How to deal with a 5-year-old child with grade II tonsil hypertrophy

Patient's question:

My child is now 5 years old and has just been diagnosed with grade II tonsillar fibrosis. I'm so upset. Because he's usually lively and energetic, eating, drinking, and sleeping well, and hasn't had any obvious colds or similar symptoms, I didn't pay much attention. Recently, I noticed he's snoring at night and breathing through his mouth. I went to the hospital, and the doctor said it's grade II fibrosis and suggested surgery. I was shocked—he's still so young! Surgery should wait until he's older! I just want to ask how can I adjust things so that he doesn't develop fibrosis?

Doctor's answer:

The tonsils are reduced, and children with adenoid hypertrophy have a physiological condition. At birth, the nasopharynx already has lymphoid tissue, which gradually fibroses with age. By the age of 6, it reaches its maximum extent and then gradually atrophies. It often slowly regenerates around the age of 10. As long as it does not interfere with deep sleep, temporary conservative treatment can be applied.
Recommendation: If it does not interfere with the quality of deep sleep, temporary conservative treatment can be considered; if it does interfere with the quality of deep sleep, surgical treatment is recommended.

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