Can children with adenoid hypertrophy avoid surgical treatment?

Patient's question:

Daughter is 4 years and 8 months old, with thick yellow pus nasal discharge, lasting for about 5 months.

Doctor's answer:

Children with long-term adenoid hypertrophy develop a flattened nose, poorly developed alae nasi, widened interpupillary distance, mouth breathing, and a facial expression, presenting a characteristic adenoid face. At this time, both physical and intellectual development of the child are greatly affected, and it can also cause secretory otitis media. Active surgical treatment is recommended. Adenoid removal can be performed simultaneously with tonsillectomy or as a separate procedure.

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