In some children, due to allergies, genetic predisposition, past infections, or environmental factors, the adenoids may become enlarged. Sometimes, there is no identifiable cause.
When adenoids grow excessively, they can block the nasal airway, making it difficult for the child to breathe through the nose. The child often sleeps with an open mouth, may have trouble eating, and struggles to breathe comfortably even while awake. Just like nasal congestion in adults, it causes significant discomfort—but children are often unable to express their discomfort clearly.
Disturbed sleep caused by enlarged adenoids can result in:
- Restlessness before falling asleep
- Night sweating
- Frequent waking
- Daytime fatigue
- Irritability or hyperactivity
- Difficulty concentrating in school
Adenoid hypertrophy may also cause loss of appetite. As a result, children may experience growth and developmental delays. Disrupted sleep and poor oxygenation reduce the release of growth hormone. Chronic mouth breathing may lead to jaw development abnormalities, including high-arched palate, upper jaw narrowing, underdevelopment of the midface, and a condition known as “adenoid facies.” Dental misalignment, chewing problems, and tooth decay are also common.
The Eustachian tube, which is located near the adenoids, can also be affected. The enlarged tissue can block the tube or lead to infection through released inflammatory substances. Since the Eustachian tube is the only passage that ventilates the middle ear, dysfunction may cause fluid accumulation, eardrum retraction, or middle ear infections.
DOES ADENOID HYPERTROPHY CAUSE COUGHING?
Typical symptoms of adenoid hypertrophy include:
- Mouth breathing
- Snoring
- Nighttime coughing
Nasal and postnasal discharge
DIAGNOSIS
Diagnosis is made by an ENT specialist through physical examination. In some cases, endoscopic examination is sufficient, while in others, an X-ray may be needed.
CAN ADENOID GROWTH BE PREVENTED?
Preventive measures include avoiding infections and, when necessary, using medications. If allergies are present, nasal steroid sprays may be helpful. As the child grows, the adenoids typically stop growing, and the space in the nasal passage increases. However, this may take years and is only suitable for cases where the adenoids are not severely enlarged.
TREATMENT OF ADENOID HYPERTROPHY
Once a diagnosis is confirmed, the ENT specialist and the parents decide together on the appropriate course of action. The only permanent solution is surgical removal of the adenoids (adenoidectomy). Surgery may be considered if the child becomes sick frequently or if there is severe nasal obstruction.
ADENOID SURGERY
The procedure is performed under general anesthesia and typically takes 15 to 45 minutes. Using endoscopy, the surgeon visualizes the nasal cavity and nasopharynx, allowing a final detailed assessment. Removal of the adenoids takes only 1–2 minutes, though some bleeding may occur. A tampon is applied for about 5 minutes to stop the bleeding. Remaining debris is removed before the procedure is completed. When performed by an experienced surgeon, the operation is comfortable, fast, and low-risk.
AFTER ADENOID SURGERY
After the operation, the child is awakened by the anesthesiologist and monitored until fully conscious, then taken to their room. After 3–4 hours, eating and drinking may resume, and the child can stand and walk shortly afterward. In most cases, discharge occurs the same day.
Any post-op pain is usually manageable with simple painkillers. Many parents report that their child sleeps better the same night. By the next day, they can return to their normal routine, though avoiding crowded environments for a few days is advised. There are no other major restrictions.
Frequently Asked Questions
Most Frequently Asked Questions About Rhinoplasty
How Long Does a Rhinoplasty Surgery Take?
On average, it takes about 2 to 2.5 hours. The duration may vary depending on the specific procedures performed.
When Can I Take a Shower After Nose Surgery?
You can take a shower during the first 2 weeks as long as you avoid getting your face wet. You can wash your hair by tilting your head back and wash your body carefully without letting water touch your face. After 2 weeks, there are no restrictions.
Can I Get My Face Wet After Nose Surgery?
You should avoid getting your face wet for the first 2 weeks.
When Will My Nose Fully Settle After Surgery?
It usually takes between 6 months to 1 year for the nose to fully settle into its final shape.
Will There Be a Scar After Rhinoplasty?
There may be a very faint and barely noticeable scar under the nose.
Do I Need to Follow a Diet After Rhinoplasty? Are There Any Forbidden Foods?
There is no need for a special diet, and there are no food restrictions after surgery.
When Can I Return to Work After Nose Surgery?
Most patients can return to their daily routines the very next day. They can go out and manage their daily tasks comfortably. However, we recommend resting — not necessarily in bed — for the first week. Returning to work is generally suitable after the nasal splint and packing are removed, about one week post-surgery.
What Type of Anesthesia Is Used During Rhinoplasty?
Rhinoplasty is performed under general anesthesia.
When Are the Nasal Tampons Removed?
They are removed one week after the surgery.
When Is the Splint Removed?
The splint is also removed one week after the surgery, together with the tampons.
When Are the Tapes Removed?
At the one-week check-up, when the splint and tampons are removed, the tapes are replaced with new ones. The tapes are usually kept for another week, so in total, tapes remain in place for 2 weeks.
Will I Experience a Lot of Pain After Rhinoplasty?
No. Any discomfort can be easily managed with mild painkillers.
Can I Wear Makeup After Nose Surgery?
Yes, after 2 weeks. Makeup is allowed along with showering.
Are There Massage Techniques to Reduce Swelling?
Gentle downward massages from the bridge of the nose can help reduce swelling. However, since patients tend to apply too much pressure, we usually don’t recommend it strongly.
Is There Any Medication That Helps Speed Up Healing?
There are special creams available for bruising. Your doctor will recommend one after the surgery.
What Are the Advantages of the Piezo Technique?
Piezo surgery targets only the bone tissue without damaging the surrounding soft tissues. Since it doesn’t harm soft tissue, under-eye bruising and swelling are minimal. The recovery process is faster, and it provides greater ease during the surgery.
When Does Under-Eye Swelling Go Away After Nose Surgery?
Thanks to the Piezo technique, swelling is minimal and typically resolves within 2–3 days.
When Does Under-Eye Bruising Go Away After Nose Surgery?
Again, due to the Piezo technique, bruising is minimal and usually disappears after about one week.
Will My Nasal Congestion Be Treated During Rhinoplasty?
Yes. Addressing breathing problems such as nasal congestion is one of the core principles of rhinoplasty.
Can the Nose Drop After Surgery? What Causes It?
Yes, if the structural support of the nose is compromised, it may drop. That’s why the surgical technique and the attention and skill of the medical team are extremely important.
Can Anyone Have a Nose Surgery?
Rhinoplasty is not recommended for individuals under 18, as their nasal development is not yet complete. It also cannot be performed on patients with certain health conditions that make general anesthesia risky.
Is There an Age Limit for Rhinoplasty?
Since nasal development is usually completed by age 18, we do not recommend surgery for anyone younger.
Can Both Cosmetic Correction and Deviated Septum Be Fixed in One Surgery?
Absolutely. Both procedures can be done in a single session.
Will I Need Someone to Take Care of Me After Surgery?
No, you’ll be able to manage your daily activities on your own. However, it’s beneficial to have someone accompany you during your overnight stay at the hospital.
