In Which Situations Adenoidectomy Is Performed?

Growth of Adenoid Treatment

Adenoidectomy are frequently performed in ENT clinics. When the drug treatment is not beneficial, surgical removal of adenoid is the way that specialists recommend. There are two criteria used to decide whether surgery is necessary or not.

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Conditions requiring definitive surgery:

– Blockage of the upper respiratory tract due to adenoid

– Apse around tonsil (Peritonsillar apse)

– Malignant tumor suspicion

– Adenoid and tonsil growth that disrupt the chin structure.

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At the top of the relative criteria are frequent recurrent tonsil infections. 40% of tonsillectomy operations are done for this reason.

– Inflammation of fever tonsil more frequently in the last year, 7 times in the last year or 5 times per year in the last two years or 3 times per year in the last three years.

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– Diphtheria (Croup) microbial carriers

– People with heart valve malfunction.

– Frequent otitis due to tonsillitis and adenoid inflammation.

Such conditions are called chronic tonsillitis. Surgical treatment is recommended, planned.

As is the case with tonsils, the main reason for adenoidectomy is that there is an adenoid in the throat which constantly leads to sleep by opening the mouth, snoring or asphyxiation in the sleep, and some infections. These infections are mainly recurrent otitis, a long accumulation of water behind the ear membrane, chronic otitis accompanied by a permanent hole in the ear canal, and chronic sinusitis.

Do these surgeries have an age limit?

In the past, some age limits were mentioned, especially because of anesthesia risks. Today, there is no such an age limit, but the incidence of these diseases is generally low in older ages and often simple solutions. A very small child, however, is being operated on because of breathing stops during sleep. Due to frequent recurrent infections, it is preferable to perform the planned operations after 4 years of age.

Treatment of Adenoid Inflammation

Treatment of Adenoid Inflammation

Surgical methods are used in cases where drug treatment is not successful in the treatment of adenoid inflammation. The adenoidectomy will be operated just in the case of

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  • Sinusitis of otitis media caused by adenoid inflammation

  • Blockage of upper respiratory tract caused by adenoid inflammation

  • Diagnosed tumor in the adenoid

  • Deformed of chin structure caused by adenoid inflammation

  • Recurring adenoid inflammation

This surgery can be dangerous in patients who have blood coagulation disorder and a semi-palate condition.

What to expect and what to do after tonsillectomy and adenoidectomy

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Adenoidectomy can be operated safely in children because of the modern and medical equipment used. Most of the children are discharged in same day after a very short period of operation and the children can continue their normal lives.

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Patients should be aware of the process following tonsillectomy and adenoidectomy: The tonsils of the throat, which are completely taken up with its capsule, do not grow again in the following years. The long-term results of the partial tonsil surgeries that the capsule left on the throat are not yet clear. On the other side, mini-tonsils that are placed in the back of tongue, which are not surgically removed, may show slight growth over time as the body's defense tasks will increase after tonsillectomy and adenoidectomy. Adenoid can also partial growth over time, as it is an encapsulated tissue, and therefore can remain in tissue during surgery. However, tongue base and these functional growths in the adenoid are rarely a clinical problem. Tonsillectomy and adenoidectomy operations are evaluated as a whole in terms of gain-risk-loss concepts; In the case of need are attempts to prevent various functional and vital risks and increase the quality of life of the patient.

What is Adenoidectomy?

What Is Adenoidectomy?

Adenoid is a tissue that functions similarly to the tonsils and is located behind the nose. You cannot see your adenoid by looking at your throat like seeing your tonsils. It can cause some problems when the adenoid grows or inflammation on adenoid. If you need surgery for your child due to enlarged or inflamed adenoid, learning some information will alleviate your and your child's worries about the procedures of operation.

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Several symptoms can be seen if the adenoid grows. Your child may have one or more of the following symptoms:

  • Difficulty in breathing

  • Continuous breathing in the mouth

  • Nasal speech as nasal is all stuffed

  • Breathe noisily

  • Snoring during sleep

  • Hold your breath for a few seconds during sleep (sleep apnea)

If you suspect that your child is growing or having inflammation of adenoid in your child, contact your doctor.

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What happens during adenoidectomy?

No matter how simple it looks, every surgery is usually frightening for children and parents. By telling your child what to expect, you can help your child prepare himself. In the adenoidectomy:

  1. Your child will be slept under general anesthesia. This means that the surgery will be performed in an operating room and your child will be monitored by an anesthesiologist during surgery.

  2. Your child will sleep for about 20 minutes.

  3. The surgeon will take your child's adenoid out from child’s mouth. There is no need to make a deep cut for adenoidectomy.

Your child will be asleep in the recovery room. In the event of dyspnea or bleeding symptoms, it may be necessary to return to the operating room. Generally, the total length of stay in hospital is 5-10 hours.

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The most common complication is bleeding. Though it can sometimes be serious problems, this problem is rare with careful and attentive and proper patient follow-up.