Adenoids Treatment in Indore

Adenoids – Treatment

Adenoids are masses of lymphoid tissue situated in the back part of the nasal cavity. Adenoid hypertrophy refers to the overgrowth of these masses and can occur in one of the most common childhood afflictions associated with nasal obstruction, mouth breathing, snoring, frequent infections, and disturbances of sleep.

1. Goals of Treatment

Alleviate the obstruction of the nose and facilitate breathing

Decrease recurrent ear and sinusitis

Prevent complications like obstructive sleep apnea, speech delay, and chronic sinusitis

Avoid unnecessary surgical procedures unless indicated

2. Causes

Physiological Hypertrophy: Common during childhood; usually regresses after 5-7 years of

Chronic Infections: Repeated Infections of the Upper Respiratory Tract or

Immune response: Adenoids are a component of the immune system and grow if infections occur

3. Clinical Features

Nose obstruction – problems with nose breathing

Mouth breathing and snoring

Disturbances in sleep: Restless sleep, sleep apnea, bed wetting in extreme cases

Ear Infections – Recurrent Ear Infections: Otitis Media due to Eustachian

Communication Disorder - Speech Modifications

Speech changes:

Runny nose and postnasal drip

Note: The steps

History and Clinical Examination

Nasal Endoscopy: Viewing the Adenoids

Lateral Neck X-Ray: To evaluate adenoid size in pediatric patients.

Hearing evaluation: If there is suspected recurrent otitis media

5. Treatment

A. Non-Surgical (Medical)

Observation:

In mild cases and if the child doesn’t show any symptoms, observation may be practised since the adenoids may regress spontaneously.

Medical Therapy:

Nasal corticosteroid sprays, for example, mometasone and fluticasone, for

Antihistamines if allergy is a contributing factor

Antibiotics are used only if there are acute bacterial infections

Supportive care:

Saline nasal spray or irrigation to reduce congestion

Avoid irritants like smoke and allergens

B. Surgical Treatment

Aden

Indications for surgery:

Severe nasal obstruction leading to sleep apnea or mouth breathing

Recurrent ear infections or hearing loss caused by eustachian tube dysfunction

Recurrent Sinus Infections Unresponsive to Medical Treatment

Impaired speech or craniofacial abnormalities due to enlarged adenoids

Procedure:

Under general anaesthesia

Usually outpatient, with rapid recovery

Pain, epistaxis, and nasal stuffiness are expected after surgery

6. Post-Treatment

Pain control with paracetamol or ibuprofen

Soft Foods and Fluids

In cases of severe

Monitor for Bleeding or Infection

Nasal breathing and hearing evaluation follow-up

7. Complications if Untreated

Obstructive sleep apnea

Chronic ear infections and hearing loss

Speaking Difficulties (Nasal Speech

Abnormal facial growth in extreme and chronic conditions

Recurrent sinus infections

8. Pro

Medication: Beneficial in mild to moderate patients

Adenoidectomy: Generally corrective, resulting in alleviation of respiratory, sleep, or recurrent infectious difficulties

Usually, children make a complete recovery with normal growth and development

Conclusion

Treatment based on the adenoid condition:

Mild illness: Observation and medical management (topical nasal steroid, antihistamine, and symptomatic care Severe or Complicated Cases: Adenoid Complications like sleep apnea, loss of hearing, and the ability to speak may be prevented if detected early and treated properly.