Our children, your children, our most precious ones. Why do these sweetest creatures of ours get sick so much?
Do we have a large adenoid, which is the first thing that comes to mind when it comes to recurrent upper respiratory tract diseases in children? Is a chronic tonsil disease underlying the throat infection with high fever? Also, does your child suffer from frequent middle ear infections, watch TV closely and suffer from hearing loss? Is it chronic serous otitis media, which is called fluid in the ear?
Here are the facts about adenoids, tonsils and ear fluid that can cause all these, but most importantly, when surgical procedures are required for these diseases. We have summarized clear, concise information for you.
When should tonsils be removed?
In some cases, tonsils, which originally have protective functions, begin to cause harm rather than benefit to the patient. Tonsils should be removed only when necessary. In fact, the conditions and rules for surgery are very clear.
To summarize the situations in which tonsils must be removed:
1. Tonsils that are too large, touching each other, becoming obstructive to breathing and nutrition
tonsils.
2. In the presence of frequently recurring attacks of tonsil infection: 7 attacks in the last 1 year, 5 attacks every year in the last 2 years, and 3 attacks of tonsil infection every year in the last 3 years, tonsillectomy should be performed again.
3. The patient stops breathing during sleep ( apnea) (lasting more than a few seconds)
4. If there is an increase in size in one of the tonsils compared to the other, for diagnostic purposes due to tumor suspicion,
5. If you have a peritonsillar abscess. That is, if the patient has an abscess involving the tonsil and its surroundings due to tonsil infection.
6. Tonsils should also be removed in case of severe tonsil bleeding.
Situations in which tonsils do not necessarily need to be removed, but are beneficial when they reduce the patient's quality of life, are as follows:
1. Bad breath due to chronic tonsillitis,
2. Tonsil stones,
3. Accumulation of white residue (magma) in the tonsils,
4. Snoring,
5. Difficulty in swallowing, difficulty in speaking due to tonsils
6. Be a public beta Beta hemolytic group A streptococcal bacteria carrier, known as:
7. In patients with febrile convulsions (convulsions due to high fever)
When should Adenoids be operated on or removed? (Adenoidectomy procedure):
Adenoids, which are actually present in every child but cause problems in some, must be surgically removed in this patient group.
Adenoids (adenoids) must be removed. The requirements are:
1. Long-term, obstructive adenoid enlargement: presence of snoring, difficulty breathing at night and even pauses in breathing (apnea),
2. In children with nasal congestion and mouth breathing,
3. In children with swallowing and speech problems,
4. Presence of adenoids causing tooth, jaw and palate development disorders,
5. Adenoids should be removed in children with developmental and growth retardation.
6. Recurrent adenoid infections,
7. Frequent middle ear infections and fluid accumulation in the middle ear
8. Frequently recurring childhood sinusitis,
9. In cases of frequently recurring lower respiratory tract infections (if the focus is on the adenoid), the patient's adenoid is surgically removed. Pathological examination is also recommended.
What is fluid accumulation in the middle ear and when should a tube be inserted? (Chronic serous otitis media)
The middle ear is located behind the eardrum. The middle ear receives air thanks to the Eustachian tube. If there is a dysfunction in the Eustachian tube operator, the middle ear cannot be ventilated and the membrane collapses due to negative pressure. Fluid begins to accumulate insidiously in the middle ear. The consistency and amount of this fluid gradually increases, causing hearing loss.
In what cases may dysfunction in the eustachian tube occur?
Infectious agents from the nose and throat may be exposed to the eustachian tube since it is narrow and in a more horizontal position in children. They are easier to hear. This type of previous infections can cause adhesions and malfunctions in the eustachian tube. In addition, in cases of enlarged adenoids and allergic noses, the eustachian mouth becomes blocked by swelling of the surrounding tissues, leading to dysfunction.
What is ear tube surgery and when should it be performed?
Recurrent middle ear surgery In case of infections, especially if there is no response despite medications, a tube should be applied. Since the presence of adenoids often causes the recurrence of these ear infections, the enlarged adenoids under the adenoids must be investigated. It is time for an tube to be inserted in children who have middle ear infections 3-4 times a year.
In case of structural changes such as prolonged hearing loss due to fluid in the ear or collapse of the eardrum, an tube should be inserted.
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