Can adenoid hypertrophy be treated with massage?

Written by Xu Qing Tian
Otolaryngology
Updated on May 06, 2025
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Patients with adenoid hypertrophy generally do not see significant therapeutic effects from massage therapy. Adenoid hypertrophy is due to the proliferation of lymphoid tissue at the posterior nasopharyngeal wall, which leads to nasal congestion and sleep apnea at night. When sleep apnea occurs, it is first necessary to complete sleep monitoring and blood oxygen saturation monitoring and other relevant tests to make a clear diagnosis of the patient's condition. For patients with adenoid hypertrophy occupying more than two-thirds of the posterior nasal aperture, plasma surgery is usually required to ablate the hypertrophied adenoid tissue and restore normal nasal ventilation function, thereby alleviating the patient’s sleep apnea and hypoventilation syndrome.

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Written by Deng Bang Yu
Otolaryngology
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What medicine is good for adenoid hypertrophy?

The adenoids are lymphatic tissue located in the nasopharynx, and adenoid hypertrophy can be treated with some medications. Adenoid hypertrophy is often related to allergic factors or stimulation from bacterial infections. Therefore, for the treatment of adenoid hypertrophy, some medications can be used for nasal administration, such as mometasone furoate nasal spray, as well as anti-allergy medications like montelukast sodium. Additionally, some traditional Chinese medicines with aromatic properties, such as Bi Yuan Tong Qiao granules, can be used as adjunct therapy. In summary, the pharmaceutical treatment for adenoid hypertrophy is not directly targeted, and the effectiveness of medication is relatively poor, so a comprehensive evaluation of the condition should be considered when contemplating medication treatment.

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Written by Lian Wen Xi
Pediatrics
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What are the symptoms of adenoid hypertrophy in children?

Children's adenoid hypertrophy has a variety of symptoms, mainly including the following aspects. First: It may lead to nasal congestion, accompanied by runny nose and nasal speech due to obstructive nasal sounds and other clinical manifestations. Second: It may cause the child to develop secretory otitis media or purulent otitis media, resulting in ear pain and hearing loss among other clinical manifestations. Third: Due to the long-term hypertrophy of adenoid tissue affecting ventilation, it may cause children to breathe through the mouth. Prolonged mouth breathing may result in a condition known as adenoid facies. Fourth: Some systemic symptoms may occur, such as slowed growth and development, cognitive impairments, irritability, drowsiness, teeth grinding, easy awakening, lack of concentration, and bedwetting among other symptoms.

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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 Li Rui
Otolaryngology
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What anti-inflammatory drugs should be taken for adenoid hypertrophy?

Most glandular hypertrophy does not require antibiotics or anti-inflammatory drugs, as it is a common condition or physiological manifestation in children. Glandular hypertrophy is the proliferation of lymphoid tissue in the nasopharyngeal area, causing partial obstruction of the posterior nasal aperture. Initially, clinical symptoms should be assessed. If there is only simple hypertrophy without any discomfort, it can be observed without treatment. However, if glandular hypertrophy is accompanied by clinical symptoms such as nasal congestion, runny nose, snoring during sleep, and mouth breathing, the use of oral medications and nasal sprays should be considered, but generally, anti-inflammatory drugs are not needed. If there is an acute inflammatory response in the glands, the use of antibiotics along with regular follow-ups and nasal cavity cleaning should be considered. (Note: This answer is for reference only. Medication should only be taken under the guidance of a professional medical doctor, and blind medication should be avoided.)

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Written by Yan Xin Liang
Pediatrics
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What should be done about children's adenoid hypertrophy?

In the case of adenoid hypertrophy in children, the first step is to assess the severity of the enlargement. If the adenoids are enlarged to the third degree, affecting breathing, especially with noticeable snoring after falling asleep at night, or symptoms such as frequent waking due to choking and hypoxia, surgery is generally recommended. This involves going to an otolaryngology department to surgically remove the enlarged adenoids. If the enlargement is only at the first degree or between the first and second degrees, and not very severe, local anti-inflammatory and swelling-reducing medications can be used for treatment.