Reliable guideline for children's health
What is Adenoid Hypertrophy in Children?
Adenoid hypertrophy in children refers to the abnormal enlargement of the adenoids, which are tissues located behind the nasal cavity and at the top of the throat. The adenoids are part of the immune system and help fight infections and germs. Typically, adenoids are larger in children and shrink as they age. However, in some children, the adenoids may become abnormally enlarged due to frequent infections or allergies, causing airway obstruction and other health problems.
When is Adenoidectomy Necessary?
In the United States, adenoidectomy and tonsillectomy are among the most common surgeries performed on children. Each year, approximately 300,000 children under the age of 15 undergo these procedures【5,6】. A survey of U.S. otolaryngologists (ENT doctors) indicated that the primary reasons for these surgeries include various obstructive breathing issues (59%), recurrent infections (42%), and obstructive sleep apnea (OSA) (39%).
Generally, when the adenoids are obstructing more than 50% to 75% of the airway, doctors may recommend surgical treatment, particularly if the child exhibits significant symptoms. The specific recommendation for surgery also depends on the following factors:
The decision for surgery is ultimately based on the child’s symptoms, the severity of the adenoid obstruction, and the professional judgment of the doctor.