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Enlarged adenoids

Definition

The adenoids are lymph tissues that sit in your upper airway between your nose and the back of your throat. They are similar to the tonsils.

Enlarged adenoids means this tissue is swollen.

Adenoids
Adenoids are masses of tissue located high on the posterior wall of the pharynx. They are made up of lymphatic tissue, which trap and destroy pathogens in the air that enter the nasopharynx.

Alternative Names

Adenoids - enlarged

Causes

Enlarged adenoids may be normal. They may grow bigger when the baby grows in the womb. The adenoids help the body prevent or fight infections by trapping bacteria and germs.

Infections can cause the adenoids to become swollen. The adenoids may stay enlarged even when you are not sick.

Patient Education Video: Enlarged adenoids

Symptoms

Children with enlarged adenoids often breathe through the mouth because the nose is blocked. Mouth breathing occurs mostly at night, but may be present during the day.

Mouth breathing may lead to the following symptoms:

Enlarged adenoids may also cause sleep problems. A child may:

  • Be restless while sleeping
  • Snore a lot
  • Have episodes of not breathing during sleep (sleep apnea)

Children with enlarged adenoids may also have more frequent ear infections.

Exams and Tests

The adenoids cannot be seen by looking in the mouth directly. The health care provider can see them by using a special mirror in the mouth or by inserting a flexible tube (called an endoscope) placed through the nose.

Tests may include:

  • X-ray of the throat or neck
  • Sleep study if sleep apnea is suspected

Treatment

Many people with enlarged adenoids have few or no symptoms and do not need treatment. Adenoids shrink as a child grows older.

The provider may prescribe antibiotics or nasal steroid sprays if an infection develops.

Surgery to remove the adenoids (adenoidectomy) may be done if the symptoms are severe or persistent.

Patient Education Video: Adenoid removal

When to Contact a Medical Professional

Contact your provider if your child has trouble breathing through the nose or other symptoms of enlarged adenoids.

Gallery

Sinuses
The sinuses are hollow cavities within the facial bones. Sinuses are not fully developed until after age 12. When people speak of sinus infections, they are most frequently referring to the maxillary and ethmoid sinuses.
Adenoids
Adenoids are masses of tissue located high on the posterior wall of the pharynx. They are made up of lymphatic tissue, which trap and destroy pathogens in the air that enter the nasopharynx.

References

Wetmore RF. Tonsils and adenoids. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 411.

Yellon RF, Chi DH. Otolaryngology. In: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli and Davis' Atlas of Pediatric Physical Diagnosis. 7th ed. Philadelphia, PA: Elsevier; 2018:chap 24.

Last reviewed August 10, 2021 by Neil K. Kaneshiro, MD, MHA, Clinical Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team..

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