Is adenoid hypertrophy more severe in winter?

Written by Zhang Jun
Otolaryngology
Updated on October 26, 2024
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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.)

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Written by Huang Kun Mei
Pediatrics
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What are the symptoms of adenoid hypertrophy in children?

Children with adenoid hypertrophy mainly have the following symptoms: The first is that children are prone to nasal congestion, and they may snore and breathe through their mouths while sleeping at night. The second is that their facial appearance might change. The third is that children may experience a decrease in memory and lack of concentration. It is recommended to visit the otolaryngology department for diagnosis. If diagnosed with adenoid hypertrophy in children, treatment should be targeted, based on the specific condition and severity of the child.

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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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Does adenoid hypertrophy cause dizziness?

The adenoid is a normal tissue located in the nasopharyngeal area of the human body. Enlargement of the adenoid can block the nasopharyngeal passage, leading to various symptoms and causing dizziness. The primary reason is that adenoid enlargement can lead to snoring and mouth breathing, which affects the supply of oxygen, resulting in dizziness. Additionally, adenoid enlargement may lead to secondary sinusitis, which can also cause symptoms of dizziness and even headaches. Therefore, overall, the enlargement of the adenoid or its associated symptoms can lead to dizziness.

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Written by Lian Wen Xi
Pediatrics
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How to treat children's adenoid hypertrophy?

If children experience hypertrophy of the adenoids and the symptoms are not very severe, it is not recommended to perform surgery immediately. Instead, conservative treatments can be adopted, such as using nasal sprays. With conservative treatment over a period of time, the enlargement of the adenoids in children may improve. However, if conservative treatment persists for about three to six months without effect, and the child exhibits symptoms such as snoring during sleep, nasal congestion, or the presence of yellow nasal discharge, it is advisable to take the child to a reputable hospital for an examination. If the diagnosis confirms that surgery is indeed indicated, surgical removal of the adenoids can be considered as a treatment option.

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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.