1, what is adenoid hypertrophy adenoid hypertrophy is pharyngeal tonsil hyperplasia, we usually say that the tonsils are actually palatine tonsils. Children’s adenoid hypertrophy is often physiological, infants are born with lymphatic tissue in the nasopharynx, and proliferate with age, at the age of 6 years old that is the maximum degree, and then gradually degenerate, if it affects the general health or adjacent organs, only then called adenoid hypertrophy. Adenoid hypertrophy is a hyperplasia of the pharyngeal tonsils. The pathological hyperplasia of the adenoids due to repeated stimulation of inflammation is called adenoid hypertrophy. This disease is most often seen in children and is often found in combination with chronic tonsillitis. The adenoids, also called pharyngeal tonsils or proliferators, are located at the top of the nasopharynx and the posterior pharyngeal wall and are lymphatic tissue with an orange flap-like surface. The adenoids, like the tonsils, grow gradually with age after birth, with the most proliferative period occurring between the ages of 4 and 6, and gradually shrinking after puberty. During the normal physiological growth period, most children do not show symptoms of respiratory obstruction, but when the adenoids become abnormally enlarged and block the upper respiratory tract, symptoms of nasal congestion and open-mouth breathing will occur, especially at night, with snoring and restless sleep, and children often turn over from time to time, more obvious when lying on their backs. In severe cases, apnea may occur, i.e. children may have a short period of respiratory pause, or even wake up and fall back to sleep after changing their sleeping position, which reduces the quality of sleep. At the same time, due to the narrowing of the airway, the oxygen saturation in the blood is insufficient, and the brain is in a state of chronic and continuous hypoxia. Long-term nasal congestion and poor breathing can also affect heart and lung function, and in serious cases can cause pulmonary heart disease, damage to the heart muscle, and even right ventricular heart failure. Due to nasal blockage and poor breathing, long-term open-mouth breathing can also affect the development of the jaws and face, forming a special face, the so-called “adenoid face”, which is characterized by an upturned upper lip, bared upper teeth, a high palate and a dull expression. In some children, the nasal blockage may also affect the pronunciation, forming an occlusive nasal sound, commonly known as “mumbling” sound. Individual children may also have adenoid hypertrophy compressing the nasopharyngeal opening of the eustachian tube, leading to otitis media and hearing loss, so the disease of adenoid hypertrophy should not be taken lightly. If not treated in time and the formation of the above-mentioned diseases, such as jaw deformities, pulmonary heart disease, even if the adenoids are removed, breathing, still need to continue long-term treatment of other diseases. 2, what causes adenoid hypertrophy childhood susceptible to acute rhinitis, acute tonsillitis and influenza, if repeated attacks, adenoids can rapidly hypertrophy, resulting in increased nasal obstruction, obstructing nasal drainage, rhinitis sinusitis The secretions stimulate the adenoids to continue to proliferate, forming a vicious circle of mutual cause and effect. The most common is in children, often combined with chronic tonsillitis. 3, what are the symptoms of adenoid hypertrophy (1) local symptoms: children due to adenoid hypertrophy blocking the posterior nostril and pharyngeal tube pharyngeal mouth, can occur otorhinopharyngeal and other symptoms. The symptoms are open-mouth breathing during sleep, posterior tongue root often snoring, restless sleep at night, nasal secretion, occlusive nasal sound when speaking, voice ambiguity. As a result of long-term open-mouth breathing, the facial bone development is impaired, the maxilla becomes longer, the hard palate is high arched, the teeth are uneven, the upper incisors are exposed, the lips are thick, the face lacks expression, and there is dementia, forming an “adenoid face”. The ataxic movement between swallowing and breathing is dysfunctional, and choking and coughing often occur. The downward flow of secretions stimulates the mucous membrane of the respiratory tract and makes it easy to suffer from bronchitis. Due to the obstruction of the eustachian tube, it is easy to cause non-suppurative otitis media, resulting in reduced suction and tympanic membrane invagination. (2) systemic symptoms: there are often systemic nutritional and developmental disorders, mainly manifested as chronic toxic reflex neurological symptoms, such as sluggish expression, abnormal behavior, sloppiness, hyperactivity, inattention, growth and development lag. 4, adenoid hypertrophy need to do what examination to see adenoid face, high and narrow hard palate, postnasal microscopy can be seen in the top of the nasopharynx pink, lobulated lymphoid tissue, nasopharynx palpation can be palpable 5.How to treat adenoid hypertrophy and rhinitis and recurrent respiratory infections are closely related, if we can effectively control rhinitis or recurrent respiratory infections, the adenoids will naturally shrink, no other treatment is needed, the effect of medical treatment is very good, most of them do not need surgery. The main treatment is still to give leukotriene antagonists and nasal hormones. 6, adenoids to surgery or not adenoids and tonsils are an important part of the body’s immune system. Whenever the body is attacked by external pathogenic microorganisms, these lymphoid tissues become active and produce more immunoglobulins and immune cells to fight the pathogenic microorganisms. In order to produce more cells and immunoglobulins, the lymphoid tissues enlarge, that is, compensatory enlargement, which is a good thing, and when the disease gets better, the lymphoid tissues will recover. In theory, larger tonsils produce more immune cells and globulins, which is good for the body. However, enlarged tonsils will have an uneven surface, making it easier for pathogenic microorganisms to lodge and grow. Oversized adenoids and tonsils can block the sinus complex, leading to sinusitis and recurrent respiratory infections. Surgery should still be considered in the following cases: first, if the tonsils become septic more than twice a year, over the age of 6; snoring in bed every day, not relieved by regular treatment for a month; sleep apnea syndrome with regular treatment for a month; rhinitis and sinusitis with regular treatment, and secretory otitis media developed twice a year.