Patient's question:
The child has been saying they feel unwell. At first, we thought it was a cold and they didn't eat much for cold medicine and anti-inflammatory drugs. Yesterday, they had a CT scan, and the doctor said it was due to adenoid hypertrophy and recommended surgery. Can this confirm that it is adenoid hypertrophy? How is adenoid hypertrophy diagnosed?Doctor's answer:
Adenoid Hypertrophy Clinical Examination and Diagnosis1. The child breathes through the mouth; sometimes, the "adenoid face" can be observed.
2. During oropharyngeal examination, the hard palate appears high and narrow, often accompanied by palatine tonsillar hypertrophy.
3. With anterior rhinoscopy, after fully retracting the nasal mucosa, a red, mass-like elevation may be seen in the nasopharynx.
4. Fiberoptic nasopharyngoscopy reveals lobulated lymphoid tissue with longitudinal fissures on the top and posterior wall of the nasopharynx, resembling half of an unpeeled orange.
5. Palpation involves using fingers for nasopharyngeal examination, where a soft, mass-like structure can be felt on the top and posterior wall of the nasopharynx.
6. X-ray lateral view of the nasopharynx is helpful for diagnosis.