(Disclaimer: This article is for general use only, and the following information has been processed to protect patient privacy)
Abstract: The patient is a 6-year-old boy, and his parents described: 1 year ago, the child had open-mouth breathing and snoring during sleep, and he liked to sleep on his stomach, and he tossed and turned a lot, and after a period of time, he was inattentive in class, and his grades were declining. After a lateral nasopharyngeal film examination, he was diagnosed with pharyngeal tonsillar hypertrophy. After admission, he was given surgical treatment, and the snoring and open-mouth breathing symptoms disappeared after treatment, with good results.
Basic information】Male, 6 years old
Disease Type】Pharyngeal tonsillar hypertrophy
Hospital】HuaiBei Mining General Hospital
Date of consultation】January 2022
Treatment plan】Surgical treatment (plasma hypopharyngeal tonsillar hypertrophy excision)
Treatment Period】4 days of inpatient treatment and outpatient follow-up
Effectiveness of treatment] Snoring and open-mouth breathing symptoms disappeared
I. Initial consultation
This case is a 6-year-old boy. The parents described that the child had open-mouth breathing and snoring during sleep one year ago, and he liked to sleep on his stomach and often turned back and forth in bed during sleep. After some time, the child’s face was found to be unattractive, mainly because of his protruding mouth and uneven teeth. In addition, he had trouble concentrating in class and his academic performance dropped, so he came to our dentistry department for consultation. After the consultation, the stomatology department recommended that the child be seen by the ENT department, so the child was seen in our department. At the time of the interview, the child’s upper lip was convex and his teeth were not aligned, and he was given a lateral nasopharyngeal radiograph, which showed slightly enlarged adenoids and enlarged palatine tonsils. Combined with the patient’s clinical manifestations and relevant examination results, the diagnosis was: pharyngeal tonsillar hypertrophy.
II. Treatment history
We told the parents that pharyngeal tonsillar hypertrophy could lead to facial dysplasia, uneven teeth, and even decreased intelligence due to lack of oxygen. After the parents understood the danger, they agreed to undergo surgical treatment and were given plasma hypopharyngeal tonsil hypertrophy excision and postoperative anti-infection treatment with cefradine injection.
III. Treatment effect
After surgical removal of the enlarged pharyngeal tonsils, the nasopharyngeal obstruction was lifted, the nasal cavity was ventilated, the snoring and open-mouth breathing symptoms disappeared, and the patient no longer repeatedly turned over and snored during sleep. During the postoperative follow-up, we learned that the patient’s attention in class was significantly better than before, and his academic performance also improved significantly, so the parents were satisfied with the treatment effect.
IV. Notes
I am glad that after active treatment, the child’s symptoms of snoring and open-mouth breathing disappeared. After discharge from the hospital, do not move too much and excessively to reduce the vibration of the nasopharynx and reduce the occurrence of bleeding. Also do not take a long hot bath for a long time. A long bath can lead to vasodilatation of the trabecular surface and easy bleeding of the trabecular surface. In addition, avoid catching a cold, which may lead to infection and local swelling at the trauma, thus leading to poor breathing, which is detrimental to the healing of the trauma. The diet should be light and avoid spicy and stimulating foods to reduce the congestion and swelling of the trauma. Once there is nasal bleeding or blood in the mouth and snoring again, you need to consult a doctor promptly to find the cause and deal with it promptly.
V. Personal insight
For children with snoring, open-mouth breathing, misaligned teeth, or even inattentiveness in class, prompt consultation is necessary. If the child had been treated early, he would not have had these effects, such as affecting intelligence and facial disfigurement.