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Should Adenoid Surgery be Delayed until age 6 in children?

2 months ago

We visited ent to check for adenoids for my 3.5yr old and he had 50 percent blockage..we were recommended medical management for three months after that during followup on the 5 month the adenoid percentage increased to 60 percentage. and he was then recommended surgery but his pediatrician told to wait till6years he has adenoid faces and mouth breathing and dar circles Should we delay the surgery till 6 yrs...Will the adenoid reduce in size or should we wait till six years?? Will delay cause any issue??

Asked By Meera | Male | Age 4

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2 months ago

Answers (3)

Pristyn Care Team

Simplifying Healthcare

Apr 17 2026

Delaying adenoid surgery in a child with significant symptoms like mouth breathing, adenoid facies, and dark circles can sometimes lead to further complications, including dental and facial development issues, sleep disturbances, and recurrent infections.

While some pediatricians prefer to wait until age 6, an ENT specialist’s recommendation for surgery at this stage, especially with 60% blockage and worsening symptoms,  should be carefully considered.

It is advisable to get a  Free second ENT opinion  and have a detailed discussion between the ENT and pediatrician to weigh the risks of delay against the benefits of early intervention.

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Dr. Richa Mina

Top Doctor

MBBS, DLO | Otorhinolaryngologist|21 Years Experience Overall

Apr 22 2026

Its a misconveption that at 6 adenoids surgery be better in comparison to 3 yrs. Adenoids plays a major role in hindering child’s growth so it should be done as early as possible so that child doesnt become a mouth breather or face issues with teeth and facial bone development. Although adenoids could be treated medically but only if they are grade 1/2.
Rest could be cleared with ENT surgeon since they’re best in dealing with adenotonsillitis than peadiatricians.

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Dr. Saloni Spandan Rajyaguru

MBBS, DLO, DNB|18 Years Experience Overall

May 15 2026

Depending on severity of symptoms, growth and development issue in children and xray finding we can decide

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