Brief Answer:
if symptomtic, get operated now

Detailed Answer:
Hi,

Thanks for the query.

Adenoid size peaks by the age of 7 and if your child is symptomatic, please get operated for adenoid.

Otherwise depending upon the symptoms, adenoid can be operated even at 3 years of age.

As one keeps waiting surgery in a symptomatic child, irreversible changes in facial structure known as adenoid faces develop which are irreversible.

So, please get operated if xray shows significant blockade in airway.

Feel free to ask another query.

Regards

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Brief Answer:
Descriptive

Detailed Answer:
Thanks for the query.

If it is 90% blockade, surgery should be done.

Since I live in XXXXXXX I have no idea about XXXXXXX Any good ENT surgeon in or around XXXXXXX will do this surgery as it is a common surgery and not very complicated one.

Cost involved will depend upon the center where you want to get it operated but a good reasonable center should do it between 30 -50 thousand rupees.

There are options available like a routine surgery with cold instruments and coblation assisted one. Coblation is plasma based system where the tissues are cut and coagulated at the same time and the process takes place at low tempratures tht conventional cautery and the collateral damage is less.

Coblation assisted one will have the advantage of lesser post operative pain, will be nearly bloodless surgery and a near total clearance of adenoid tissue. Cost of coblation assisted will be more something like 60-70 thousand rupees.

But long term results are similar with both the methods and good clearance is there with both methods.

So, you please choose a surgeon and whichever method he or she is comfortable with, go ahead with surgery.

There are not many complications during this surgery. Bleeding is main but rarely seen. Others like injury to Eustachian tube opening and velopharyngeal stenosis are very rare.

Surgery is under general anaesthesia and as such is a major surgery but of short duration.

Feel free to ask another query.

Regards

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Brief Answer:
ear infection unlikely to cause adenoid enlargement

Detailed Answer:
Thanks for the query.

Ear infection can not be a cause of adenoid enlargement.

Patient should not be having any infection in upper respiratory tract or any condition which will render child unfit for general anaesthesia. This part will be taken care of by the anaesthesist during pre-anaesthetic check up.

I do not see any harm in waiting for one month but should not be postponed indefinitely.

Feel free to ask another query.

Regards

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