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Abstract: Nasal congestion refers to poor nasal ventilation and is a common symptom of nasal sinus disease. Nasal congestion can be intermittent or alternating, or paroxysmal, and can be either unilateral or bilateral. This article is about a 10-year-old child who came to the clinic with nasal congestion for six months. After the consultation, the child was advised to improve the sinus CT, and the diagnosis of adenoid hypertrophy was confirmed after the examination.
Basic information】Female, 10 years old
Disease Type】Adenoid hypertrophy
Hospital】Northern War Zone General Hospital
Date of consultation】December 2021
Treatment plan] General anesthesia nasal endoscopic low-temperature plasma adenoidectomy + medication (cefuroxime sodium for injection + budesonide suspension for inhalation + eucalyptus pinene enteric soft capsule)
Treatment period】3 days of hospitalization and 1 month of review after discharge
Treatment effect] The nasal congestion disappeared after surgery.
I. Initial consultation
Parents often thought that the child had a cold again and often gave him anti-cold medication. In order to seek further diagnosis and treatment, the child came to our hospital and was advised to complete a CT examination, which suggested thickening of soft tissues in the nasopharynx, and was diagnosed as adenoid hypertrophy according to the CT examination results, and after reading the film, it was found that the hypertrophy was obvious and surgery was recommended.
II. Treatment process
The child was admitted to the hospital and underwent relevant examinations, including chest X-ray, electrocardiogram, routine blood and urine tests, and there were no contraindications to surgery. After the surgery, the child was given cefuroxime sodium for injection to reduce inflammation and inhalation budesonide suspension for nebulization, followed by oral eucalyptus pinene enteric soft capsule to promote outward drainage of secretions in the nasal cavity, nasopharynx and sinuses.
III. Treatment effect
On the first day of postoperative checkup, the child was in good general condition. The family complained that the child’s nasal congestion had significantly improved during night sleep yesterday, and there was no irritating cough during night sleep, no awakening, and no open-mouth breathing, and the family was very happy that the child could finally breathe normally through the nose. After the operation, the child’s nasal congestion was further improved by the medication for 3 days. The child’s family was satisfied with the result of the operation and was discharged from the hospital for 3 days.
IV. Notes
We are glad to see that the nasal congestion disappeared after the treatment. We advised the family to avoid forceful activities, running and jumping, forceful nasal aspiration to prevent bleeding in the operation area, and active use of mouthwash to rinse the mouth. In addition, pseudomembrane formation after surgery, there may be odor in the mouth and nasal cavity, avoid excessive worry, after discharge, you can continue to take oral eucalyptus pinene enteric soft capsule for half a month to promote the outward drainage of nasal nasopharyngeal secretions, timely increase and decrease clothing, avoid colds and flu diet must be light, do not eat hard food, so as not to cause bleeding in the nasopharynx caused by scratching, after discharge, if there is any discomfort, feel free to follow up, if there is no If there is no discomfort, you can return to the hospital for a review one month after discharge to clarify the recovery of the operated area.
V. Personal insight
Nasal congestion is a common clinical symptom in the ear, nose and throat, so it is important to go to the ENT department for timely examination after the appearance of nasal congestion, and avoid using medication on your own as in the case of the child. Avoid avoid the formation of drug rhinitis, clear the cause of nasal congestion, after diagnosis and then symptomatic medication or surgical treatment, the cause of the solution, a series of accompanying symptoms will also improve, or even cured, the quality of life will be greatly improved, it is recommended that the appropriate exercise to enhance resistance to minimize the occurrence of nasal congestion.