What situations require surgical treatment for patients with adenoid hypertrophy

Patient's question:

The son was just found to have pediatric adenoid hypertrophy.

Doctor's answer:

Generally, it is necessary to conduct a comprehensive analysis and judgment based on the patient's medical history, lateral nasal-pharyngeal radiographs, nasal endoscopy, and other examinations. If the following symptoms are present, surgery is often considered:
  1、Affects breathing, causing snoring during sleep, or even sleep apnea, leading to long-term hypoxia and insufficient oxygen supply to the brain, which can impact a child's growth and development.
  2、Causes posterior nasal obstruction, resulting in chronic mouth breathing, which may lead to symptoms such as elongated maxilla, high-arched palate, an upturned upper lip, and prominent upper incisors. We often refer to this as "adenoid facies."
  3、Causes posterior nasal obstruction, leading to poor drainage of nasal secretions and triggering chronic rhino-sinusitis, which does not heal after standardized treatment.
  4、Causes obstruction of the eustachian tube, leading to secretory otitis media, which does not heal after standardized treatment.

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