Adenoid hypertrophy in children is a common clinical condition in otolaryngology. Parents who are recommended for adenoids surgery often seek Chinese medicine treatment because they do not want to undergo surgery. Do all adenoids require surgery or can all be treated conservatively? Which adenoid hypertrophy children can choose conservative treatment; or conservative first, conservative ineffective then choose surgery, which adenoid hypertrophy children must be surgical treatment, is our current urgent to understand and solve.
I. What are the normal adenoids?
The adenoids are located at the junction of the nasopharyngeal apex and posterior wall, between the two sides of the pharyngeal fossa, commonly speaking, the adenoids are part of the pharyngeal lymphatic ring, as are the tonsils. The adenoids are present after birth and are most prominent at the age of 6-7 years, and gradually shrink after the age of 10 years. Therefore, acute adenoiditis often occurs simultaneously with acute pharyngitis, acute tonsillitis and other upper whistle infections. The adenoids are also congested and enlarged when the tonsils are acutely inflamed, and the tonsils shrink when the tonsillitis control subsides, and the adenoids shrink.
What does adenoid hypertrophy mean?
The most important symptoms are nasal congestion, snoring, breath-holding at night, easy to wake up, often turning over at night, non-stop movement, restless sleep, serious otitis media, hearing loss, inattention and other symptoms.
Third, parents of patients have “three fears”
Once the child is diagnosed with adenoid hypertrophy, parents often Baidu inquiry, a fear of not treating the adenoid face; two fear of adenoid surgery affects the immune function, so that sleep and food, some parents also appear anxiety phenomenon and even inconsistent views of mothers and fathers, grandparents and children between the treatment of inconsistent views and family conflicts. The third fear of general anesthesia after surgery affects the intellectual development. The adenoid face is due to long-term open mouth whistling resulting in jaw bone dysplasia, maxillary bone becomes long, jaw bone high arch, dental alignment, upper incisors protrude, lip thick, lack of expression, and in fact due to the early intervention of adenoid hypertrophy, parental attention, active treatment, the current adenoid face is extremely rare, so parents do not have to worry too much about this. There are fewer reports on the effect of adenoids on immune function after surgery, but clinically, the adenoids are an important part of the inner ring of the pharyngeal lymphatic ring. The tonsils, adenoids, lymphatic follicles of the posterior pharyngeal wall, and lymphatic tissue of the tongue root make up the inner ring of the pharyngeal lymphatic ring, and the removal of adenoids has the same effect on the human body as the removal of the tonsils. The aim is to stop the adenoids from blocking the posterior nostrils and to keep the nasal airway open. Therefore, the adenoids surgery is called excision, but the disease is actually stopped, and the traditional scraping surgery can not completely remove the adenoids, so even if the surgery is not possible to remove all the adenoids, the residual adenoids tissue still has immune function, and even if there is a small impact, compared with the adenoid hypertrophy brought about by snoring, breath-holding, lack of oxygen, memory loss, performance decline, slow reaction and other adverse reactions, the two rights are The lesser of the two rights is also taken.
Chinese medicine treatment of adenoid hypertrophy
Under what circumstances should conservative treatment be considered for children with adenoid hypertrophy? The general conservative treatment in Western medicine is nasal spray of hormonal drugs, such as endosulfan. Oral anti-allergy medications such as Sunerin and Keratan syrup can be combined with Oronema drops and physiological sea saline if there is mucous pus in the nasal cavity. Some adenoid hypertrophy, usually the symptoms are not serious, but once the cold and flu, nasal flow of mucous pus snot, the symptoms are aggravated, at this time, with Chinese medicine control of rhinitis and sinusitis, nasal congestion and snoring will be significantly reduced, and the adenoids will shrink.
Adenoid hypertrophy, often accompanied by allergic rhinitis, or plainly presenting nasal itching sneezing clear snot, becomes pus nasal snot after cold, at this time through Chinese medicine treatment to control allergies, control the inflammation, will also reduce the symptoms, the adenoids will also shrink.
The physical conditioning of adenoid hypertrophy is applicable to the daily maintenance treatment of the children. In addition to the symptoms of adenoid hypertrophy, there is no inflammation in the upper whistle tract, and the herbal treatment of phlegm and softness has a certain effect.
V. Indications for surgery for adenoid hypertrophy
The best indication for surgery is adenoid hypertrophy and sleep apnea, and the more serious the snoring, the sooner surgery is advisable to avoid long-term hypoxia, in addition to recurrent episodes of secretory otitis media, adenoid surgery should be performed as soon as possible, if accompanied by tonsillar hypertrophy, can be carried out simultaneously with tonsillectomy.
Is there a prescription for adenoid hypertrophy in Chinese medicine?
In the treatment of adenoid hypertrophy, TCM still needs to analyze the overall evidence and take into account the local characteristics of adenoid “phlegm coagulation and gas stagnation” to conduct a comprehensive analysis and individualize the prescription.
7. Is there any prevention and dietary treatment for adenoid hypertrophy?
1.Sleeping: side lying position.
2, avoid allergens: do not keep pets such as dogs and cats, and sleep with toys such as stuffed animals.
3, prevention: do not greedy cool, especially sweat blowing wind, to prevent wind on the sense, rhinitis, sinusitis occur.
4, dietary therapy: eat more food to strengthen the spleen and dispel phlegm, for adenoid hypertrophy is helpful, such as yam, tzatziki mushrooms, kelp can often serve.