Treatment for adenoid hypertrophy is determined by the degree of the condition and does not necessarily require surgery. Adenoid hypertrophy is categorized into physiological adenoid hypertrophy and pathological adenoid hypertrophy. Physiologic adenoid hypertrophy usually requires no special treatment, while pathologic adenoid hypertrophy treatment is divided into medication and surgery.
1. Physiological adenoid hypertrophy: it usually occurs in children, and the adenoids are enlarged since birth, and it is more obvious at the age of 5-6 years old. However, it usually does not affect the breathing, and there will be no symptoms such as nasal congestion, open-mouth breathing, ear discomfort, etc., and it will not affect the development, and it will atrophy by itself at the age of 8-10 years old, and therefore, it does not need any treatment.
2. Pathological adenoid hypertrophy: patients will have nasal congestion, open-mouth breathing, hearing loss, tinnitus, ear stuffiness, adenoid face and other clinical symptoms. For patients with mild symptoms of obstruction, glucocorticoids, such as budesonide nasal spray and other medication can be taken to reduce inflammation; if the effect of drug treatment is not good, surgery should be chosen to relieve the symptoms of obstruction.
For patients with enlarged adenoids, a full examination and consultation with a specialized doctor are needed.