Patient's question:
A 2-year-old child with adenoid hypertrophy, one tonsil measuring grade 3 and the other grade 2. Regarding the treatment and effectiveness during the second follow-up: breathing is basically unobstructed, snoring has improved. What kind of help is needed: How is it necessary to have surgery? Is it necessary to have both the tonsils and adenoids removed at the same time, or can only one procedure be done?Doctor's answer:
General adenoid hypertrophy is not usually very harmful to a child's health. However, if the child frequently suffers from respiratory infections, the repeated inflammation can cause the adenoids to undergo pathological fibrosis again. This can lead to rapid fibrotic enlargement, relieve nasal congestion, obstruct nasal drainage, and the nasal secretions can further affect the adenoids, causing them to become more fibrotic. This creates a vicious cycle of cause and effect, which can interfere with the child's growth and development. If the symptoms are not very severe, it may be possible to wait and see for a while, taking precautions to prevent respiratory infections. In this ideal scenario, the adenoids may gradually shrink.