Last week, I saw a patient with an enlarged adenoid hypertrophy and blockage of 86%.
He has a relatively obvious phenomenon of opening his mouth to breathe, and because of the blockage of the eustachian tube, there is negative pressure in the middle ear, which leads to poor drainage of secretions, induces secretory otitis media, and causes hearing loss.
Parents ask their children if surgery is necessary for this condition.
For pediatric adenoid hypertrophy, Director Ye believes. I can not operate without surgery resolutely!
01 Removal of adenoids may outweigh the benefits
Adenoids occur in the 4th month of the embryo, begin to shrink at the age of 6~7 years, and completely degenerate after about 10 years old.
When a child is a child, adenoids are part of the body's nasopharynx and act as immune defenses, air filtration, and the immune system. The main cause of adenoid hypertrophy is the recurrence of acute and chronic nasopharyngitis, or inflammation of the nasal cavity, sinuses, tonsils, etc., affecting the nasopharynx and stimulating the proliferation of adenoid tissue.
If the adenoids are removed because of hypertrophy, the child's immunity will be weakened, resulting in temporary immunodeficiency in the child.
To sum up, adenoids are originally a part of the protective effect on children's development, but adenoid hypertrophy has a negative impact on children's body.
02Adenoids have the ability to respond spontaneously
Because the child's self-control is relatively poor, the operation is usually under general anesthesia, and the child is generally not operated on unless necessary.
More importantly, from a clinical point of view, adenoid hypertrophy does not appear alone, and is often accompanied by respiratory diseases such as rhinitis, cold, cough, bronchitis, asthma, etc., indicating that it is by no means everything to completely solve adenoid hypertrophy.
Therefore, Director Ye has always advocated conservative treatment for patients with adenoid hypertrophy. Adjust first to reduce the degree of adenoid hypertrophy of the child.
Respiratory disease is usually associated with the spleen and lungs. The spleen is the source of phlegm, and the lungs are the phlegm storage organs, so the elimination of adenoid hypertrophy also requires the spleen to dissolve phlegm and disperse knots, so as to reduce recurrence. In addition, adenoids can gradually shrink with age, and there is a possibility of spontaneous remission of symptoms, and conservative treatment is usually more effective.
Of course, the severity varies from patient to patient. If you hold your breath during sleep, have poor breathing, the adenoids compress the eustachian tubes, or the adenoids themselves are inflamed, and otitis media is not easy to heal and other serious conditions, the surgery is still surgery!