Does snoring only make your child look ugly? It turns out that there are other dangers:

Aunt Tan’s family has a 5-year-old child, who is also quite naughty. She always likes to pick her nose with her hands, and sometimes her nose bleeds for no reason. At first, Aunt Tan thought it was because of the dry weather, not too much. Pay more attention, as it later develops into rhinitis, with symptoms of nasal congestion and snoring while sleeping. Recently, Aunt Tan discovered that her child's upper incisors were a bit protruding. When she went to the hospital, she discovered that her child had adenoid hypertrophy.

1. What is adenoid hypertrophy?

Adenoids, also known as proliferative bodies or pharyngeal tonsils, are lymphoid tissues located at the junction of the top and posterior wall of rhinitis. If adenoids hyperplasia and cause corresponding symptoms, it is called adenoid hypertrophy. In layman's terms, adenoidal hypertrophy means that a tissue in our respiratory tract has grown, causing respiratory ventilation to become narrowed and breathing to be difficult. Under normal circumstances, the growth is most significant when children are 2-6 years old, gradually shrinks around 10-12 years old, and basically disappears in adults. The main symptoms are: nasal congestion, snoring, mouth breathing, restless sleep, etc.

2. How harmful is adenoid hypertrophy?

1. Causes adenoid appearance

2. Nasal congestion and snoring

3. Slow reaction

4. Hearing loss

5. Decreased memory

6. Affects growth and development

3. How to diagnose adenoidal hypertrophy?

The most common examination methods include: 1. Nasopharyngeal CT; 2. Nasopharyngeal lateral radiograph; 3. Electronic nasopharyngoscope. If it is a child, it is recommended to choose the third option. Electronic nasopharyngolaryngoscopy has no radiation and can clearly and intuitively observe the true condition of the adenoids.

4. What are the treatments for adenoidal hypertrophy?

1. Conservative treatment: If adenoidal hypertrophy does not affect the child's normal life, pay more attention to the child's nutritional intake in diet, keep warm, prevent colds, let the child do physical exercise, and improve As the body's immunity develops with age, the adenoids will gradually shrink, and the condition will be relieved.

2. Drug treatment: If adenoid hypertrophy is caused by rhinitis or sinusitis, it can be treated with drugs that relieve rhinitis or sinusitis, such as montelukast sodium, nasal hormone ( Such as mometasone furoate nasal spray, etc.) and antihistamines (such as loratadine, cetirizine, etc.), clinical symptoms can generally be relieved after taking the medicine for a period of time.

3. Surgical treatment: If the above two methods are ineffective in the treatment of adenoidal hypertrophy, surgical treatment is generally required. The current main surgical methods are: direct nasal endoscopy under general anesthesia Resection surgery is performed under local anesthesia, as well as plasma radiofrequency ablation under local anesthesia.

The above three methods are the main methods to treat adenoidal hypertrophy. Once parents notice that their children snore and breathe through their mouths while sleeping for a long time, they must go to the ENT department of a regular hospital to avoid delaying the condition.

#Health2022#

References:

[1] Sun Shuchen, Ma Yan, Qiao Jing, et al. Experts in traditional Chinese medicine diagnosis and treatment of sleep disordered breathing caused by adenoidal hypertrophy in children*** Knowledge [J]. World Journal of Sleep Medicine, 2014, 1(6): 316-320.

[2] Fang Min, Xu Jie. Montelukast sodium and nasal hormones in the treatment of adenoids in children Meta-analysis of body hypertrophy [J]. International Journal of Otolaryngology-Head and Neck Surgery, 2021, 45(3): 134-140.

[3] Gao Shuwei, Guo Yongli, Xu Zhifei. Obstructive sleep apnea syndrome Research progress on the therapeutic effect and predictive factors after adenotonsillectomy in children [J]. Chinese Journal of Otolaryngology-Head and Neck Surgery, 2020, 55(6): 630-634.

Author: Guangzhou Tan Dongmei, Department of Pharmacy, Panyu District Central Hospital