Chronic enlargement of tonsils and adenoids in children can cause varying degrees of airway obstruction. This is two of the common reasons for tonsil and adenoid surgery. Adenoids and tonsils are small at birth and gradually grow between the ages of 1 and 5. Frequently inflamed tonsils and adenoids can become a source of infection after a certain period of time. In addition to frequent infections, passive smoking can cause the adenoids and tonsils to grow to an undesirable level in children.
Chronically enlarged tonsils and adenoids are one of the most common reasons for obstructing the upper respiratory tract in children. In very advanced cases, it may cause lung-related diseases (cor pulmonale, pulmonary vascular hypertension, alveolar hypoventilation)
Obstructive sleep apnea
Chronic nasal passages. It is one of the common conditions in patients with enlarged tonsils and tonsils. Stopping breathing during sleep witnessed by the family, loud snoring (the family explains: "This child snores like an adult"), constant mouth breathing, frequent waking up at night, drowsiness during the day, bedwetting at night, nightmares during sleep, school Poor performance, speech disorders, nasal speech are symptoms due to the enlargement of the adenoids and tonsils and obstructing the airway. Additionally, if the adenoids and tonsils are chronically larger than normal, it may cause developmental delay in children.
If the adenoids and tonsils are chronically larger than normal, it may have negative effects on the development of facial bones, jawbone, hard palate and teeth in children.
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In children, diagnosis is made through history and physical examination, and a sleep test is usually not needed.
The adenoid is in a difficult position to detect during physical examination. For this reason, direct lateral cervical radiography or flexible fiberoptic nasopharyngoscopy (viewing through the nose with a camera) is detected. However, these may not be needed in the patient who presents with complaints and symptoms of chronic adenoid enlargement.
In the pre-operative evaluation
Blood tests, chest radiography and electrocardiogram are performed. Patients with a family history of bleeding-clotting disorders and easy bruising without trauma have a history of excessive bleeding in previous surgeries. In patients with a history of prolonged bleeding after tooth extraction or incisions, further hematological investigation may be required for bleeding-coagulation diseases. Patients with asthma may need to use medication in the preoperative period.
In which cases is tonsillectomy performed?
More than 6 cases of tonsillitis or tonsillitis in a year. Having more than 3 tonsillitis per year in the last two years, (when evaluating patients, the severity of each infection, response to drug treatment and how this condition affects the quality of life should be taken into consideration.)
Frequent tonsillitis and heart disease In patients with valvular disease,
Convulsions (seizures) due to recurrent fever,
Bad breath due to recurrent inflammation that does not respond to drug treatment,
Streptococcus that does not respond to drug treatment. (beta) carrier,
In case of recurrent peritonsillar abscess (abscess formation in and around the tonsils),
If it causes obstructive sleep apnea,
If it causes developmental delay,
If it suggests a unilaterally enlarged and malignant tumor, tonsillectomy is performed.
How is tonsillectomy performed?
Tonsillectomy is performed under general anesthesia in children. It is done under. Surgery time is approximately 30-45 minutes. It can also be performed with local anesthesia in adults.
In what cases is adenoid surgery performed?
If the adenoid tissue causes chronic fluid accumulation in the middle ear,
In case of chronic recurrent acute otitis media attack,
If it causes chronic mouth breathing and obstructs the nasal area,
If it causes obstructive sleep apnea or sleep disorders,
If it causes chronic mouth breathing and obstructs the nasal area,
If it causes obstructive sleep apnea or sleep disorders,
p>If it causes developmental delay,
If it causes negativities in the development of facial bones and jawbone,
If the adenoid tissue has started to become a source of infection,
Chronic If it is thought to be the cause of sinusitis, adenoid surgery should be performed.
Things to consider after adenoid and tonsil surgery.
Before the surgery, patients are asked to fast for 8 hours and this is timing by your doctor. It is explained to you.
Some medications can be used right before the surgery to calm children with high fear and anxiety.
On the day of surgery, if there is no contrary situation, after 6-8 hours of observation, the patient will be free to bleed. You can be sent home after being informed and warned against the disease.
In case of additional diseases and risks, patients are kept under observation in the hospital for a day.
You will be given a diet list after the surgery. Carefully following this diet reduces the risk of bleeding. It is important that you do not use any medications other than those recommended by your doctor. If you experience light red bleeding, contact your doctor.
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