Question
How should a child with moderate adenoid hypertrophy be treated conservatively, as past treatments with symptomatic anti-inflammatory medication have not resolved the issue?
Answer
Adenoid hypertrophy often occurs due to incomplete recovery from childhood colds or coughs, and long-term nasal congestion may lead to facial deformities, affect intelligence, and pose a risk of middle ear infection. It is recommended to consider early surgical treatment or iontophoresis. For children with less severe conditions, it is advisable to observe and wait until around the age of four or five, as the adenoids may naturally shrink by the teenage years.