What is Adenoid?
Adenoid is a member of lymph tissue like tonsils. It is a small tissue located in the back of the throat above the tonsils, the back of the nasal cavity and the upper part of the soft palate. It is a tissue located between the throat and nose with its shape similar to a bunch of grapes. The adenoids and tonsils enter our body through the nose and mouth. They are responsible for preventing harmful bacteria and viruses from entering. The nasal flesh and tonsils are involved in the defense of the upper respiratory tract. However, the difference that separates the two from each other is that if the adenoid is too large, it causes obstruction of the nasal cavity. Especially in children, it reaches its maximum size between the ages of 3-7, when they are most frequently infected, and it usually starts to shrink after this age. In an adult, it disappears completely. The fact that the parents smoke near the child, that is, the child is a passive smoker, causes infections and as a result of these infections, lymphoid formations that lead to adenoids grow. The enlargement and inflammation of the adenoid can cause some problems.
What Causes Adenoid Growth?
One of the most important reasons for the growth of adenoids is infections and allergic reactions. As the adenoid catches germs, it sometimes becomes inflamed by bacteria and expands temporarily. They usually return to their normal size when the infection subsides. Sometimes it may remain enlarged or grow spontaneously. When the adenoid grows too much, it clogs the nasal cavity and therefore makes it difficult to breathe through the nose. If the adenoid grows too much, when it opens towards the middle ear cavity (eustachian tube), it blocks the mouth of the eustachian tube and prevents the middle ear from aeration. In such cases, ear problems can also be seen. This condition is most common in children. Some children are born with large adenoids. Although very rare, these conditions can also occur in adults.
Adenoid Growth Symptoms
– Nasal congestion and difficulty breathing
– Continuous mouth breathing
– Recurrent upper respiratory tract infections
– nasal speech
– Snoring during sleep, sleep apnea (inability to breathe for a few seconds during sleep)
– Middle ear infections and hearing loss
– Nocturnal urinary incontinence or distraction problems in children
– Bad breath
– Deterioration of jaw and tooth structure, dental caries
In line with the complaints of the patients, a physical examination is performed by an otolaryngologist. Since physical examinations can be unsettling, especially for children, the diagnosis can also be made by X-ray examination.
Adenoid treatment can be done in two ways, medical and surgical, in line with the doctor’s decision according to the patient’s condition. In cases where it is determined that the adenoid is large enough to obstruct the airway, or in cases of frequent upper respiratory tract infections that cannot be controlled despite treatments, surgical treatment can be planned. If sleep apnea has developed and there is recurrent fluid collection in the middle ear, the adenoid should also be removed.
For Which Age Groups Is Surgery Suitable?
Adenoid surgery is suitable for all age groups, unless your doctor determines any health problems that may prevent surgery. However, it is recommended to wait until the age of 2 unless it is mandatory for children. It is suitable for younger babies and children if they experience breathing problems during sleep. There is no upper limit for adults.
How Does Adenoid Surgery Happen?
This surgery is performed with general anesthesia. It is a short surgical procedure that takes about 15 minutes. Our patients recover in a short time after the operation. During the surgery, the adenoid is removed with instruments called adenotomes without making any incisions in the skin. If no adverse events are encountered, patients are discharged approximately 4 hours after the operation. The general condition of the child at the time of discharge is quite good.
Things to Consider After Adenoid Surgery
After this surgery, our patients are advised to stay away from hot and solid foods on the same day. Generally, foods with a warm and soft consistency are recommended. It is normal to have a slight pain in the throat and tongue for 2-3 days. We recommend our pediatric patients not to go to school for about 5 days.
What is Adenoid?