How to treat children's adenoid hypertrophy?

Written by Lian Wen Xi
Pediatrics
Updated on April 25, 2025
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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 Deng Bang Yu
Otolaryngology
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Will adenoid hypertrophy recur after surgery?

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 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 Deng Bang Yu
Otolaryngology
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What medicine is good for enlarged adenoids?

Adenoid hypertrophy is a common and frequently occurring disease in the field of otolaryngology head and neck surgery. Clinically, adenoid hypertrophy is mainly treated through surgical removal, which is typically performed under endoscopic guidance using techniques such as plasma surgery. As for its clinical drug treatment, it should be noted first that there are no drugs specifically targeting adenoid hypertrophy. The drugs currently used, such as mometasone furoate nasal spray and montelukast sodium, are aimed at treating allergic factors related to adenoid hypertrophy. These drugs have some effects, but their efficacy is relatively poor, and only a small portion of patients achieve certain therapeutic effects. Therefore, if adenoid hypertrophy causes secondary diseases such as snoring, otitis media, or sinusitis in patients, it is still necessary to proceed with active surgical treatment. (Specific medications should be used under the guidance of a physician)

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home-news-image
Written by Lian Wen Xi
Pediatrics
46sec home-news-image

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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home-news-image
Written by Deng Bang Yu
Otolaryngology
40sec home-news-image

What medicine is used for adenoid hypertrophy?

The adenoids are normal anatomical structures located in the nasopharynx. In childhood, the glandular tissue of the adenoids becomes enlarged, blocking the normal passages of the nasopharynx and leading to secondary diseases. Clinically, there are no drugs specifically targeting enlarged adenoids. However, other medications, such as mometasone nasal spray and montelukast sodium, may have some effect on adenoid enlargement and can help a minority of patients avoid surgery. Nonetheless, it is advised not to rely on these drugs as the primary treatment method for enlarged adenoids; the main treatment is surgical.