1.Where are the adenoids?
Adenoids, also known as pharyngeal tonsils or proliferators, are located at the top of the nasopharynx and the back wall of the pharynx, and belong to the lymphatic tissue, with an orange flap-like surface. The adenoids, like the tonsils, grow gradually with age after birth, with the period of proliferation at the age of 2-6 years, the largest at the age of 7-8 years, and gradually shrink after the age of 13 years.
2, adenoids in x-ray and endoscopic performance
3.Symptoms of adenoid hypertrophy.
Local symptoms
Children with narrow nasopharyngeal cavity, such as adenoid hypertrophy blocking the posterior nostril and pharyngeal pharyngeal opening, can cause symptoms in the ear, nose, throat and other places.
(1) Ear symptoms: obstruction of the pharyngeal orifice of the eustachian tube causes secretory otitis media, resulting in hearing loss and tinnitus.
(2) Nasal symptoms: It is often complicated by rhinitis and sinusitis, with symptoms such as nasal congestion and runny nose. When speaking with an occlusive nasal sound, snoring sounds when sleeping, and in severe cases, sleep apnea.
(3) Pharynx, larynx and lower whistle symptoms: Because the secretions flow downward and irritate the mucous membrane of the whistle, it often causes nocturnal paroxysmal cough and is easily complicated by bronchitis.
(4) adenoid face: due to long-term open mouth whistling, resulting in impaired facial bone development, jaw bone becomes longer, palate bone high arch, dental alignment, upper incisors protrude, lip thick, lack of expression, the so-called “adenoid face”.
Systemic symptoms
The child presents with anorexia, vomiting, dyspepsia, and then malnutrition. Inadequate lung expansion due to poor inspiration can lead to thoracic deformities. Poor nocturnal whistling can leave children in a chronic state of oxygen deprivation and endocrine dysfunction, causing growth disorders. Parents may find that their children have symptoms such as inattention, mood swings, night terrors, teeth grinding, night sweats, and bedwetting.
Adenoid hypertrophy is one of the most common causes of obstructive sleep apnea hypoventilation syndrome (OSAHS). Excessive snoring and breath-holding during sleep are the two main symptoms. Open-mouth whistling during sleep, excessive sweating, morning headache, daytime sleepiness, and learning difficulties are also common symptoms.
4.Harm of adenoid hypertrophy
Easy to form “adenoid face”
As children’s nasopharynx is relatively small, when adenoid hypertrophy, due to nasal congestion affects the whistle and rely on the mouth open whistle, long-term mouth whistle, airflow impact on the hard palate will make the hard palate deformation, high arch, over time, the development of the face will be deformed, the upper lip is short and thick, the lower jaw sagging, the nasolabial fissure disappears, the hard palate high arch, teeth alignment, upper incisors protrude, poor bite, nasal septum flattening, etc., facial muscles The facial muscles are not easy to move, lack of expression, look like piggyback or ugly duckling, medically called “adenoid face”.
Prone to bronchitis
The adenoid hypertrophy in children can cause blockage of the nose, resulting in the backflow of nasal snot to the pharynx, stimulating the mucous membrane of the lower whistle, often causing bouts of coughing, and making them susceptible to bronchitis.
Children may become mentally unstable and unresponsive
Children with long-term oral inhalation and nasal obstruction are prone to head ischemia and oxygen deprivation, mental depression, headache, dizziness, memory loss, and slow reactions.
Affect the growth and development of children
As children need a lot of oxygen for development, snoring will make children seriously lack of oxygen during sleep, which will directly lead to insufficient oxygen supply for brain development and cause a decrease in secretion of growth-promoting hormone, which will not only affect children’s height, but also decrease physical resistance and affect children’s intelligence in the future. Therefore, these children are not only prone to whistling infections, but also prone to chicken chest, funnel chest, and even induce pulmonary heart disease. Therefore, children snoring is more harmful than adults.