How to determine whether children with enlarged adenoids need surgery

Everyone has glands, and they can have various problems. Not only adults but children can have problems as well, but the chance of children having problems is a little smaller. The main problem with glands is adenoids hypertrophy, which is a disease that can be seen from the surface. However, many people still don’t know how to judge it. Sometimes children don’t even know when they have problems with their adenoids. So how do you judge whether children with adenoids hypertrophy need surgery?

If enlarged adenoids affect breathing, causing snoring, mouth breathing, repeated attacks of sinusitis or otitis media, and sometimes even sleep apnea, surgical treatment is necessary as soon as possible, otherwise long-term lack of oxygen during sleep will affect brain and body development. Long-term mouth breathing can also cause the maxillary bone and teeth to grow abnormally and convexly.

Adenoids surgery can be performed under direct observation of the nasal endoscope with a minimally invasive cutting blade. In the past, traditional surgical methods advocated surgery at the age of 4, mainly because they were worried that the child was too young and bleeding could easily cause blood to enter the airway by mistake. Now, surgery is performed under direct observation of the nasal endoscope with a cutting blade. The surgery is precise and less invasive. After the adenoids are removed, bipolar electrocoagulation or plasma can be used under direct observation of the nasal endoscope to stop bleeding. This not only has a hemostatic effect, but also significantly reduces the probability of recurrence. Therefore, if a child has severe sleep apnea, regardless of age, surgery should be performed in a timely manner.

Children's adenoids surgery is usually performed under general anesthesia to avoid psychological trauma caused by local anesthesia. Many parents believe that general anesthesia will affect children's intelligence, but in fact this has no scientific basis.

Snoring, excessive nasal secretions, bad breath, and heavy nasal sounds may still occur in the short term after adenoids surgery. This is due to edema and inflammatory reaction of the wound after surgery. The wound healing takes some time, so the improvement of symptoms is also a gradual process. Family members do not need to be overly anxious or nervous, and should seek a follow-up examination with the surgeon after the operation.