Adenoid Hypertrophy in Children: Symptoms, Diagnosis & When to Consider Surgery

sanjeev mohanty
Jul 18
3 min read

By Dr. Sanjeev Mohanty | Senior ENT & Head-Neck Surgeon

(Practicing across Chennai, Tamil Nadu, Bhubaneswar, Siliguri, and Odisha, India)

Introduction

Is your child constantly breathing through their mouth, snoring loudly at night, or struggling with frequent ear infections? These signs could point to something more than just a seasonal cold — they might be dealing with adenoid hypertrophy. Many parents across Chennai, Bhubaneswar, Siliguri, and Odisha face this issue but aren’t sure when it’s time to see an ENT specialist In this post, we’ll break down what adenoid hypertrophy in children means, how it’s diagnosed, and when adenoidectomy — a simple surgery — might be the best solution for your child’s health and sleep.

✅ TL;DR (Too Long; Didn’t Read)

If your child breathes through their mouth, snores, or gets frequent infections, adenoid hypertrophy could be the cause. This blog explains the symptoms, diagnosis, and when adenoidectomy is needed—especially for families in Chennai, Bhubaneswar, Siliguri, and Odisha.

Role of Adenoid in Children

Adenoids play a role in immune defence during early childhood. They help trap viruses and bacteria entering through the nose. Normally, adenoids shrink with age, but in some children, they remain enlarged due to recurrent infections or allergies. In areas like Tamil Nadu and Odisha, seasonal allergies contribute significantly to adenoid-related breathing issues.

Common Symptoms of Enlarged Adenoid

Children with adenoid hypertrophy often experience nasal obstruction, persistent mouth breathing, loud snoring, or restless sleep. Chronic symptoms may include a nasal voice, frequent sore throat, and difficulty swallowing. In Bhubaneswar and Siliguri, ENT doctors regularly see cases linked to mouth breathing and sleep disturbances due to enlarged adenoids.

How Adenoid Hypertrophy Is Diagnosed

Diagnosis typically begins with a physical examination by an ENT specialist . Lateral neck X-ray or a nasal endoscopy help visualize the adenoids. In many Chennai ENT clinics, nasal endoscopy is the gold standard. Audiometry may be advised if the child has recurrent ear infections or hearing loss.

Post-Surgery Recovery and Care

Post-surgery, children recover quickly with pain relief, hydration, and rest. Parents in Bhubaneswar and Chennai are advised to give soft foods and avoid spicy items. Follow-up visits ensure proper healing and reduced infection risk.

Possible Complications to Watch For

Although rare, bleeding, infection, or speech changes can occur post-surgery. Most ENT doctors in Chennai and Siliguri report excellent recovery with minimal complications when post-op care is followed properly.

🔗 Learn about risks: ENT Diagnosis and Surgery Complications – Mayo Clinic

Prognosis and Long-Term Benefits

Children experience better sleep, improved breathing, and fewer ear infections. In regions like Odisha and Tamil Nadu, parents report better school performance and speech development following adenoidectomy.

Frequently Asked Questions

1. Is adenoidectomy safe for toddlers?

Yes, it’s a safe and common ENT procedure in India.

2. Will my child’s immunity drop after adenoid removal?

No. The immune system compensates using other tissues.

3. Can adenoids grow back after surgery?

Rarely, and mostly in very young children.

4. What is the cost of adenoidectomy in Chennai, Bhubaneswar, or Siliguri?

Costs vary but are typically affordable in multi-specialty ENT hospitals.

For community insights: ENT Discussions on MedHelp

Conclusion

If your child constantly breathes through their mouth, snores at night, or has recurring ear and throat infections, do not ignore it — it could be more than just a cold. Adenoid hypertrophy in children is common but treatable, and the earlier it’s diagnosed, the better the outcome. Whether you're in Chennai, Bhubaneswar, Siliguri, or anywhere in Odisha, consulting an experienced ENT specialist can help you make the right decision — especially when surgery like adenoidectomy might be needed.

About the Author

Dr. Sanjeev Mohanty is a Senior Consultant & Head of the ENT Department at MGM Healthcare, Chennai, with vast experience in treating paediatric and adult ENT conditions. A renowned ENT/Otorhinolaryngologist and Head & Neck Surgeon, he is also the founder of Dr. Mohanty’s ENT Speciality Clinic, Manapakkam, Chennai, Tamil Nadu. Dr. Mohanty extends his care and expertise to patients in Bhubaneswar, Siliguri, and across Odisha, offering advanced diagnostic and surgical solutions for conditions like adenoid hypertrophy, tonsillitis, nasal obstruction, and more.