Growth Spurt After Adenoidectomy-various aspects-
By ENT Specialist – Dr. Sagar Rajkuwar, Nashik, Maharashtra, India
Clinic Website: www.entspecialistinnashik.com
Table of contents-
- Introduction
- Understanding Adenoid Hypertrophy and Its Impact on Growth
- Mechanisms Linking Adenoid Hypertrophy to Growth Delay
- What Happens After Adenoidectomy?
- Clinical Evidence Supporting Growth Improvement After Adenoidectomy
- Factors Influencing the Degree of Growth Spurt
- Parental Observations and Clinical Relevance
- Conclusion
Introduction
Adenoidectomy, the surgical removal of the adenoids, is one of the most common pediatric ENT surgeries performed worldwide. While the procedure is primarily indicated for conditions like nasal obstruction, chronic mouth breathing, snoring, or recurrent ear infections, many parents notice something remarkable after the surgery — their child begins to grow faster. This phenomenon, often described as a “growth spurt after adenoidectomy,” has attracted increasing attention from clinicians and researchers alike. The link between adenoid hypertrophy and growth retardation, and the subsequent improvement after surgery, is rooted in the complex interaction between breathing, sleep, metabolism, and hormonal balance.
Understanding Adenoid Hypertrophy and Its Impact on Growth
The adenoids are a mass of lymphoid tissue located at the back of the nasal cavity (nasopharynx). In early childhood, they play an important role in immune defense but can become enlarged due to recurrent infections or allergies. When significantly enlarged, adenoids obstruct airflow through the nasal passages, leading to chronic mouth breathing and sleep-disordered breathing (SDB) — including snoring and obstructive sleep apnea (OSA).
These breathing disturbances have far-reaching effects beyond airway obstruction. In children, chronic mouth breathing and OSA interfere with normal sleep patterns, oxygenation, and hormonal regulation — all of which are critical for normal growth and development.
Mechanisms Linking Adenoid Hypertrophy to Growth Delay
1. Sleep Disturbances and Growth Hormone (GH) Suppression:
Growth hormone is predominantly secreted during deep slow-wave sleep (Stage III and IV). When a child experiences sleep fragmentation due to airway obstruction and snoring, the quality and duration of deep sleep are reduced, resulting in decreased GH secretion. Over time, this can lead to growth retardation or failure to thrive.
2. Hypoxia and Metabolic Stress:
Recurrent episodes of upper airway obstruction cause intermittent hypoxia (low oxygen levels) and hypercapnia (elevated carbon dioxide). This chronic stress disrupts normal cellular metabolism, decreases appetite, and impairs tissue growth and repair mechanisms.
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3. Feeding and Appetite Problems:
Children with enlarged adenoids often have poor appetite and difficulty eating, as chronic nasal obstruction makes chewing and swallowing uncomfortable. They may also experience frequent infections that reduce their nutritional intake. Malnutrition and reduced caloric intake further contribute to poor growth.
4. Chronic Inflammation and Cytokine Effects:
Persistent inflammation in the upper airway elevates inflammatory cytokines such as IL-6 and TNF-alpha, which are known to suppress appetite and interfere with growth hormone receptor signaling.
5. Facial and Skeletal Development Disturbance:
Mouth breathing alters facial growth patterns over time, leading to the so-called “adenoid facies” — characterized by a long face, open mouth, narrow palate, and dental malocclusion. These changes may also reflect general growth retardation due to systemic effects of chronic hypoxia.
What Happens After Adenoidectomy?
When the obstructive adenoids are removed, the airway opens up dramatically. The child can breathe normally through the nose, sleep better, and eat more comfortably. This restoration of normal physiology triggers a cascade of positive changes that promote growth and development.
1. Restoration of Normal Sleep and Hormone Secretion
After adenoidectomy, children experience improved sleep architecture. With deeper and longer sleep cycles, growth hormone secretion returns to normal levels. Within months, this hormonal correction can lead to noticeable height and weight gain — sometimes termed a “catch-up growth” or growth spurt.
2. Improved Oxygenation and Energy Utilization
Better airflow during sleep ensures adequate oxygen supply to tissues, promoting efficient metabolism and cell regeneration. The body no longer experiences frequent hypoxic episodes, allowing for proper nutrient absorption and muscle development.
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3. Increased Appetite and Nutritional Intake
Following adenoidectomy, many children exhibit a remarkable improvement in appetite. The relief from nasal obstruction and chronic infection leads to enhanced feeding behavior and nutritional intake. Improved nutrition, in turn, supports growth and immune function.
4. Reduction in Inflammatory Burden
Post-surgery, systemic inflammatory markers decrease significantly. Reduced inflammation allows better utilization of growth hormones and nutrients, contributing to healthy weight gain and linear growth.
5. Correction of Facial Growth Patterns
With normal nasal breathing restored, the pressure balance between oral and nasal structures is normalized. Over time, facial and dental development tends to return toward normal patterns, especially when surgery is performed at a younger age.
Clinical Evidence Supporting Growth Improvement After Adenoidectomy
Several studies have confirmed the relationship between adenoidectomy (with or without tonsillectomy) and improved growth metrics:
● Clinical and Endocrinological Studies:
Research has shown that children with obstructive sleep apnea due to enlarged adenoids and tonsils have reduced serum insulin-like growth factor 1 (IGF-1) and growth hormone levels preoperatively. After adenoidectomy, both parameters significantly increase, correlating with catch-up growth.
● Anthropometric Studies:
Many studies report that within 6–12 months post-surgery, children demonstrate measurable improvements in height, weight, and BMI percentiles compared to preoperative values.
● Long-term Outcomes:
In children who had persistent growth delay before surgery, adenoidectomy often results in normalization of growth curves, suggesting that airway obstruction was the limiting factor rather than intrinsic endocrine dysfunction.
Factors Influencing the Degree of Growth Spurt
Not all children experience the same magnitude of post-surgical growth. The following factors influence the outcome:
● Age at surgery: Younger children (ages 3–7) tend to show more pronounced growth improvement.
● Severity of obstruction and sleep disturbance: Greater preoperative obstruction usually corresponds to a more noticeable growth rebound.
● Nutritional status: Children with prior malnutrition benefit the most.
● Presence of coexisting tonsillar hypertrophy or OSA: Concurrent tonsillectomy further enhances outcomes in severe cases.
Parental Observations and Clinical Relevance
Parents often notice within months of surgery that their child is sleeping quietly, eating better, looking more energetic, and growing taller. Pediatricians and ENT specialists regard this as a reassuring sign of physiological recovery. However, it is important to emphasize that adenoidectomy itself does not “stimulate” growth directly — rather, it removes the underlying obstacle that was impairing natural growth processes.
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Conclusion
Adenoidectomy can indirectly trigger a growth spurt in children by restoring normal nasal breathing, improving sleep quality, and normalizing growth hormone secretion. The catch-up growth observed after surgery reflects the body’s recovery from chronic oxygen deprivation, poor sleep, and inadequate nutrition associated with adenoid hypertrophy. Timely surgical intervention in children with significant airway obstruction not only improves breathing and quality of life but also supports optimal physical development. Hence, adenoidectomy should be viewed not just as a procedure for airway relief, but as a step toward restoring the child’s overall growth and health potential.
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-FOR INFORMATION IN GREAT DETAIL How Long Does Adenoid Surgery Take? PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL How to Keep Adenoids Healthy Naturally: 12 Expert Tips by an ENT Specialist PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Severe Headache After Adenoidectomy: Normal or Dangerous? PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Is Adenoid Removal Really Risky? What Every Parent Should Know! PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Does Removing Adenoids Improve Hearing? ENT Expert Explains PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Do You Get Sick More Without Adenoids? The Truth by ENT Specialist PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Can Adenoids Cause Ear Pain? ENT Explains Causes, Symptoms & Treatment PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Adenoids Removed but Still Snoring? Here’s What Might Be Going On PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL “Can You Have Enlarged Adenoids Without Enlarged Tonsils? Hidden Causes of Breathing Problems Explained” PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL How Doctors Check Adenoids: Inside the ENT Process Explained Clearly PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL At What Age Are Adenoids Most Active? Every Parent Should Know This! PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Do Adults Have Adenoids? Shocking Truth You Need to Know! PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Is Adenoid Removal Safe in the Long Run? Here’s What You Should Know PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Can Adenoids Grow Back in Adults? The Truth You Need to Know PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL How Long Does It Take For Adenoids To Grow Back After Surgery PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL “How Much Does an Adenoid X-Ray Cost? Complete Guide to Prices, Insurance & Tests” PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Is Adenoid Surgery Covered by Insurance? Here’s the Truth You Must Know PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Cefuroxime and Adenoid Infections: Effective or Not? PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Can Adenoids Cause Low Oxygen Levels? ENT Explains PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Can Enlarged Adenoids Cause Hearing Loss? PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Does Adenoid Removal Really Cause Weight Gain? The Truth Parents Must Know PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Adenoids and Asthma: Hidden Link Every Parent Must Know PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL How Many People Have Died from Adenoidectomy? The Truth Parents Must Know PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL When Are the Worst Days After Tonsillectomy and Adenoidectomy? Doctor’s Guide PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Foods to avoid for adenoids PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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