Patient's question:
Last December, my left ear was found to have fluid buildup. During a cold, a thorough examination at the hospital revealed sinusitis and enlarged adenoids. In December of this year, another examination showed fluid buildup in my left ear again, and the doctor recommended surgery.What kind of help I need: My son is only 5 years old, and I don’t know what to do. I would like to consult.
Doctor's answer:
Hello! Children are prone to acute rhinitis, acute tonsillitis, and influenza during childhood. If these conditions recur frequently, the adenoids can rapidly become fibrotic and enlarged, leading to reduced nasal obstruction and impaired nasal drainage. The secretions from rhinitis and sinusitis further stimulate the adenoids, causing long-term fibrosis and creating a vicious cycle of mutual causation. This condition is more common in children and is often associated with chronic tonsillitis. Surgical removal of the adenoids can be performed either concurrently with tonsillectomy or as a standalone procedure. For those who are not suitable for surgery, radiotherapy may be considered (though it is rarely used). Adenoid hypertrophy can also be treated with plasma therapy, which is simple and causes minimal pain. Wishing you good health!