When parents take their children to the hospital, they like to ask the doctor if their child needs surgery for tonsillar adenoids. What kind of tonsillar adenoids need surgery and what kind need conservative treatment? First of all, the tonsils are visible on the left and right side of the mouth, while the adenoids are the larger glandular tissue at the back of the nose, which is what we call the nasopharynx. Whether it is tonsils or adenoids, children are in a period of physiological hypertrophy around the age of 5 to 6 years old, and when upper respiratory infections occur in children, it is easy to cause enlargement of the tonsils and adenoids. As a result, the child will have varying degrees of difficulty breathing, even open-mouth breathing, snoring at night and other symptoms. Generally speaking, as the inflammation is absorbed, the enlarged adenoids and tonsils will gradually shrink, and the child’s symptoms will gradually disappear. However, because of individual differences, some children’s tonsils and adenoids will not shrink, and in this case the symptoms of nasal congestion will continue or even worsen. First of all, if the tonsils are enlarged to a certain extent, which affects the ventilation, then there are recurrent attacks more than 5 times a year. In this case, the tonsils are recommended to be treated surgically. In addition, if the adenoids generally reach moderate to severe hypertrophy causing nasal congestion, and the child has corresponding symptoms, such as snoring with open mouth breathing, or loss of sense of smell, more serious sinusitis and other symptoms, conservative treatment for more than three months is not effective, it can be used as an indication for surgery. If some parents have doubts, and the child’s symptoms are not very serious, they can also be treated conservatively, and if there is no relief after one year, then surgery is recommended. This surgery is currently performed under general anesthesia, which is safer and does not cause psychological fear or shadow to the child. Tonsil and adenoids surgery will not have much effect on the child’s immune system, because the immune system of children under the age of three is generally significant, but over the age of three, the immune system is gradually decreasing. Whether the tonsils and adenoids need to be removed at the same time or choose a single surgery, this is mainly based on the child’s symptoms, in most cases, if there is no special reason, you can choose to do the adenoids first, relatively speaking, the impact is not great, unless the tonsils symptoms are more serious or hypertrophy is more serious, it is recommended that you can choose to remove at the same time. The surgery is done through the mouth and does not leave any scars on the face, and now there is more advanced low temperature plasma technology, the effect will be better, and will not cause damage to the surrounding tissues, after the surgery must keep the mouth clean and hygienic, do not eat some hard and stimulating food, to liquid and semi-liquid food. Generally, a white film will be formed locally 24 hours after surgery, and this white film will fall off 7-10 days after surgery. After the operation, you can use antibiotics according to the situation to actively control the infection. Generally, after this surgery, as long as the removal is complete, there will be no recurrence, but there are some special people, because the lymphatic tissue hyperplasia is more obvious, or serious may also appear compensatory lymphatic tissue hyperplasia, this generally does not affect much, if there are corresponding symptoms need to second surgery, but this belongs to a very small number of people.