Is adenoid hypertrophy necessarily to be removed?

Patient's question:

Son is six years old and always has a stuffy nose and difficulty breathing. X-rays showed that his adenoid hypertrophy blocks 1/4, and his development is significantly smaller than other children. Is it necessary to remove the adenoid hypertrophy?

Doctor's answer:

Hello! If there is adenoid hypertrophy, the degree of airway stenosis needs to be examined. If the stenosis exceeds 50%, surgery is recommended. For tonsils, the severity needs to be assessed. If they are grade three and fibrotic, they can be removed. If they are not that severe, they can be preserved first, as they are the first line of defense. Generally, after the age of ten, episodes of tonsillitis tend to decrease, as this is when a child's immune system is basically fully developed.

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