Is surgery necessary for pediatric adenoid hypertrophy?

Patient's question:

Since about the age of 5, the doctor diagnosed it as adenoid hypertrophy and recommended surgery, but we have always insisted on conservative treatment. Recently, he caught a cold, which led to otitis media and affected his hearing. Moreover, he always has phlegm stuck in his throat, which he can't cough up. He has been very uncomfortable sleeping at night, almost always breathing with his mouth open. Is surgery absolutely necessary for children with adenoid hypertrophy?

Doctor's answer:

Hello! Adenoid hypertrophy requires surgery under general anesthesia. If the tonsils are not enlarged and do not frequently inflame, a tonsillectomy may not be necessary. It is essential to consult an expert before the surgery. Clinically, some children only undergo adenoid surgery, but the tonsils are actually endogenous hypertrophy, which doctors may overlook. Even if the adenoid surgery is performed, snoring may still occur postoperatively, leading to unsatisfactory results. Later, a tonsillectomy may need to be performed again, causing adults to spend more money and children to suffer, which can be very distressing.
Guidance:
The low-temperature plasma ablation surgery combines cutting, hemostasis, and suction in one surgical tool, resulting in a lower risk of postoperative bleeding. However, the tool is expensive, making the surgical cost high. If your family's financial condition is average, you do not need to feel. You can choose the conventional method, but it is crucial to select an experienced doctor.

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