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Chronic Eustachian tube dysfunction can result in various middle ear diseases such as conductive hearing loss, cholesteatoma, and recurrent acute otitis media. During examination, attention should be paid to the presence of adenoid facies (long face syndrome), with a\u00a0permanently open mouth and visible tip of the tongue. In the case of severe symptoms and\/or failure of conservative treatment, adenoidectomy is usually performed on an outpatient basis. Conventional curettage remains the established standard treatment in Germany. Histologic evaluation is indicated for clinical evidence of mucopolysaccharidoses. Due to the risk of hemorrhage, the preoperative bleeding questionnaire, which is obligatory before every pediatric surgery, is referred to. Recurrence of adenoids is possible despite correct adenoidectomy. Before discharge home, otorhinolaryngologic inspection of the nasopharynx for secondary bleeding should be performed and anesthesiologic clearance obtained.<\/jats:p>","DOI":"10.1007\/s00106-023-01299-6","type":"journal-article","created":{"date-parts":[[2023,7,25]],"date-time":"2023-07-25T13:02:02Z","timestamp":1690290122000},"page":"67-72","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":55,"title":["Adenoid hypertrophy\u2014\u200bdiagnosis and treatment: the new S2k guideline","Adenoide Vegetationen \u2013 Diagnostik und Therapie \u2013 die neue S2k-Leitlinie"],"prefix":"10.1007","volume":"71","author":[{"given":"Z.","family":"Ahmad","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Kr\u00fcger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Lautermann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Lippert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Tenenbaum","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Tigges","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Tisch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,7,25]]},"reference":[{"key":"1299_CR1","doi-asserted-by":"publisher","first-page":"649","DOI":"10.1016\/j.ijporl.2010.03.012","volume":"74","author":"N Ark","year":"2010","unstructured":"Ark\u00a0N, Kurtaran\u00a0H, Ugur\u00a0KS et\u00a0al (2010) Comparison of adenoidectomy methods: examining with digital palpation vs. visualizing the placement of the curette. 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