Question

A boy is experiencing difficulty breathing while sleeping and occasionally snoring. Examination reveals he has rhinitis and adenoid hypertrophy. He had previously been infected with the EB virus. Four days after stopping medication, his lymph nodes are still swollen, and his oral condition has not improved. How should this situation be handled?

Answer

Adenoid hypertrophy is often caused by incomplete recovery from a cold or cough in children, with prolonged nasal congestion potentially leading to facial deformation, affecting intelligence, and possibly developing into otitis media. Therefore, early surgical treatment should be considered. For adenoid hypertrophy, iontophoresis can also be considered as a treatment option. If the condition is not severe, it can be observed and awaited until the adenoids have the chance to naturally shrink during the child’s teenage years.