Adenoids in a child: treat or remove?

Adenotomy is a flow surgery for surgeons. It does not apply to emergency or urgent, therefore it is performed after a complex of diagnostic examinations. The planned surgical procedure lasts no more than 10-20 minutes and is performed under local or general anesthesia. After the procedure, the patient is kept for 5-6 hours under medical supervision. That is why the operation is carried out in the morning, and in the evening the patient returns home. In very rare cases, when there are complications, the patient is left for the night in a hospital.

Is it dangerous to remove adenoids in children?

The third amygdala, i.e. Adenoid tissue, develops to the 3-6th month of life, but after 12 years begins to decrease and by the age of 20 it becomes completely invisible. In the child's organism, it acts as an additional barrier to pathogens. Tonsils filter the air, inhaled through the nose, protecting the larynx and other organs of the respiratory system.

The dimensions of the adenoid tissue are normal, as long as frequent infectious and inflammatory diseases do not lead to its atrophy. The strong growth of lymphoid tissue closes the entrance to the nasal cavity, causing a number of painful symptoms:

• Disturbance of nasal breathing negatively affects the general state of health, causes problems with academic achievement, absent-mindedness.
• Atrophy leads to clogging of the auditory tube, disrupting the ventilation of the middle ear. Against this background, it is possible to reduce hearing, separation of purulent contents.
• Long breathing with the mouth leads to an incorrect development of the facial skeleton. The lower jaw begins to sag. Because of this, deformation occurs in the formation of teeth, since the upper incisors protrude forward.
• Improper breathing can cause abnormalities in the spinal curvature of the anatomy.

The above symptoms develop gradually, as the disease progresses. Timely removal of adenoids can prevent such complications. Surgical treatment is not dangerous. The otolaryngologist performs the procedure under local or general anesthesia (depending on the patient's age and type of operation). Removal lasts less than 20 minutes, while the risk of complications is minimal. After the operation, the immune system is completely restored within a few months.

One of the most frequent surgical operations in children's ENT practice is the removal of adenoids. The procedure is carried out with appropriate indications. The reason for the operation are such symptoms:

• Syndrome of apnea.
• Exudative otitis media.
• Malignant degeneration of the nasopharyngeal tonsil.
• Maxillofacial anomalies.
• Drug therapy does not give the desired effect.
• Frequent relapse of adenoiditis (more than 4 times a year).

Consider the features of removal of adenoids in children: the pros and cons of this method of treatment:

Benefits	Disadvantages
The operation allows you to get rid of the pathological symptoms of adenoids. After 2-3 days, normal breathing and oxygen supply to the body are restored.	Surgical intervention is performed with the use of anesthesia, which already represents the risk of complications of less than 1%.
Different methods of surgical intervention allow you to choose the optimal treatment option, individually for each patient.	Regardless of the chosen method of removal, there are varying degrees of risk of recurrence.
The procedure is performed under general or local anesthesia. A small patient does not feel anything, and the operation time is not more than 20 minutes.	The operation does not guarantee a reduction in the incidence of infectious diseases in children. Since inflamed adenoids are the result of frequent infections, not the cause.
Removal is carried out in ambulatory. Inpatient treatment, hospitalization takes no more than 3 days.	Removal of adenoids leaves the body without a protective barrier. Because of this, the incidence of infectious diseases can increase. Especially with a weakened immune system.
Modern methods of adenotomy can completely remove atrophied lymphoid tissue, sealing the vessels and preventing bleeding. The procedure is necessary to restore nasal breathing and prevent hearing damage.	Adenoid tissue is restored in 4-6 months. The frequency of relapse depends on the age of the patient and the characteristics of his immune system.
Preparation for the operation consists of a set of diagnostic procedures. Recovery is quick and almost without complications.	After the operation, the immune system decreases by several months. Restoration occurs after other tonsils of the lymphoid ring take over the functions of protection.

Treatment is divided into conservative and surgical. The opinions of specialists on the need to remove adenoids and the effectiveness of this procedure are very contradictory. Opponents of the operation believe that the operation threatens a significant decrease in immunity, the risk of complications. There is also the risk of relapse. Opponents say that drug treatment is no less dangerous. Since having missed the time for the operation, you can cause irreparable harm to the child's body.

Removal of adenoids in children with allergies

The inflammation of the tonsils caused by various allergens is an allergic adenoiditis. A painful condition can be associated with the inhalation of dust, pollen, animal hair or arising from food irritants. Allergies have a negative effect on the respiratory tract. There is irritation of the tonsils of the tonsils, its inflammation and hypertrophy. Prolonged contact with the allergen leads to tissue deformation. Most often this disease is diagnosed in children 4-8 years old.

Types of adenoids caused by an allergic reaction:

• The first degree is the early stage of inflammation of the tonsils. Because of the pathological process, a part of the nasopharynx is replaced.
• The second degree - the inflammatory process affects 2/3 of the nasopharynx.
• The third degree is a severe and severe pathological process. Without proper treatment, it leads to breathing disorders and even death.

More often allergy sufferers are prescribed medication for the relief of the inflammatory process. To accelerate the recovery use physiotherapy: inhalation, washing. To reduce the edema of the nasal mucosa used antihistamine drops. Also, vitamin intake and a healthy diet are recommended to improve immunity.

Removal of adenoids in children of allergy sufferers is a radical method of treatment, which is carried out only with appropriate medical indications. This is associated with the risk of complications due to increased sensitivity of the mucous membrane of the nose and throat to various irritants. But with timely and proper treatment, the appearance of side effects is minimal.