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What is the best way to treat an enlarged adenoids in a 5-year-old child?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

What does it mean when adenoids are between 80 to 90 percent in a five-year-old child? Does it mean he needs surgery?

Answered by Dr. Oliyath Ali

Education:

MS

Professional Bio:

Dr. Oliyath Ali is an ENT specialist skilled in diagnosing and treating ear, nose, and throat disorders. He manages conditions such as sinusitis, hearing loss, and throat infections, offering both medical and minor surgical treatments with a focus on patient comfort, clear communication, and long-term relief.      

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

The X-ray (attachment removed to protect the patient's identity) shows adenoid hypertrophy of 80 to 90 percent. The nasopharynx, means the enlarged adenoid occupies 80 to 90 percent anteroposterior distance of the nasopharyngeal airway. Suppose a child of one to seven years has loud snoring, sleep apnea, and difficulty breathing through the nose. In that case, it becomes an indication for surgical removal of the hypertrophied adenoid tissue, which will again open the nasopharyngeal airway leading to a dramatic reduction in snoring and sleep apnea symptoms. Another indication for adenoid removal is recurrent ear infections of more than five episodes in a year or three or more episodes per year for two consecutive years.

Investigations to be done

The investigation is diagnostic nasal endoscopy.

Treatment plan

The treatment plan includes adenoidectomy.
Medically reviewed by iCliniq medical review team
Published At October 1, 2022
Reviewed At December 26, 2023

Education:

MS

Professional Bio:

Dr. Oliyath Ali is an ENT specialist skilled in diagnosing and treating ear, nose, and throat disorders. He manages conditions such as sinusitis, hearing loss, and throat infections, offering both medical and minor surgical treatments with a focus on patient comfort, clear communication, and long-term relief.      

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MS

Professional Bio:

Dr. Oliyath Ali is an ENT specialist skilled in diagnosing and treating ear, nose, and throat disorders. He manages conditions such as sinusitis, hearing loss, and throat infections, offering both medical and minor surgical treatments with a focus on patient comfort, clear communication, and long-term relief.      

This doctor is not available for online consultations on the platform anymore.

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