Tonsils and Adenoids

Tissues called tonsils (tonsils) and adenoids (adenoids) are composed of lymphoid cells. It has a role in lymphocyte production. Because the immunoglobulins from mother to newborn are small. They grow due to infections, more frequently at the age of 4-5 years. At an advanced age they tend to shrink. The large adenoids create an obstacle to breathing through the nose. In addition, they cause problems of different sizes by disrupting the discharge of the ears and sinuses. Hearing loss, snoring, mouth breathing, night coughs, and nasal discharge are observed in these children. Chronic adenoid inflammations or enlargements can cause orthodontic disorders, facial development disorders and speech disorders.

When tonsil and adenoid enlargements reach the size that will narrow the upper respiratory tract, serious problems such as snoring and apnea start serious problems such as breathlessness during sleep. In these cases, it is useful to consult an ENT specialist.

The disease known as rheumatic fever is a complication caused by antibodies against group A beta-hemolytic streptococci. It can cause disorders in the heart valves.


Tonsil and adenoid surgeries are frequently performed in ENT clinics. When there is no benefit from drug treatment, they are surgically removed. There are two criteria used to decide on this surgery.

The necessity of surgery is determined definitively and relatively.

Conditions that require definitive surgery:
Obstruction of the upper respiratory tract due to the size of the tonsils and adenoids Abscess around the tonsils (Peritonsillar abscess) Suspicion of malignant tumor Adenoid and tonsil growths that disrupt the jaw structure. Recurrent tonsil infections are at the top of the relative criteria. 40% of tonsil surgeries are performed for this reason. Having febrile tonsillitis 7 times in the last year or 5 times a year in the last two years, or 3 or more times per year in the last three years. Diphtheria microbe carriers Persons with heart valve disorders. Frequent otitis media due to tonsil and adenoid inflammation.

In such cases, it is called chronic tonsillitis. In the solution, surgical treatment is recommended and planned.


Although tonsil diseases are known as a child age group problem, the same rules apply in adult business. Tonsil surgery is also performed in adults who do not have any serious health problems that may prevent surgery. The lower age limit has been determined as 4-5 years, except for mandatory cases. It is not possible to determine the upper age limit. In general, the incidence of this disease in older ages is low and simple solutions are often preferred.


The risk of tonsil surgery is very low. In statistics, serious complications related to anesthesia or surgery are reported in one out of 14,000 operations. The rate of serious bleeding after surgery is as low as 5/1000. After tonsil surgery, many scientific studies have been done on the body’s defense system, but no clear results have been obtained. A reduction in the number of some types of lymphocytes has been shown in people who have had their tonsils removed. However, it has not been found to cause clinical problems. There is a belief that pharyngitis is easier after tonsil surgery. The incidence of pharyngitis is the same in people with or without tonsils removed. Removal of the tonsils does not increase the rate of pharyngitis.

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