Question

How to Check for Adenoid Hypertrophy?

Answer

The examination methods for adenoid hypertrophy are as follows:

  1. Facial Examination: Observe if the child breathes through the mouth and if they have an “adenoid face.”
  2. Oropharyngeal Examination: Check if the hard palate is high and narrow, and if there is associated palatine tonsillar hypertrophy.
  3. Anterior Rhinoscopy: After fully contracting the nasal mucosa, examine for any red, bulging nodular protrusions in the nasopharynx.
  4. Fiberoptic Nasopharyngoscopy: Look for lobulated lymphoid tissue with longitudinal fissures at the top and posterior wall of the nasopharynx, resembling half of a peeled tangerine.
  5. Palpation: Use fingers to palpate the top and posterior wall of the nasopharynx to see if soft, nodular masses can be felt.
  6. Radiographic Examination: Perform an X-ray lateral view of the nasopharynx to aid in diagnosis. These are the examination methods for adenoid hypertrophy. It is recommended to visit a specialized hospital for an examination as soon as possible to receive timely treatment. It is recommended to seek treatment at public grade-A hospitals using minimally invasive techniques, which are currently the best method for treating adenoid hypertrophy.