Adenoid Removal Surgery Video

Adenoidectomy Operation

In the above video, an adenoidectomy operation is performed in a patient who has adenoid hyperphrophy. This procedure, which is made in the mouth open position and inside the mouth, takes between 5-15 min. After the operation, patient's symptoms such as mouth open sleeping, nasal obstruction and decrease in sleep quality were disappeared.

How Does Adenoid Grow?

The adenoid is a lymphoid tissue located at the back of the nasal cavity. It is a member of the Waldeyer Lymph Node Ring. It is normally present at birth and continues to grow in children up to 5-6 years of age. In this period, the adenoid may enlarge due to many different reasons such as genetic predisposition, living in environments with polluted respiratory air, allergic structure, recurrent upper respiratory tract infections, exposure to cigarette smoke, living in a crowded environment, and the Eustachian tube and nasal functions may be negatively affected as a result of adenoid growth. is affected. It usually starts to shrink spontaneously after the age of 9.

Adenoid Hypertrophy Symptoms

In children with adenoid enlargement, many different symptoms may occur, such as sleeping with an open mouth, recurrent middle ear infections and ear fluid, and recurrent sinusitis attacks. In children with enlarged adenoids, many different symptoms such as sleeping with an open mouth, gum diseases, deterioration in sleep quality, sleep apnea symptoms, difficulty sleeping on their back, bad breath, and urinary incontinence at night may occur. Especially in children with recurrent and non-healing middle ear fluid, adenoid enlargement is considered in the foreground. Apart from this, the nasal effects can also be thought of as a trash can where the air entering our nose hits the particles and microorganisms on it, and there are many studies showings that the microorganisms that reproduce in the adenoid can cause otitis media. In other words, adenoids can turn into a microbe reservoir for otitis media.

Benefits of Adenoid Surgery

For these reasons, there are studies showing that adenoid surgery significantly reduces the frequency of middle ear infections, especially in children aged 3 years and older. There are many scientific studies showing that adenoid surgery reduces sinusitis attacks in children with recurrent sinusitis attacks. Adenoid surgery also prevents the occurrence of negative effects on jaw and facial development in children.

Adverse Health Effects of Adenoid Hypertrophy

Perhaps one of the most permanent and worst negative health effects of adenoid enlargement is its negative impact on the jaw and facial bones. Especially in children who sleep with their mouth open, the upper palate may develop deeper and narrower than normal, that is, in the form of a dome palate, and an opening may occur between the upper and lower teeth, leaving the lower jaw behind. It can cause an image called "adenoid face", in the form of a human face with an open mouth and poor perception when viewed from the outside. Treatment of dentofacial anomalies that may occur due to adenoid enlargement may require different jaw interventions that take a long time. Especially in children with extremely large adenoids, the above-mentioned symptoms may be excessive. If the child is kept waiting for a long time instead of performing a simple procedure that takes a few minutes, such as adenoid surgery, the jaw and facial bones may be affected.

Adenoid Growth Can Cause An Increase in the Frequency of Open Mouth Breathing and Lower Respiratory Tract Infection!

Normally, our nose works like a machine that filters, heats, purifies and pressurizes the outside air, making it suitable for the lungs. In children with adenoid enlargement, the occlusion of the back of the nose causes the patient to have to breathe through the mouth. In this way, microorganisms in the ambient air, especially in crowded nursery environments, by mouth breathing of children, reach their tonsils and lower respiratory tract more easily and cause infection. In other words, tonsil infections and lower respiratory infections can be seen more frequently in children with adenoid enlargement.

How is Adenoid Surgery Performed?

Adenoid surgeries are performed under general anesthesia. After a metal retractor is placed inside the mouth, the patient's soft palate is lifted with the help of simple plastic probes and the adenoids are scraped out. Although there are not many different techniques, there are endoscopic techniques for adenoid surgery and various devices developed for bloodless adenoid surgery, but there are various devices developed for adenoid surgery. The location is quite deep and it is not possible to remove all of the adenoid tissue as in tonsil surgeries.

The Cost of Adenoid Removal Surgery in Istanbul

The cost of adenoidectomy operation is between 1500-2500 us dollars on average in Turkey. Although the price varies according to the hospitals, the operation fee may increase when a ventilation tube is inserted into the eardrum or a tonsillectomy operation is performed.

Can Adenoidectomy Be Performed Under Local Anesthesia?

Adenoids are in the nasal region and it is not easy to reach this region even if the patient waits with the mouth open. After putting the patients to sleep under general anesthesia, placing an automatic retractor by opening their mouths, and elevating the soft palate with a nasogastric tube, the adenoid can be reached and it is very difficult to do all of them without general anesthesia.

Patient Care After Adenoidectomy

After sdenoid removal surgery, the first 4 hours are required for awakening from anesthesia, after which patients can start eating and drinking. Generally, it is ideal to be fed with a soft warm diet that is not hot for the first 3-4 days. After the procedure, a small amount of drip-like bleeding may come from the front of the nose and from the nose. In the first hours after the operation, soft palate edema will increase and snoring may occur. After the first week, recovery is largely completed.

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Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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