Adenoids of the 1st degree in children: how to treat

Adenoids of the 1st degree in a child are a common reason for visiting a doctor due to the high incidence of children against the background of this pathology. This disease is characterized by an increase in the nasopharyngeal tonsil, which disrupts the local immunity of the child and causes frequent respiratory pathologies. Approaches to treatment are different and you need to know about all the symptoms in order to correct the child's condition in time.

Epidemiology

The statistics of the prevalence of grade 1 adenoids in children is very high: more than 89% of children under 7 suffer from this pathology. But only more than 15% of children have the same problem at the age of 14. This suggests that in most cases the problem is age-related. About 12% of all surgical interventions on ENT organs are performed specifically for adenoids, which also emphasizes the relevance of this problem and the need to solve it.

Causes of grade 1 adenoids in a child

Adenoids are a disease characterized by hypertrophy of the tonsil, which is located in the nasopharynx. Adenoids present at birth are in physiological hypertrophy until the age of 7 years, usually they have a maximum size approximately closer to 4 years of the child's life, then atrophy begins and they practically cease to perform their function. The pharyngeal tonsil is the first immunocompetent formation. This tonsil is involved in providing the first immune response when inhaled microorganisms enter the body at the early stages of the baby's life.

In most children, these tonsils become larger as they age and are then capable of growing back.

To understand the main reasons for the development of problems with tonsils in a child, including the mechanism of their enlargement, it is very important to understand why they are in the oral cavity at all and what function they perform.

The oral cavity of a child is the place where microbes most often get into. Therefore, many local defense mechanisms are concentrated there, which provide an active fight against microbes. One of these mechanisms is the lymphatic cells of the oral cavity. They are located in the form of clusters of cells under the mucous membrane on the back wall of the pharynx, on the mucous membrane of the cheeks, along the entire bronchial tree. But the lymphatic system of the tonsils has the greatest number and, accordingly, the greatest importance. The tonsils are a cluster of several hundred lymphatic cells that immediately react to bacteria or viruses upon encountering them, triggering an immune response. Each person, including a child, has only six such tonsils - two paired and two unpaired. These include the lingual tonsil, pharyngeal tonsil, palatine tonsils and tubal tonsils. All these tonsils conditionally form a ring, which is the main defense mechanism on the way to the respiratory and digestive organs. It is the enlargement of the pharyngeal tonsil that is called adenoids. Why does this happen?

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Risk factors

Factors contributing to the development of adenoids

1. Constitutional predisposition.
2. Recurrent upper respiratory tract infections.
3. The diet consists mainly of meat dishes.
4. Family members have similar problems.
5. Congenital or acquired immunodeficiencies in children.

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Pathogenesis

The pathogenesis of the development of grade 1 adenoids in a child depends on the structure and functions of the tonsils. The pharyngeal tonsil is located at the limit of the respiratory and digestive systems on the back wall of the pharynx in the tonsillar niche. Most often, the tonsils have the shape of an almond, from which they got their name. Their size and shape vary. The tonsils have upper and lower poles, external and internal surfaces. Histologically, it consists of a capsule, stroma, parenchyma and epithelial layer.

The free surface of the tonsils is covered with 6-10 rows of flat epithelium. On this surface there are 15-20 depressions leading to canals - lacunae or crypts. Crypts are more developed in the area of the upper pole. Beginning on the surface of the tonsils, lacunae can branch out like a tree, passing through their entire thickness.

To better perform its function, each tonsil is covered externally with connective tissue, which gives its leaves inward. This is how a capsule is formed, which gives branches inward and divides the tonsil into lobes. As a result, it is formed by lobes of uneven density, which helps to better perform its functions.

Deep in the tonsil is the reticular tissue, built from "amoeba-like" cells that hold all the other cells inside. Between the reticular cells are single lymphocytes (mostly small), as well as their combinations - follicles, which are located parallel to the crypts. Primary and secondary follicles are distinguished. Primary follicles appear from the 3rd month of embryonic life and are diffuse accumulations of lymphocytes. Secondary follicles appear only in the post-uterine period of life. In their center are large cells with light cytoplasm and a palely colored nucleus, forming a zone called the "reactive center" or reproduction center. The cells of the reactive centers are lymphoblasts, which are then transformed into lymphocytes.

Lymphocytes are the main immune cells that react when microbes enter the respiratory tract. A microbe, getting on the mucous membrane, immediately activates the release of these lymphocytes from the tonsils and with a small amount of these bacteria, when they have not yet had time to multiply, the lymphocyte absorbs it. In this way, it prevents the development of the disease and protects the body at the first contact. If there are too many bacteria and the lymphocytes from the tonsils cannot cope, then they, with the help of lymphokines, transmit a signal to the immune cells of the blood and they begin to perform their function already with the development of certain symptoms. Why can the tonsils increase? The pathogenesis of this can only consist in the constant intense functioning of these tonsils. That is, when a child is very often ill, the lymphoid tissue, including the pharyngeal tonsil, actively performs its function. A very large number of lymphocytes are formed here and they must constantly function and multiply. Therefore, they increase in size to meet the needs of the body.

However, the causes of grade 1 adenoids in a child cannot be limited to frequent illnesses. Certain associations have been identified between adenoids and allergic rhinitis, although little is known about this. Children with allergic rhinitis, especially year-round, are more likely to have hypertrophy of the pharyngeal tonsil than children without allergies. IgE-mediated inflammation may play a role in both diseases. Sensitivity to inhaled allergens changes the immunology of adenoids - they have more eosinophils and allergy mediators. Therefore, another probable cause of grade 1 adenoids in a child is allergic rhinitis.

A very important cause of adenoid development can be considered a chronic inflammatory process of the tonsils. And the direct bacterial factor of this infection is mixed aerobic and anaerobic flora. The presence of infections leads to a chronic inflammatory condition, which subsequently leads to hypertrophy of the lymphoid tissue of the adenoids. It is believed that the prerequisite for the chronicity of the inflammatory process in the adenoids (the appearance of chronic adenoiditis) and the recurrence of infections can be impaired mucociliary clearance. In particular, hypertrophied adenoids are characterized by epithelial metaplasia with almost complete loss of cilia, which can develop precisely against the background of the inflammatory process in the adenoid tissue.

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Symptoms of grade 1 adenoids in a child

Clinical manifestations of adenoids directly depend on the degree of their enlargement. This is rather a relative division, and does not matter for the mother or the child, but the degree of enlargement of the pharyngeal tonsil is very important clinically. Adenoids of the 1st degree in a child are characterized by an enlargement of the pharyngeal tonsil to one third of the inner surface of the nasal septum. This is considered very little and should not significantly affect normal breathing, but everything depends on the individual characteristics of the child. There are children who have a small facial skull from birth and their pharyngeal space is also small. Therefore, even such a small enlargement of the tonsil can cause serious symptoms.

The first symptoms of adenoids often appear in children after 4 years. The mother may notice that the child begins to snore at night, which is one of the most specific symptoms. This occurs because the enlarged tonsil disrupts the normal air flow. During sleep, the soft palate relaxes and drops slightly, which is also facilitated by the horizontal position at this time of day. Therefore, the air flow is further disrupted, which causes snoring. During the day, the child may only have the symptom of an "open mouth" - the mother notices that the child breathes through the mouth. This is one of the adaptation mechanisms, since there is an obstacle to normal nasal breathing and it is easier and simpler for the child to breathe through the mouth. And here a vicious circle arises, since breathing through the mouth in open cold air does not contribute to the warming and purification of this air. Therefore, more pathogenic microorganisms get on the mucous membranes and this leads to the fact that the child often gets sick.

Grade 1 adenoid hypertrophy in children has other symptoms. These include: changes in dental occlusion, speech disorders (nasal speech), rhinorrhea and cough, which are often recurring. Children with adenoids are more likely to have ENT and respiratory diseases: otitis media, recurrent lower respiratory tract infections, sinusitis. Frequent breathing disorders among children with adenoids are sleep apnea, most often at the age of 2-6 years. Chronic disruption of normal breathing and natural air flow during sleep becomes a prerequisite for chronic hypoxia and sleep disorders, which can cause psychoneurological disorders and growth retardation.

Due to the developmental disorder of the facial skull, children with adenoids have a characteristic adenoid type of face (external adenoidism): smoothing of the nasolabial folds, bulging eyes, a constantly open mouth, an elongated face.

Due to the chronic process of disruption of normal breathing and gas exchange, the excursion of the chest is disrupted and this leads to its gradual deformation, it becomes flattened and sunken. Adenoids of the 1st degree in a child lead to the fact that facial muscle movements are disrupted, laryngospasm and asthmatic attacks develop more often. Another symptom of adenoids is sinusitis. They develop against the background of stagnation of air movement and the accumulation of various bacteria in bone structures. Against the background of adenoids, pulmonary hypertension can also occur due to chronic disruption of air passage through the respiratory tract. With severe and prolonged nasal obstruction, the patient's behavior often changes, for example, interrupted sleep, sleepwalking, headache in the morning, difficulty concentrating, daytime drowsiness, enuresis, slow eating, and growth retardation. There may also be cardiorespiratory syndrome and, in severe cases, "pulmonary heart disease".

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Complications and consequences

The consequences of adenoids are terrible because complications can arise against the background of untreated adenoids, and there can also be complications after surgery. The main consequence of untreated adenoids is constant hypoxia of the brain and other tissues that are actively developing in the child. And the long-term consequences of this can be that the child does not do well at school due to a lack of oxygen for the active work of the brain. Long-term adenoids can be complicated by hearing impairments, since pronounced changes can complicate the process of sound perception.

If there are indications and a surgical operation is performed, then this may also have complications in the future. Violation of the integrity of the lymphoid ring of the oral cavity can lead to a violation of the natural immune barrier and the child may begin to get sick even more often.

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Diagnostics of grade 1 adenoids in a child

Diagnosis of stage 1 adenoids does not present any particular difficulties, and already at the stage of presenting complaints one can suspect an enlargement of the tonsils.

During a general examination, as a rule, there are no symptoms. You can only notice a specific facial expression of the child with a half-open mouth. This can lead to the fact that the nasolabial folds can be slightly pronounced or, on the contrary, smoothed out.

For a more detailed assessment of the condition of the pharyngeal ring of the oral cavity, it is necessary to carefully examine the oral cavity and nasopharynx.

To assess the size of adenoids, a digital examination of the nasopharynx, posterior rhinoscopy with a speculum, and less commonly, lateral radiography of the nasopharynx are often used. However, these two methods are considered inaccurate today, and nasal endoscopy is the method of choice. In recent years, technological progress has led to the development of flexible and rigid small-diameter (2.7 mm) endoscopes, which provide accurate endoscopic examination and assessment of the nasopharynx without complications. Such an instrumental examination makes it possible to assess the degree of enlargement and accurately establish a diagnosis. During examination, an enlarged pharyngeal tonsil is visible, which hangs immediately above the posterior surface of the nasal cavity in the vomer area. It is possible to assess how enlarged this tonsil is and how it closes the entrance to the nasal cavity and the auditory tube on both sides.

If there are complaints about hearing loss, it is necessary to perform an otoscopy and assess the degree of hearing impairment.

Tests for first-degree adenoids include general studies that help to exclude a chronic inflammatory process. Very often, chronic adenoiditis can occur with an increase in adenoids and be accompanied by similar symptoms. A general blood test will help to exclude the presence of an acute or chronic inflammatory process. For specific diagnostics of a possible factor in the development of adenoids in a child, it is recommended to take a culture from the oral cavity to identify microorganisms. This allows you to determine which pathogenic bacteria can be the cause of maintaining a focus of infection of the pharyngeal tonsil, which in turn leads to the development of its hypertrophy.

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Differential diagnosis

Differential diagnostics of adenoids of the 1st degree in a child should be carried out primarily with chronic adenoiditis. This is accompanied by frequent diseases with periodic exacerbations. Therefore, when examining a child with chronic adenoiditis, he should have symptoms of exacerbation: mucopurulent discharge from the nose, difficulty breathing through the nose, subfebrility. If we are talking about just adenoids of the 1st degree, then there should be no acute inflammatory process. Another issue is that these two conditions can be combined, which also needs to be differentiated. It is also very important to differentiate adenoids from tumor formations of the pharynx, which is less common in children.

Treatment of grade 1 adenoids in a child

Today, the possibilities of pharmacological treatment of adenoids are actively studied in order to preserve immunologically active tissue and prevent anesthetic and surgical risks associated with adenotomy. Conservative treatment is an alternative or supplement to surgery, since adenotomy is not an ideal treatment. Firstly, the removal of adenoid lymphoid tissue can have a negative effect on systemic immunity. Secondly, in 1% of cases after adenotomy, postoperative bleeding is observed. Thirdly, relapses after adenotomy occur in 10-20% of cases. In addition, there is a certain anesthetic risk.

Today, it is recommended to start treatment of grade 1 adenoids in a child with conservative therapy, namely, intranasal corticosteroids. Several mechanisms are proposed to explain the reduction of adenoids under the influence of these drugs: direct lympholytic action, suppression of inflammation with a decrease in concomitant edema of the adenoids, as well as an indirect effect on the nature of the adenoid microflora. It has now been proven that intranasal corticosteroids can reduce the symptoms of adenoids, regardless of the child's atopic status.

Allergy and sensitivity to allergens are risk factors for adenoids. Allergic sensitization of the respiratory tract occurs not only in the mucous membrane, but also in the adenoids and tonsils, which are lymphatic structures closely associated with the nasal mucosa. Adequate treatment of allergic rhinitis has been shown to reduce concomitant adenoid hypertrophy.

It is also known that grade 1 adenoids are a common concomitant pathology with allergic rhinitis or sinusitis, and both of the latter diseases are treated with topical nasal steroids.

Drugs for conservative therapy should be divided into groups according to the mechanism and main purpose of treatment:

1. Medicines that increase natural resistance to antigens: an organized diet, walks and sleep, also providing a sufficient amount of vitamins in the diet, hardening, spa treatment, tissue therapy.
2. Antihistamines and calcium preparations with vitamin complexes, low doses of allergens - all this is necessary to reduce the role of the allergic factor.
3. Agents aimed at correcting metabolic disorders in the tonsil (trimetazidine, tocopherol, ascorbic acid, unithiol, quercetin).
4. Medicines that promote antiseptic action on the adenoids, the back wall of the pharynx and local lymph nodes:
   • on the mucous membrane of the oropharynx (rinsing, irrigation, lubrication with antiseptic solutions, chlorophyllipt, inhalation)
   • on the lacunae of the pharyngeal tonsil (active washing of the plugs with a cannula and syringe or a hydrovacuum method, mainly with antiseptic solutions, in particular antibiotics.)
   • on the parenchyma of the tonsils (injections of antibiotics into the tonsils and the space around the tonsils).
5. Means that restore the natural self-cleaning of the tonsils (normalization of the pump mechanism) - electrical myostimulation of the muscles of the pharynx and pharyngeal space.
6. Local irritant drugs: novocaine blockades, collars with medications.

For conservative and more complex therapy, it is important to use drugs used in various types of therapy that affect different mechanisms of the disease and symptoms of this pathology.

A very effective method of drug therapy of adenoids and in some way preparation for surgical treatment can be considered injection sanitation of the pharyngeal tonsil. For this procedure, a syringe and a tip with several holes are used. An antiseptic or antibiotic solution is drawn into the syringe and, directing it to the pharyngeal tonsil, rinsing is carried out in this place. It is very important to undergo several procedures for the full effect. If it is possible to identify plugs in the lacunae of the tonsil against the background of its hypertrophy, then these plugs can be aspirated to improve the functioning of the tonsil. This can be done using vacuum electric equipment.

The main drugs for the treatment of grade 1 adenoids are the following:

1. Allertek Naso is a hormonal nasal preparation, the active substance of which is mometasone. One dose of the drug contains 50 micrograms of glucocorticoid. The mechanism of action of this drug in case of adenoids of the 1st degree is to reduce swelling and reduce sensitization of the pharyngeal tonsil. This leads to a decrease in its activity and, accordingly, its decrease in size. The dosage of the drug for children from two to twelve years old is one spray in each nostril once a day. Thus, the total dose is 100 micrograms. Side effects can be in the form of burning in the nose, itching, discomfort. Systemic effects on the body are rarely detected. Precautions - up to two years of age, use with caution to treat adenoids.
2. Avamys is a local glucocorticoid, which is represented by the hormone fluticasone furoate. This drug contains 27.5 micrograms of the substance, which acts when inhaled into the nose. The effect of the drug for the treatment of adenoids is to reduce local reactivity and the inflammatory component against the background of an increase in adenoids. The dosage of the drug is one inhalation into the nose once a day until reaching a maximum dose of 55 micrograms. Side effects are in the form of a decrease in local immunity of the mucous membrane of the nasal and oral cavity with the possible development of candidiasis. Precautions - do not use in children under six years of age.
3. Flix is an endonasal glucocorticoid, the active substance of which is fluticasone. The drug acts due to a direct effect on the tonsils by reducing the activity of lymphocyte function and reducing the volume of lymphoid tissue. The dosage of the drug is one inhalation into the nose once a day. Side effects of the drug include headache, bleeding of the nasal mucosa, systemic manifestations in the form of anaphylaxis.
4. Broncho-munal is an immunomodulatory drug that can be used in the complex therapy of adenoids. The drug contains bacterial lysates of the most common pathogens of the upper respiratory tract. The effect of the drug is to activate the body's non-specific defenses, as well as specific antibodies. This increases reactivity and reduces the number of episodes of illness. This effect reduces the need for constant lymphoid activation of the tonsils, which leads to a decrease in their size. The method of administration of the drug is internal, according to a special scheme. The dosage of the drug is one capsule for ten days in a row, then a break for twenty days and repeat the intake for ten days two more times. One capsule contains 3.5 milligrams of the substance, the general course is to take it for ten days for three months. Side effects may include headache, drowsiness, cough, allergic reactions. Precautions - do not use in children under one year of age.

Surgical treatment of grade 1 adenoids is limited, which follows from the possible consequences. Surgical treatment is used most often, partly because there are no alternative medical treatments.

Adenotomy is the treatment of choice in children with severe adenoids, although there are many reports of successful conservative treatment with endonasal corticosteroids. Indications for adenotomy are complications: secretory otitis, recurrent otitis, changes in dental occlusion, frequent recurrent respiratory infections or chronic sinusitis.

Vitamins are necessarily used in complex treatment to improve the energy potential of cells that may suffer from hypoxia due to adenoids. For this purpose, multivitamin preparations are used.

Physiotherapeutic treatment is also widely used, since additional stimulation of the enlarged pharyngeal tonsil is very useful in this case. For this purpose, steam inhalations of antiseptics, ultrasound irradiation of the tonsils, ultraphonophoresis of antiseptics and antibiotics if necessary, lysozyme hydrocortisone, "Luch-2" on the submandibular lymph nodes, the use of gallium laser light are used; sollux; mud therapy; treatment with magnetic rays.

Folk treatment of adenoids of the 1st degree

Traditional methods of treatment are widely used, since the child may have this condition for several years and the use of such methods can speed up recovery. Traditional methods have different mechanisms of action: they increase the child's local immunity, activate all protective forces, normalize blood circulation in the lymphoid tissue, and directly reduce hypertrophy of the pharyngeal tonsil.

1. Propolis is a natural antiseptic that can be used for grade 1 adenoids. It not only increases local immunity of the oral and nasal cavity, but also kills microorganisms that can cause hypertrophy of the tonsil. To prepare the medicine, you need to take a propolis solution and dilute it with water in a ratio of 1 to 10. You can prepare a solution by infusing 10 grams of dry propolis extract in 100 milliliters of alcohol. This solution then needs to be diluted with water: add 100 grams of water to 10 grams of alcohol solution. The resulting solution should be instilled into each nostril, two drops three times a day. For the effect, the treatment should be carried out for at least three weeks.
2. Cloves are not only a natural antioxidant, but also an immunomodulatory agent that activates tonsil lymphocytes and improves their functioning. This leads to the fact that lymphocytes become mature and ready for a protective function without previous activation. In this case, excessive work of the tonsils to perform a protective function is not required, which reduces the degree of hypertrophy. To prepare a medicinal infusion, you need to take ten grams of clove flowers and pour hot water in a volume of 200 milliliters. For preparation, it is better to take cloves not in a pack, but selected from spices. You need to rinse the nasal cavity with such a solution three times a day. To do this, if the child is old enough, you need to collect the medicine in your palm and draw it in with your nostrils, do this several times, and blow your nose. This is an effective rinsing of the nasal cavity, which cleanses the nasal cavity and tonsils directly.
3. Sea salt is a very effective antiseptic, antibacterial agent, and drainage agent. Salt crystals can wash out all plugs and most pathogens from the pharyngeal tonsil, which helps improve its function. To prepare the medicine at home, take a tablespoon of sea salt without dyes and dilute it in 100 grams of boiled water. Add 5 drops of iodine to the solution and stir. Rinse your mouth with this medicine several times a day, and if you dilute it twice as much, you can rinse your nose. This will improve the therapeutic effect and speed up recovery. The course of treatment is two weeks.

Herbal treatment is also very widely used:

1. Infusion of the herb of the succession and oregano, in addition to the antiseptic property, also increases the body's defense reaction. To prepare the infusion, you need to mix 20 grams of dry leaves of the succession and 30 grams of dry leaves of oregano. Add one hundred grams of hot water to the herbs and steam for 30 minutes. After this, you can give the child 50 grams in the morning and evening instead of tea, adding a little honey.
2. St. John's wort is a common remedy for treating respiratory pathology due to its ability to increase the activity of epithelial cilia. St. John's wort has a similar effect on lymphoid tissue, increasing the cleansing of lacunae and accelerating lymph flow. To prepare an infusion, steam 50 grams of leaves in hot water and take a tablespoon three times a day. For a child, such an infusion may be bitter, so you can add a little lemon juice and honey.
3. Oak bark and mint are a combination of herbs that have antibacterial properties and accelerate detoxification of the child's body against the background of a long process of treating adenoids. Oak bark and dry leaves of common mint should be taken in equal quantities and poured with cold water overnight. After that, such a solution should be boiled and infused for another two hours. The child should take a teaspoon of such an infusion four times a day for a week, then you can reduce the dose by half before the end of the month.

Homeopathy is also widely used in the treatment of adenoids. Such remedies can be taken for a long time, which reduces symptoms and relieves swelling and enlargement of the adenoids.

1. Agrafis Nutans is an inorganic preparation that includes processed and diluted graphite, which is a specific stimulator of the activation of the immune function of the tonsils. The preparation can be given to a child in the form of tablets. Dosage - one tablet five times a day. Side effects can be in the form of diarrhea, which passes after several days of regular use of the preparation. Precautions - do not use for treatment if the child has allergic reactions to iodine, since the preparation is processed with the addition of iodine.
2. Euphorbium compositum is a complex homeopathic medicine for the treatment of adenoids, which contains inorganic components (argentum, mercury) and organic (pulsatilla, luffa). The method of application of the drug is in the form of a spray, the dosage for children in the acute period is one spray six times a day, and after the symptoms have subsided, it can be used three times a day. Side effects are burning, sneezing, itching in the nasal cavity.
3. Iov-Malysh is a complex homeopathic medicine used to treat grade 1 adenoids. The drug contains barberry, thuja, iodine and evpatorium. The method of application for children is most often in the form of granules. Dosage - 10 granules once a day before meals for five days, with a further break for two days. The course of treatment is about two months. Side effects are very rare, there may be allergic reactions. Precautions - use for children from three years old.
4. Staphysagria and Calendula is a combination of homeopathic preparations that helps to normalize hypertrophic processes in the tonsils, and also has an antibacterial effect in preparation for surgical treatment. For a child from one to seven years old, the dose is one granule of staphysagria and two granules of calendula four times a day. Method of application - you can crush the granule and dissolve it without drinking water. Side effects are very rare, but there may be slight muscle twitching, which indicates the need to reduce the dose. The minimum course of treatment is one month.

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Prevention

Prevention of adenoids is carried out in two directions: increasing the general reactivity of the body and sanitation of other foci of chronic infection - treatment of gum diseases, teeth (caries, periodontosis), purulent sinusitis, restoration of nasal breathing disorders. Prevention of adenoids consists primarily in preventing frequent exacerbations of diseases of these organs, which reduces the general reactivity of enlarged adenoids.

At the same time, to improve the reactivity of the child's body to the effects of cold air, hardening is necessary, which should be started in early childhood (hardening with sun and air baths and water procedures), combining them with physical exercises, active games and other physical activities. In the premises of preschool institutions and schools, it is necessary to observe the ventilation regime in order to clean the air from carbon dioxide and microbial contamination.

Of particular importance in disease prevention is a balanced diet with sufficient amounts of proteins and fats of animal origin, carbohydrates and vitamins. Great importance is attached to the implementation of measures by sanitary services to reduce harmful emissions into the atmosphere by industrial enterprises, because chemicals irritate the mucous membrane of the nasopharynx and cause inflammatory and hypertrophic processes in the adenoids.

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Forecast

The prognosis for recovery from adenoids is favorable with a comprehensive and differentiated approach to treatment. Most cases of this pathology pass after seven to ten years, and surgical intervention may be necessary only in 1% of cases of grade 1 adenoids.

Adenoids of the 1st degree in a child can bring many unpleasant symptoms, and also increase the frequency of illness of the child. But all these symptoms can be treated with conservative methods, without resorting to surgery. There is only a small group of indications when a child with this pathology needs surgical intervention. Therefore, for successful and correct treatment, the mother should know all the nuances and mechanisms of this disease in her baby.

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