Patient's question:
My child said that something seems to be blocking their nose, making it difficult to breathe. They have been breathing through their mouth all the time. The neighbor said their child also has a similar condition, which is adenoid hypertrophy. I'm not sure, but I want to ask what tests are done for adenoid hypertrophy?Doctor's answer:
What are the examination items for adenoid hypertrophy?1. The child breathes through the mouth, and sometimes a typical "adenoid face" can be seen.
2. Nasopharyngeal lateral radiograph: It can measure the degree of obstruction of the nasopharyngeal airway.
3. CT: Axial CT images show deformation and narrowing of the nasopharyngeal cavity, thickening of the posterior wall soft tissue with uniform density.
4. Examination of the oropharynx reveals a high and narrow hard palate, and sticky secretions can be seen flowing from the nasopharynx to the posterior wall of the pharynx, often accompanied by palatine tonsillar hypertrophy.
5. Palpation: Using fingers for nasopharyngeal palpation, soft, lumpy masses can be felt on the top and posterior wall of the nasopharynx.
6. Anterior rhinoscopy reveals a large amount of secretions in the nasal cavity and swollen mucosa.
7. Fiberoptic nasopharyngoscopy shows lobulated lymphoid tissue with longitudinal fissures on the top and posterior wall of the nasopharynx, resembling half of a peeled orange. It often blocks more than two-thirds of the posterior nasal passage. This is currently the most commonly used method for adenoid examination.