Tonsil hypertrophy

Introduction The tonsil hypertrophy is also called adenoid hypertrophy (adenoid vegetation). The disease is a pathological hypertrophy of the pharyngeal tonsil, often arising from pharyngeal infections and repeated inflammatory irritation. It is more common in cold, humid and climate-changing areas. Childhood acute infectious diseases, malnutrition and physical factors can also be induced. Although the disease is a childhood disease, it has a profound impact on the normal development and health of the body.

Cause

The disease arises from pharyngeal infections and repeated inflammatory stimuli. Among them, bacterial infections are more common. The pathogens are mostly hemolytic streptococcus, staphylococcus, and pneumococcus. When the body is cold, moist, overworked, excessive alcohol and tobacco, etc., the resistance is reduced, especially in cold, humid and climate-changing areas. Childhood acute infectious diseases, malnutrition and physical factors can also be induced.

an examination

Related inspection

Otolaryngology CT examination of nasopharyngeal MRI

Taking a medical history gives us a first impression and revelation, and also guides us to a concept of the nature of the disease. Laboratory examinations must be summarized and analyzed based on objective data learned from medical history and physical examination, from which several diagnostic possibilities may be proposed, and further consideration should be given to those examinations to confirm the diagnosis. Such as: fiber nasopharyngoscopy and X-ray nasopharynx radiography or CT examination.

Differential diagnosis

Pay attention to the identification of the nasopharyngeal tumors, such as lymphosarcoma:

When examining the oropharynx, a mucus pus is often squeezed from the nasopharynx due to nausea. The child's expression is painful. Using nasopharyngeal mirror or nasopharyngoscopy, there are several lobulated lymphoid masses with deep groove longitudinal division on the top and back of the nasopharynx. Pus and dissociated tissue debris are sometimes seen in the longitudinal groove. . The hyperplasia of the pharyngeal tonsils can fill the nasopharynx and cover the posterior nostrils. It is more difficult to check the child's palpation (touching with a finger can be used to see the soft lymphatic mass in the nasopharynx and posterior wall). The enlarged lymph nodes can be found in the posterior margin of the neck and sternocleidomastoid or in the mastoid and external mandibular branches.

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