30/09/2026
Chronic Adenoiditis in Children โ Signs, Symptoms & Treatment | Patil ENT Hospital
๐๐ก๐ซ๐จ๐ง๐ข๐ ๐๐๐๐ง๐จ๐ข๐๐ข๐ญ๐ข๐ฌ ๐ข๐ง ๐๐ก๐ข๐ฅ๐๐ซ๐๐ง โ ๐๐ข๐ ๐ง๐ฌ, ๐๐ฒ๐ฆ๐ฉ๐ญ๐จ๐ฆ๐ฌ & ๐๐ซ๐๐๐ญ๐ฆ๐๐ง๐ญ: Learn about chronic adenoiditis, its symptoms, diagnosis, medical treatment and when adenoidectomy may be required. Evidence-based information on nasal obstruction, mouth breathing, snoring, recurrent infections and associated ear problems. ๐๐๐ญ๐ข๐ฅ ๐๐๐ ๐๐จ๐ฌ๐ฉ๐ข๐ญ๐๐ฅ, ๐๐๐ฌ๐ก๐ข๐ค provides ENT consultation, endoscopic evaluation and treatment with **all cashless facilities available
Chronic Adenoiditis โ Signs, Symptoms & TreatmentWhat is Chronic Adenoiditis?
๐๐ก๐ซ๐จ๐ง๐ข๐ ๐๐๐๐ง๐จ๐ข๐๐ข๐ญ๐ข๐ฌ is persistent inflammation/infection of the adenoid tissue located behind the nose, in the nasopharynx. It can coexist with ๐๐๐๐ง๐จ๐ข๐ ๐ก๐ฒ๐ฉ๐๐ซ๐ญ๐ซ๐จ๐ฉ๐ก๐ฒ (๐๐ง๐ฅ๐๐ซ๐ ๐๐ ๐๐๐๐ง๐จ๐ข๐๐ฌ) and may cause prolonged nasal obstruction, mouth breathing, snoring, recurrent nasal/throat symptoms and Eustachian-tube dysfunction. (PubMed)
Signs & Symptoms
๐ Persistent ๐๐ฅ๐จ๐๐ค๐๐ ๐ง๐จ๐ฌ๐ / ๐ง๐๐ฌ๐๐ฅ ๐จ๐๐ฌ๐ญ๐ซ๐ฎ๐๐ญ๐ข๐จ๐ง
๐ ๐๐จ๐ฎ๐ญ๐ก ๐๐ซ๐๐๐ญ๐ก๐ข๐ง๐ , especially during sleep
๐ด ๐๐ง๐จ๐ซ๐ข๐ง๐
๐ค Disturbed or restless sleep
๐คง Recurrent ๐ง๐๐ฌ๐๐ฅ ๐๐ข๐ฌ๐๐ก๐๐ซ๐ ๐
๐ Post-nasal drip
๐ฃ๏ธ Nasal or โblocked noseโ voice
๐ฎโ๐จ Difficulty breathing through the nose
๐ค Recurrent throat or upper-respiratory infections
๐ Recurrent ear infections or ๐๐ฎ๐ฌ๐ญ๐๐๐ก๐ข๐๐ง ๐ญ๐ฎ๐๐ ๐๐ฒ๐ฌ๐๐ฎ๐ง๐๐ญ๐ข๐จ๐ง
๐ Hearing difficulty due to associated middle-ear fluid
๐ด Daytime tiredness or poor concentration when sleep is significantly disturbedChronic adenoid inflammation can affect adjacent areas including the nose, sinuses, throat and middle ear. (PubMed)
Diagnosis
An ENT specialist may evaluate the child with:
Detailed history and clinical examination
๐๐๐ฌ๐๐ฅ ๐๐ง๐๐จ๐ฌ๐๐จ๐ฉ๐ฒ / ๐ง๐๐ฌ๐จ๐ฉ๐ก๐๐ซ๐ฒ๐ง๐ ๐จ๐ฌ๐๐จ๐ฉ๐ฒ to assess adenoid size and inflammation
Ear examination and hearing assessment when indicated
Assessment for sleep-disordered breathing or obstructive sleep apnea when clinically suspectedA systematic review found that adenoid hypertrophy confirmed by nasoendoscopy is common in children, although prevalence varies substantially between populations and study methods. (PubMed)
TreatmentTreatment depends on the severity of symptoms, degree of obstruction, recurrent infections and associated ear/sleep problems.
1. Medical treatment
Depending on the clinical cause, the ENT specialist may consider:
Saline nasal irrigation/saline spray
Appropriate treatment of allergic rhinitis when present
๐๐ง๐ญ๐ซ๐๐ง๐๐ฌ๐๐ฅ ๐๐จ๐ซ๐ญ๐ข๐๐จ๐ฌ๐ญ๐๐ซ๐จ๐ข๐๐ฌ in selected children
Antibiotics only when a bacterial infection is suspected/diagnosed and treatment is clinically appropriateRecent systematic-review evidence involving 30 ๐ฌ๐ญ๐ฎ๐๐ข๐๐ฌ ๐๐ง๐ 2,301 ๐๐ก๐ข๐ฅ๐๐ซ๐๐ง found that intranasal corticosteroids reduced adenoid size and clinical symptoms and were associated with a lower rate of adenoidectomy compared with controls. (PubMed)
2. Adenoidectomy
๐๐๐๐ง๐จ๐ข๐๐๐๐ญ๐จ๐ฆ๐ฒ may be considered when there is significant persistent obstruction, sleep-disordered breathing, recurrent problems, associated Eustachian-tube/middle-ear disease, or inadequate response to appropriate conservative treatment. (PubMed)
A systematic review/meta-analysis found that adenoidectomy consistently reduced nasal resistance and increased nasal airflow in the pediatric studies evaluated. (PubMed
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