main causes of pathological adenoid hypertrophy. This type of hypertrophy can lead to poor respiratory function, symptoms such as snoring during sleep, nasal congestion, and a runny nose. If the enlarged adenoids block the Eustachian tube, it can also lead to secretory otitis media.

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Written by Deng Bang Yu
Otolaryngology
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Can people with adenoid hypertrophy eat mangoes?

The adenoids are lymphoepithelial tissue located in the nasopharyngeal area, with adenoid hypertrophy mainly occurring in children, though it occasionally occurs in adults at a lower incidence rate. Clinically, adenoid hypertrophy is primarily caused by adverse stimulations such as allergic factors and repeated bacterial infections, with symptoms commonly including nasal congestion, snoring during sleep, and mouth breathing. For children, surgical removal is often necessary, currently performed mainly through plasma ablation. Generally, patients with adenoid hypertrophy can consume mangoes, as there are no absolute contraindications. However, if the patient also has a mango allergy, then they must avoid eating mangoes. Therefore, it is necessary to analyze each patient's specific situation.

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Written by Xu Qing Tian
Otolaryngology
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Can you drink milk with enlarged adenoids?

Patients with adenoid hypertrophy can consume milk. The adenoids, also known as the pharyngeal tonsils, are a common ENT disorder, occurring mostly in children. The adenoid tissues become hyperplastic and active, blocking the posterior nasal passages and causing symptoms such as snoring during nighttime sleep, nasal congestion, runny nose, and sinusitis. When adenoid hypertrophy occurs, surgery is primarily used for treatment. In terms of diet, patients can consume milk and eggs, but should avoid cold and spicy foods to prevent exacerbating the swelling and congestion of the adenoids.

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Written by Deng Bang Yu
Otolaryngology
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Minimally invasive surgery for adenoid hypertrophy

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.