Surgery on adenoids in a child (adenotomy) is carried out only according to strict indications, when the presence of adenoid vegetation is associated with a greater risk than their removal. This applies to situations where adenoids create significant obstacles to nasal breathing, cause a child to lag behind in development, persistent hearing impairment, chronic otitis media, bronchial asthma, malocclusion and an adenoid type of face. In other cases, in the presence of pathology, the method of choice is conservative therapy, as the online publication for girls and women from 14 to 35 years old reports Pannochka. net Adenoids is the pathological proliferation of the nasopharyngeal tonsil, which consists of lymphoid tissue and belongs to the organs of the immune system, whose task is to prevent the infection from entering the body through the upper respiratory tract. This disease occurs in childhood, children from 3 to 5 years are most vulnerable to adenoids.

Frequent respiratory viral infections, childhood illnesses, allergies can contribute to adenoid growths, or vegetations.

Surgical removal of adenoids is resorted to when all other treatment options have been exhausted. Children who are forced to breathe by the mouth inhale insufficiently heated and purified air, which leads to frequent respiratory infections, which, in turn, contribute to the further proliferation of the nasopharyngeal tonsil - a vicious circle forms.

The decision on the need for surgical treatment is made by the attending ENT doctor (otolaryngologist) together with the child's parents after a significant degree of adenoid proliferation is established and the possibilities of conservative therapy are exhausted. Parents should be informed of the possible consequences of abandoning the operation, as well as the risks associated with it.

Preparation for adenotomy: examination In preparation for the operation, a detailed medical examination of the child is carried out. A personal and family history, hardware and laboratory data are collected.

Instrumental diagnostics is usually limited to radiography, however, in some cases, there may be a need for computed tomography, as well as additional diagnostics (for example, an ECG with suspected cardiac abnormalities and t.

Laboratory diagnostics includes a general and biochemical blood test, determination of the blood group and Rh factor, a coagulogram, studies for some infections (HIV, viral hepatitis), general urine analysis.

How does the operation on adenoids in children? A planned adenotomy is performed on an outpatient basis under local anesthesia (consists in applying an anesthetic to the mucous membrane of the nasopharynx), less often under general anesthesia (inhaled and intravenous). In the case of concomitant diseases or complications, hospitalization for several days may be required.. The operation to remove adenoids in children is simple, the whole procedure together with anesthesia and antiseptic treatment takes 10-15 minutes.

Due to the lack of nasal breathing, a chronic oxygen deficiency (hypoxia) develops, which manifests itself as a headache, impaired memory and attention, and with prolonged hypoxia, the child begins to lag behind.

Classical adenotomy Adenoid removal is performed using a Beckman ring knife (adenotomy). It is introduced into the oral cavity, placing it so that the adenoid vegetation is completely covered by the ring, after which they are excised and removed through the mouth with a quick movement. Then the doctor stops the bleeding, which is usually slightly. If necessary, resort to coagulation of blood vessels or treatment of the mucous membrane with a hemostatic.

The disadvantage of this method is the lack of visual control, which often leads to areas of lymphoid vegetation, which subsequently grow again, providing a relapse of the disease. In addition, there is a risk of injury to the surrounding tissue, which can have quite serious consequences..

Endoscopic adenotomy The use of endoscopic technology, which provides complete visual control, significantly increases the efficiency and safety of the procedure.. The endoscope displays a scaled image of the surgical field on the monitor, the doctor completely controls the process of excision of the nasopharyngeal tonsil. The manipulator provides increased accuracy, there are no fragments of the tonsil. Excised adenoid tissue is removed through the oral cavity or through the nostril free from the endoscope..

The disadvantages of the technique include the fact that the procedure is somewhat longer, and also requires special equipment and skills of the surgeon.

Minimally invasive methods for removing adenoids In addition to surgical excision, removal of adenoids can be performed by electrocoagulation, radio wave surgery, coblation, and also with a laser. The latter method is one of the most popular, because, according to doctors, it provides a good result, the absence of significant pain both during and after the operation, the absence of bleeding and the risk of infection, as well as quick recovery.

Adenoids create significant obstacles to nasal breathing, cause the child to lag behind in development, persistent hearing impairment, chronic otitis media, bronchial asthma, the formation of a malocclusion and an adenoid type of face.

Laser removal of adenoids is carried out in two versions: fast (single) and gradual (slow). Laser treatment of adenoid vegetation by laser is preferred by many pediatric practitioners as the most gentle way. The method consists in laser exposure to adenoid tissue, as a result of which it decreases from procedure to procedure (in total, up to 15 can be removed completely).

neboleem. net.