Reasons for adenoid hypertrophy in children

Written by Huang Kun Mei
Pediatrics
Updated on March 14, 2025
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There are many causes of adenoid hypertrophy in children, most of which are due to infections. For instance, infections like pharyngitis or sinusitis can trigger adenoid hypertrophy. If a child experiences adenoid hypertrophy, it is recommended to visit the otolaryngology department of the hospital for a checkup. After a detailed examination to determine the specific cause, treatment can be tailored based on the child's individual condition. It is important to avoid greasy, spicy, and irritating foods when dealing with adenoid hypertrophy. It's advised that children consume plenty of fresh vegetables and fruits and engage in more outdoor activities.

Other Voices

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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 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.

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Written by Li Mao Cai
Otolaryngology
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What tests are needed for adenoid hypertrophy?

The adenoids are located at the back end of the nasal cavity in the nasopharyngeal area, so the examination needed for adenoid hypertrophy is generally the electronic nasopharyngoscopy. Electronic nasopharyngoscopy is a minimally invasive procedure that allows direct visual observation of the enlarged adenoids and the blockage of the posterior nasal apertures. Modern electronic nasopharyngoscopes are very thin; they can be inserted through the nostrils directly into the nasopharynx, providing a clear view of the adenoids with minimal discomfort and no radiation exposure, making it the preferred method. Another test that can be performed is a lateral X-ray of the nasopharynx. This examination has been a classic approach and is available in many township and county hospitals. It can accurately display the condition of adenoid hypertrophy and any airway obstruction. However, the only drawback is that it involves some level of radiation exposure.

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Written by Deng Bang Yu
Otolaryngology
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Conservative treatment methods for adenoid hypertrophy

Adenoid hypertrophy refers to the enlargement of glandular tissue located in the nasopharynx, which blocks the nasal cavity or obstructs the pharyngeal opening of the Eustachian tube, leading to otitis media. Patients may experience symptoms such as snoring during sleep. Conservative treatment for adenoid hypertrophy mainly refers to medication therapy for enlarged glands. Medications such as mometasone furoate and montelukast sodium can be used, as well as inhalation therapy with medicated mists. Inhalation therapy primarily involves nasal cavity inhalation, such as using sprays. Overall, the efficacy of conservative treatment for adenoid hypertrophy is relatively poor. Therefore, it is necessary to assess the condition comprehensively and consider timely surgical treatment if necessary.

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Written by Deng Bang Yu
Otolaryngology
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How is adenoid hypertrophy surgery performed?

The adenoid is a lymphoepithelial tissue located in the nasopharyngeal region. Enlargement of the adenoid can block the nasal passages, leading to snoring and sleep apnea, often requiring surgical removal of the adenoid. The surgery is performed under general anesthesia. Firstly, we use a catheter to suspend the soft palate to expose the adenoid tissue. Then, using a nasal endoscope, with the right hand holding a plasma knife, the enlarged adenoid is ablated. The surgery involves inserting the nasal endoscope and adenoid knife through the mouth. The procedure is relatively short, lasting about five to ten minutes. There is very little bleeding after the surgery, making it truly a minimally invasive procedure.