Adenoidectomy

Consider when adenoid hypertrophy leads to persistent nasal congestion, snoring, or sleep-disordered breathing, recurrent middle ear effusion/acute otitis media, or long-term nasopharyngeal secretions and mouth breathing affecting development, and when medication efficacy is limited. The decision is based on endoscopic/imaging findings, symptom severity, previous treatment response, overall health, and anesthesia assessment.