What level of adenoid hypertrophy should be operated on?

Surgery is usually recommended when the clinical symptoms caused by adenoid hypertrophy are not well treated with medication.
Adenoid tissue is repeatedly stimulated by inflammation and abnormal proliferation occurs, the proliferation of adenoids block the posterior nostrils, the eustachian tube pharyngeal orifice and other surrounding tissues, there will be nasal congestion, open-mouth breathing, hearing loss, tinnitus, ear stuffiness and swelling and other symptoms, long-term open-mouth breathing will also affect the cranial development of the developmental stage of the child, the emergence of adenoidal facial features.
For patients with mild obstructive symptoms, glucocorticoids, such as budesonide nasal spray, can be taken to reduce inflammation; if the effect of medication is not good, and the clinical symptoms continue to be unrelieved, surgical treatment should be chosen to relieve the obstructive symptoms.
Surgical treatment of adenoid hypertrophy is mainly adenoidectomy, and its indications mainly include adenoid hypertrophy causing snoring, open-mouth breathing or occlusive nasal sound; adenoid hypertrophy blocking the pharyngeal opening of the Eustachian tube, causing secretory otitis media, hearing loss; adenoid face has been formed, accompanied by wasting, developmental disorders; with recurrent nasal and sinus inflammation, and so on.
It is recommended that patients with enlarged adenoids should consult a doctor in time and follow up regularly, and choose the appropriate treatment plan under the guidance of the doctor according to their own conditions.