NOSE CONSTRUCTION AND ANALYSIS

What is nasal meat?

Nasal passageregion ( nasopharynx ) is the area of ​​the upper respiratory tract that comes after the nose, just behind the nose. This region is in constant contact with microorganisms encountered by the airway during breathing. Just under the mucous membrane of the nasal cavity, which fights microorganisms. immune system( lymphoid ) textures are available. Passive smoking, that is, parents smoking in the presence of the child, allergy These lymphoid formations enlarge as a result of exposure to repeated contact with microorganisms, namely infections. In this situation, adenoid enlargement ( adenoid hypertrophy, adenoid vegetation) is named. adenoid It reaches its maximum size around the age of 4-7 and usually starts to shrink after this age. Children who go to kindergarten or kindergarten are more likely to experience secondary problems with adenoids as they encounter infections more frequently.

How does adenoid cause a problem?

Adenoid can cause problems for different reasons. First, when it is too large, it mechanically complicates breathing from the nose to the trachea. This situation is simple snoreor sleep with mouth openfrom the occlusive Sleep apnea It can lead to different results, from sleep apnea called respiratory arrest and related metabolic problems. Secondly; Unlike its occlusive feature, the adenoid can be invaded by microorganisms due to recurrent infections. In this case, the adenoid ceases to be a protective immune tissue and acts as a reservoir for microorganisms, preparing the environment for their growth. This situation causes recurrent infections since the area where the adenoid is located is a junction in terms of upper respiratory and digestive system organs. As a result of prolonged airway obstruction in children, long and thin facial structure, high palate, anterior growth of the upper jaw, mouth open all the timestate, bad teethand dimples under the eyescharacterized by ” adenoid faceA typical facial expression called ” appears.

In children after the two main reasons listed above; obstructive sleep apnea, upper airway resistance syndrome, snore, nasal congestionand it depends mouth breathing, distractibilityand it depends decrease in academic achievement, unrestand irritability, peeing at night, swallowing and speech disorder, decreased taste and smell, fluid in the middle earcollection, decreased hearing, abnormal facial and tooth development, growth and developmental retardationProblems such as pulmonary hypertension, recurrent otitis media, sinusitis, tonsillitis, and lung inflammation are encountered.

How is adenoids diagnosed?

Performed through the nose in outpatient clinic conditions endoscopic examination diagnosis is easily made. No special preparation is required for this procedure. It is not a painful or painful procedure. In earlier years, the diagnosis was tried to be made by radiological imaging (by taking a film) or by finger examination. Thanks to the endoscope examination, the nature of the tissue is also observed and its differential diagnosis can be made from tumor, infection, cyst and similar lesions.

When / at what age should adenoid surgery be performed?

nasal flesh large enough to obstruct the airway Surgery can be performed at any age, in any case where it is determined that the patient has the right indication. In the past, it was used as a criterion after the age of 3, since the complications of anesthesia were more feared. Today, safer surgery can be performed in younger children with more modern anesthetic agents.

What are the risks of the surgery and the problems that may occur during and after the surgery?

Although modern anesthetic drugs and equipment provide safe anesthesia, the risk of death secondary to anesthesia is reported as 1 in two hundred thousand in healthy individuals. Since the studied area is close to the mouth of the Eustachian tube that connects the middle ear cavity to the nasal cavity, this tube is likely to be damaged. In this case, permanent middle ear problems may occur. Although rare, bleeding and nasal adhesions may occur after surgery.

What awaits the patient after surgery?

Adenoid surgery, often with tonsils, is performed immediately. most frequently performed surgery in childhood in the world process. The surgery itself takes about 15 minutes. The average time to sleep and wake up in the operating room is about 60 minutes. After about 5-6 hours after awakening from anesthesia, patients can usually be discharged. Patients can usually eat a lot of food on the same day, provided that it is not too hot and solid. Individuals feel pain in their throats rather than nasal passages for 2-3 days due to the endotracheal intubation tube used for anesthesia rather than the surgical wound. It would be appropriate for children not to go to school for 5-7 days due to open wounds.

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