When it comes to snoring, the first thing people may think of is the whirring sound made during sleep. But it is so harmful, especially to pediatricians, that it may not attract people’s attention. Snoring is a common disease that endangers the health of children, and is a precursor of sleep apnea in children at night. It not only affects the quality of sleep by snoring at night, but is also usually accompanied by daytime symptoms, such as lack of energy, fatigue and sleepiness, dozing, and decreased academic performance. If the disease is prolonged, serious and not treated in time, it can also cause more serious effects on the growth and intellectual development of children, even life-threatening, sudden death at night and deformed face. The most common causes are adenoid hypertrophy and tonsillar hypertrophy. Here is a look at the causes of the disease with a high incidence: adenoid hypertrophy. Under normal physiological conditions, the adenoids develop to their maximum size when children are 6 to 7 years old, and gradually shrink after puberty, and basically disappear in adults. If the adenoids are enlarged and cause symptoms, it is adenoid hypertrophy and parents should pay attention to it. So, what are the symptoms that parents need to bring their children to the doctor? First of all, the most immediate symptom: the obstruction of the airway, speech with an occlusive nasal sound, snoring during sleep, apnea, is likely to be adenoid hypertrophy, so pay attention! Don’t underestimate this piece of tissue in the nasopharynx. In addition to causing snoring, it may also be accompanied by symptoms in the ear, nose, throat, larynx and trachea, such as otitis media, rhinitis, sinusitis, cough and bronchitis. Long-term nasal airway obstruction can also be accompanied by some systemic symptoms, such as poor nutritional development, slow reaction, inattention, sleep awakening, teeth grinding, and urination. Prolonged open-mouth breathing in children also affects the development of the facial bones – known medically as “adenoid facies”! In layman’s terms, it can also be called “dementia face”, which is an irreversible facial deformity! It must be taken seriously. The main manifestations are: the maxilla becomes longer. The palate is high arched, the teeth are not aligned, the upper incisors protrude, the lips are thick, lack of expression. Therefore, once parents find the above symptoms, they must seek medical attention in time to avoid affecting the growth and development of the child or having life-threatening conditions. How is the disease diagnosed? The anterior rhinoscopy shows a reddish nasopharyngeal bulge, and the electronic nasopharyngoscopy can provide a clearer and more definite diagnosis and assessment of the degree of obstruction of the posterior nostril. X-rays and CT scans are also useful for diagnosis. Once the diagnosis is clear, prompt treatment is important. Children with slightly mild symptoms can be treated with general conservative treatment: attention to nutrition, prevention of colds and flu, improvement of immunity, and active treatment of other primary diseases. As they grow older, the adenoids may gradually shrink and the symptoms reduce or disappear. However, if the conservative treatment is ineffective, the adenoids should be surgically removed as soon as possible. If the tonsils also have clear indications for surgery, they can be surgically removed together to lift the obstruction and restore normal ventilation, thus curing pediatric snoring and improving its complications. The surgery is usually performed under general anesthesia, and the adenoids are exposed under nasal endoscopy and operated under direct vision, so that the positioning is clear, intraoperative bleeding is reduced, and bleeding can be stopped in time. The commonly used resection methods are XPS planer surgery and low-temperature plasma radiofrequency ablation surgery. The post-operative recovery is faster and does not affect the normal life of the pediatrician. Through the above description, I hope you should have an intuitive understanding of pediatric snoring, especially adenoid hypertrophy. For the sake of the physical and mental health of children, mothers and fathers should learn it quickly.