Sleeping with open mouth in children should be checked for the presence of 4 problems if it has been present for a long time.
The priority is allergic rhinitis, then the adenoids, nasal glands and tonsils.
Nasal allergy develops in both nose and nose over time. It enlarges both the lower nasal concha and the adenoid tissue in the nasal cavity, which is normally present in every child, and closes the airway.
If the tonsils are large enough to contact each other, they also close the airway and may cause sleeping with the mouth open, snoring and shortness of breath during sleep. .
Adenoids and tonsils gradually grow due to frequent upper respiratory tract infections.
When the adenoid grows too much, it can also negatively affect the ears. It disrupts the functioning of the Eustachian tube, which provides the connection between the ear and nose.
The Eustachian tube has two functions. It allows air to flow into the middle ear cavity and allows the fluid secreted in the middle ear to flow into the nasal passages. When the adenoid grows, it disrupts the functioning of the Eustachian duct and fluid accumulates in the middle ear. Fluid accumulating in the middle ear can cause hearing loss and collapse or even adhesion in the eardrum over time.
If the child who sleeps with his mouth open and snores does not have hearing loss and does not experience shortness of breath during sleep, nasal allergy treatment should be considered before surgery.
If there is relief in the child whose allergy subsides and the complaints disappear, the problem will be solved by following anti-allergic treatment. is evaluated and the operation is planned.
If there is fluid accumulation in the middle ear and there is no improvement despite treatment, in the same operation, a small window is opened in the membrane to allow ventilation of the ears, cleaning the accumulated fluid with an aspirator and, if necessary, a tube is inserted.
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