Hypertrophy of adenoids leads to poor occlusion of children's teeth, small front teeth and chin ... forming an adenoid face, which affects children's appearance for a lifetime.
A child's adenoid face is irreversible. Bao's father, Ma Bao, must not ignore this disease, but pay attention to observation and find it in time.
Don't let beautiful children become "ugly ducklings".
Children who snore, breathe with their mouths open for a long time, have irregular teeth, sweat, enuresis, impatience and frequent otitis media should go to the hospital to check their adenoids in time.
Adenoids are nasopharyngeal lymphoid tissues, also called pharyngeal tonsils, which are located at the back wall and top of the nasopharynx. They were in a period of vigorous proliferation at the age of 2 6, and gradually began to shrink after 10. Adenoid hypertrophy in childhood causes a series of clinical symptoms, which is called adenoid hypertrophy.
Hypertrophic adenoids hinder the circulation of nasal air and prevent the excretion of nasopharyngeal secretions; It will also block the eustachian tube mouth and affect the ventilation and drainage of the middle ear.
Adenoid hypertrophy is usually manifested as:
1. Nasal congestion, children often open their mouths to breathe, breathing thick and loud, snoring when they fall asleep, shortness of breath during exercise, and purulent secretions often flow from their nostrils, which is very easy to catch a cold.
2. slurred speech, slurred speech and nasal sound. Because of stuffy nose and poor diet, I often swallow it whole, and every meal takes a long time, which leads to indigestion.
3. It is easy to suffer from chronic otitis media, which leads to hearing loss.
4. Children with adenoid hypertrophy will have an adenoid face, which is caused by oropharyngeal nasal craniofacial deformity. It is characterized by short and thick upper lip, long and drooping mandible, disappearance of nasolabial groove, high arch of hard palate, uneven dentition, prominent upper incisors and poor occlusion. Children's facial muscles are not easy to move and lack expression.
5. Other patients with severe and long-term obstruction may lead to obstructive sleep apnea hypopnea syndrome (OSAHS), pulmonary hypertension and cor pulmonale. Oral examination showed that the palatal arch was high and the teeth were irregularly arranged.
Children with adenoid hypertrophy should go to the hospital for the following examination: 1. 2. The nasopharyngeal lateral X-ray film can observe the size of snuff and the width of airway; 3. Polysomnography shows that there are different degrees of sleep respiratory disorders, such as primary snoring, upper airway resistance syndrome and obstructive sleep apnea hypopnea syndrome; 4. Nasopharyngeal CT and MRI scan to determine the position and size of adenoids.
Indications for adenoidectomy:
1. Obstruction symptoms
(1) Chronic nasal congestion or habitual mouth breathing caused by adenoid hyperplasia. In general, if the blockage caused by adenoid hypertrophy exceeds 2/3, the surgical indication has been reached.
(2) Sleep breathing disorders, such as OSAHS and upper airway resistance syndrome. At present, doctors will judge whether the child's condition is serious through a means called respiratory sleep monitoring. If the child's moderate and severe hypoxia is monitored by the respiratory sleep instrument, the surgical index will be reached; There is also a child who has no effect through repeated drug treatment, and the doctor will also recommend surgery.
(3) Exclude growth and dysplasia caused by other reasons, such as cor pulmonale and dysphagia.
(4) Abnormal development of maxillofacial region or teeth.
(5) Abnormal proliferation of lymphoid tissue. 2. Infection factors
(1) Recurrent or chronic adenoid inflammation.
(2) Recurrent or chronic secretory otitis media.
(3) Chronic suppurative otitis media.
(4) chronic sinusitis.
3. New organisms are suspected to have benign or malignant growth.
Generally speaking, adenoid hypertrophy is above 1/2, tonsil hypertrophy is above 2 degrees, and the minimum oxygen saturation for sleep monitoring is below 92%. Surgical resection is the best way, and snoring will stop soon after operation, which is harmless to the body.
The operation of adenoidal hypertrophy generally adopts low-temperature plasma radiofrequency ablation, which has the advantages of less bleeding and less damage to the tissues and mucosa around the child. The postoperative recovery is very fast, and it usually heals in a week or so, and there is no sequelae in the operation, which has no influence on the child's future growth.