In 10-year-old adenoid hypertrophy, the enlarged adenoids should be removed as soon as possible if there is a clear indication for surgery. Common indications for surgery include: open-mouth breathing, snoring with apnea; recurrent episodes of secretory otitis media and chronic sinusitis; and the formation of “adenoid face” with wasting, developmental disorders, and recurrent upper respiratory tract infections.
The enlarged adenoids block the pharyngeal opening of the Eustachian tube, which can be complicated by secretory otitis media, leading to hearing loss and tinnitus, and even causing suppurative otitis media. The child may have occlusive nasal sound when speaking due to nasal congestion, sometimes accompanied by recurrent chronic sinusitis. Snoring sound during sleep, severe cases can cause obstructive sleep apnea hypoventilation syndrome.
The occurrence of this disease is often associated with the spread of nasal inflammation to the nasopharynx, inflammatory secretions can irritate the mucous membrane of the respiratory tract, causing paroxysmal cough complicating bronchitis. Prolonged open-mouth breathing due to nasal congestion can affect the development of facial bones, resulting in elongation of the maxilla, high arch of the palate, irregularities in the dentition, protruding upper incisors, thick lips, and lack of expression, i.e., the “adenoid face”.
Chronic toxicity and reflex neurological symptoms can be seen after the quality of sleep decreases at night. The symptoms include poor nutritional development, slow response, poor concentration, night terrors, teeth grinding, and enuresis.
If the above symptoms are not effectively improved after standardized treatment, early surgery is recommended so that the symptoms can be improved and the development and nutritional status can be normalized. However, the “adenoid face” is already present and cannot be restored naturally.
When a 10-year-old child is diagnosed with adenoid hypertrophy, he or she can actively consult a doctor for a systematic examination and follow the doctor’s instructions for targeted diagnosis and treatment.