Determination of adenoid hypertrophy requires a specialized examination and compliance with relevant disease diagnostic criteria. Clinical symptoms are crucial to the diagnosis of this disease, but also through visual examination, endoscopy, palpation, imaging to understand the characteristics of adenoid disease-related lesions.
1. Clinical symptoms: The disease may cause ear symptoms such as tinnitus, stuffy ears and hearing loss; nasal symptoms such as nasal congestion, runny nose and open-mouth breathing; and systemic symptoms such as anorexia, snoring, malnutrition, developmental delay, recurrent respiratory tract infections and mental inattention.
2. Visual examination: it can cause facial bone development disorders, such as maxillary lengthening, high arching of the hard palate, protruding upper incisors, poor occlusion due to irregular teeth, sagging of the jaw, thick lips, upturning of the upper lip, hanging of the lower lip, and most of them are accompanied by deviation of the nasal septum, coupled with depression and dull facial expression, which is the so-called “adenoidal facies”.
3. Endoscopic examination: the lobulated lymphatic tissue can be seen in the posterior wall of the roof of the nasopharynx, and there can be 5-6 deep longitudinal grooves. Sometimes pus or debris can be seen in the grooves. If the adenoids are large, the nasopharynx can be completely occupied and the posterior nostril can be blocked.
4. Palpation: A soft tissue mass can be palpated at the posterior wall of the nasopharyngeal roof. It is not easy to bleed after palpation and can be distinguished from nasopharyngeal tumor.
5. Imaging examination: X-ray nasopharyngeal lateral radiograph and CT, MRI scan can determine the location and size of adenoids. It can also help to differentiate with nasopharyngeal tumor.
When adenoid hypertrophy is suspected, the patient can actively seek medical treatment and systematic examination to make a clear diagnosis.