What is Tonsil and Adenoid?
Tonsils (tonsils) and adenoids (adenoids), called lymphoid tissue and play a role in the body’s immune system.
playing organs. The tonsils are located at the entrance of the pharynx, on both sides of the tongue root. If adenoid
They are located in the upper part of the pharynx, called the nasopharynx, in the back of the nasal cavity.
What are their Duties?
Tonsil and adenoid are part of lymphoid tissue and contain lymphocytes. These lymphocytes are the body’s immune system.
They produce antibodies that help the system. However, the roles of tonsils and adenoids in the immune system
they are not significant and are often not functional. In people whose tonsils and adenoids were removed
The fact that there is no negative situation related to immunity also shows this.
What Problems Do They Cause?
Tonsil and adenoid can cause both infections and some problems depending on their size.
Although adenoid is mostly a problem of childhood, tonsil can be used in both children and children.
can cause disease in adults.
Frequent infections both affect the daily life of the patient and cause frequent drug use.
It is possible. However, the most important consequences of past infections (inflammations) are heart valves, joint and
kidneys are at risk.
Apart from infections, the size of tonsil and adenoid also leads to important results. Your tonsils are big
to be; It causes swallowing, feeding and speech problems. In addition, food and tissue accumulated on the tonsil
residues cause bad breath and hygiene disorder. The large size of the adenoid tissue is more important than anything else.
first cause nasal congestion. In these patients, it causes sleep with the mouth open and snoring. Nose,
It adjusts the temperature and humidity of the inhaled air and traps some harmful particles. Therefore, mouth breathing
causes some respiratory problems in patients who do. Adenoid also creates the following problems:
– Aeration disorder in the middle ear and related ear collapse, hearing loss and communication
disorder. Hearing loss is sometimes unnoticed by the parents, but it often overwhelms the patient.
It is the first reason to go to the doctor.
– Developmental disorder in jaw and facial bones
– Throat inflammation (pharyngitis), cough and lower respiratory tract problems due to post-nasal drip
– The appearance of ‘retarded’ due to the facial expression formed
How Is It Treated?
Treatment of acute inflammations of tonsils and adenoids is usually drugs. Most commonly antibiotics,
pain relievers and antihistamines if allergic factors are considered. cause serious problems
Although tonsils and adenoids that do not open and do not cause frequent infections are treated with drugs,
Sometimes tonsils and adenoids need to be removed.
In Which Situations Should It Be Taken?
Although it is sometimes easy to decide to remove the tonsil and adenoid, sometimes it is necessary to follow the patient for a certain period of time.
Conditions that cause the decision to have surgery include:
Frequent infections: The generally accepted situation is 3 or more times a year in successive years.
Although there is no infection in the tonsils, it is enlarged enough to make swallowing difficult.
Unilateral enlargement of tonsillar tissue (as it may be a sign of lymphoma or other malignant diseases)
Frequent accumulation on the tonsil that may cause bad breath
Enlargement of adenoid tissue to impair breathing
Middle ear inflammation (otitis media) and hearing loss
Causes frequent sinusitis and lower respiratory tract problems
At what age should the surgery be done?
There is no exact age for surgery. The decision is made according to the harm done to the patient. Common condition tonsil
For the operation, the patient is 3 years old. Adenoid removal can be done even at the age of 1 year. Many times
Waiting for the child to grow up can be harmful to the patient and reduces the success of the treatment.
How is Tonsil and Adenoid Surgery Performed?
Although local anesthesia is sometimes used for tonsil, removal of adenoid tissue can be performed under general anesthesia.
requires. Removal of the tonsil is in the form of removing it together with the capsule around it with an appropriate incision. adenoid
The surgery is in the form of scraping the enlarged tissue. The operation time is usually short and 30-60 minutes.
varies between Hospitalization is usually not required after surgery. Sometimes the risk of bleeding, especially
It may be necessary to stay in the hospital for 1 night.
What are the Risks and Complications of the Surgery?
Like any surgery, tonsil and adenoid surgeries can have risks and complications. Local
or general anesthesia always carries some risks. However, developments in anesthesia techniques and drugs
reduces this risk day by day. Apart from this, the most common complication is bleeding. Sometimes
Although it can reach serious dimensions, with a careful and meticulous study and appropriate follow-up of the patient, it can be
The problem is rare. Especially in adult patients, pain is the most disturbing factor for the patient.
is the case. There is a belief that pharyngitis occurs after surgery. This is a wrong thought. patients
If they expect that there will be no sore throat after the tonsil is removed, they may be wrong. Available
pharyngitis has nothing to do with the removal of the tonsils. Sometimes they even increase the infected tonsillar pharyngitis.
What Should Be Considered After the Surgery?
The most important rules to follow are related to nutrition. Especially in the first 3 days, the possibility of bleeding is more
Cold and liquid foods should be chosen. Therefore, cold milk, soup, juice, pudding,
foods such as ice cream are ideal.
Vomiting of dark blood on the first day of the operation is normal and swallowed with blood swallowed during surgery.
However, continuous red blood flow requires immediate consultation with your doctor. from day 4
From now on, it is gradually passed to normal food. The patient does not want to eat anything because of the pain.
causes continuation. Be sure to drink plenty of fluids. Mild fever expected after surgery
is a situation. It usually returns to normal with adequate fluid intake and antipyretic drugs. Sometimes patients
A few days after the operation, they apply to the doctor and complain that inflammation develops in the tonsil area. This
Generally, after the tonsils are removed, the healing tissue, which forms a white cover in that area, heals the patient.