Why Can Tonsillectomy And Adenoidectomy Operations Be Performed Together?

Adenoid and Tonsil Removal Procedures

 Tonsillectomy And Adenoidectomy Operations

Enlarged tonsil (tonsillary hypertrophy) in children with adenoid growth (adenoid hypertrophy) is also usually. In this case, snoring during sleep, sleep apnea, increased difficulty in breathing when lying on your back, night sweats, children may have symptoms such as incontinence.

Physical examination revealed adenoid hypertrophy and tonsil enlargement. Sleep test (polysomonography or snoring test) may be requested from children whose familial history does not describe apnea or snoring. In pediatric sleep apnea syndromes, the only cause is tonsil and adenoid hypertrophy, and adenoidectomy combined with tonsillectomy can remove the patient's complaints in a short time.

Two operations generally performed together'

In children with sleep apnea, adenoid hypertrophy is often associated with tonsillar hypertrophy. Therefore, it is natural that both operations are planned simultaneously. In both children with recurrent upper respiratory tract infection, performing both operations together is effective in reducing the number of infections and treating middle ear problems.

You can find detailed information about tonsillectomy surgery and the characteristics of different techniques in the link of Tonsillectomy in Istanbul

Adenoid hypertropy

Adenoid diseases, one of the most common problems in childhood, increase in parallel with upper respiratory tract infections, especially in winter. It can cause many problems ranging from sleep disorders to dental caries. It causes an increase in adenoid growth due to the more frequent illness of children especially in school. In addition to airborne viruses and bacteria, the adenoid is constantly exposed to allergens. In cases where the stomach fluid reaches the nasal passage, growth of the adenoid tissue can also occur.

Does your child sleep at night restless?

Adenoid is normally found in every child and produces cells we call antibodies that protect the body against microbes that reach the upper respiratory tract. In order for the adenoid to cause problems, it must reach the dimensions that will reduce air passage through the nose and / or close the mouth of the eustachian tubes ventilating the ear.

Symptoms of adenoid hypertropy

Adenoid hypertropy symptoms can be listed as the problems experienced by children (these symptoms may vary according to adenoid size):

• Difficulty breathing through the nose
• Continuous mouth breathing
• Speech
• Disturbance in the middle ear, and due to collapse, forced recurrent middle ear inflammation
• Wheezing
• Headache
• Cough, nasal discharge
• Sinusitis
• Snore
• Hold your breath for a few seconds during sleep (sleep apnea)
• Restless sleep
• Anorexia, growth and developmental delay
• Impairment of jaw and facial bones
• Urinary incontinence

Adenoid hypertrophy affects growth development in children!

The deterioration of sleep quality due to adenoid growth reduces the growth hormone secretion during sleep and the growth and development rates of children may decrease. However, these children breathing mouth changes the structure of the jaw and teeth, and more caries are seen. Adenoid growth in children during acute upper respiratory tract infections is a normal physiological response. Drug treatments are used in acute inflammations of adenoid. Antibiotics, painkillers, decongestant drugs, ocean water, intranasal steroids are preferred as drugs. Reflux treatment is also provided in children with reflux. Adenoid size should be investigated if there is one or more of the obstruction symptoms such as nasal congestion, open mouth sleep, snoring, middle ear inflammation and breathing in sleep that cannot be solved with drug treatments in children. If there is a narrowing of the airway as a result of the examinations, the decision is made for surgery.

How is Adenoidectomy Performed?

 Tonsillectomy Operation And Adenoidectomy Operation 

Not many techniques have been described for adenoidectomy operations except as originally described. Although endoscope-assisted techniques have been described, they have not been widely accepted. Adenoidectomy is performed under general anesthesia. When the patient's mouth is open, the nasal tissue located behind the soft palate is scraped with sharp curettes at the ends called adenotoma. It is not a curative surgery. Deep parts of the adenoid are usually left in place. Adenoid hypertrophy can be seen after adenoidectomy especially in children with allergic structure, frequently recurring infections, in crowded environments and living in smoking houses.

Adenoid Hypertrophy

The photo above shows lymphoid tissue that fills the back of the nasal cavity due to adenoid hypertrophy. Links to adenoid hypertrophy and adenoidectomy >> Adenoid Removal Surgery (Adenoidectomy Operation) Video / Enlarged Adenoids - Symptoms, Causes, Diagnosis and Treatment

Adenoidectomy video 1:

Adenoidectomy video 2:

Source links >>

- Critical Evaluation of Obstructive Sleep Apnea in School Going Children Before and After Tonsilloadenoidectomy
- Daycare adenotonsillectomy-Indications, complications and outcome
- Sleep Waves
- Variation in post-adenotonsillectomy admission practices in 24 pediatric hospitals

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

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