Does pediatric adenoid hypertrophy require surgery?

Patient's question:

The child is four years old and has been snoring while sleeping for four months. Three months ago, a nasal endoscopy confirmed that the adenoid was almost completely obstructing the posterior nasal cavity.

Doctor's answer:

Adenoid hypertrophy in children is specific to the pediatric period. It typically begins to grow around the age of 3 and reaches its peak growth phase between 6 and 10 years old. After 6 years, the growth slows down, and around the age of 10, it gradually begins to shrink. It primarily causes snoring during sleep, mouth breathing, and symptoms may worsen after a cold.
For a fiberoptic examination, if the adenoid obstructs the nasal passage, sleep monitoring may show mild hypoxia. If the adenoid hypertrophy persists, with continuous snoring, and conservative medication (2-1 months) is ineffective with persistent hypoxia, surgery may be considered.

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