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Children and Adenoid Hypertrophy

Adenoid hypertrophy is the enlargement or deformed growth of the adenoid. This occurs in children of one-year of age or more. Adenoid hypertrophy occurs when the adenoid just starts to grow. The symptoms of Adenoid Hypertrophy are middle ear infections, middle ear fluid accumulation, excessive drip and persistent cough.

Even when the adenoid hypertrophy is in the developing stages, there are symptoms of this ailment. Chronic inner ear infections are frequent, and fluids develop when there is a blockage in the nasal passages and the ear. When the Adenoid Hypertrophy occurs above the vocal chords and dripping occurs, it causes a desire to cough. The diagnosis of Adenoid Hypertrophy varies in children and adults. The same tools used for adults won’t always be suitable for children.

In Adenoid Hypertrophy, besides patient history taking and his/her physical examination, adults are diagnosed using fiber optic instruments, and children are diagnosed using X-ray plates.

The treatment for Adenoid Hypertrophy is generally antibiotics and corticosteroids. If the enlarged adenoid does not shrink, then surgery may be needed. Patients are often monitored to make sure that the enlargement doesn’t come back. Nasal steroid sprays are also available for long-term use, if needed.

For the treatment of Adenoid Hypertrophy, the type of surgery that may be necessary is determined by the location of the mass and on the frequency of its appearance. The most common surgery is Tonsillectomy, also known as Adenoidectomy. This surgery is usually an outpatient surgery and the patient is allowed to go home the same night after his or her surgery is performed. The home recovery time is usually one week. Occasionally, the blockage may cause difficulty with breathing and then a Rhinoplasty may be needed. If the mass had been obstructing the sinus cavity or the nasal passages, the mass may probably reappear. Some forms of surgery for Adenoid Hypertrophy depend on where the enlarged adenoids are located.

Keeping a log of the symptoms that occur in your children is recommended. Medical history with test and labs taken is a summary of what you tell your physician. The doctor maybe able to use this log as a reference so marking each symptom with date and time would be valuable.

The percentage of children who need to receive surgery for Adenoid Hypertrophy is 65% before the age of 8; and 25 percent from 9-12 years of age. While surgery for Adenoid Hypertrophy is routinely done, there are some risks in the children who are prone to infection or have asthma, and in these children this surgery is not recommended. Adenoid Hypertrophy is often spotted with an annual physical exam. Surgery is not guaranteed, however most often it benefits the patient involved.

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~ by editor on November 19, 2007.

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