Adenoid

Adenoid

Adenoid

The cluster of spongy lymphoid tissue located between the nose and throat, just behind the nasal cavity, on the roof of the mouth and in the area called the nasal cavity (nasopharynx) is called adenoid.

The adenoid produces antibodies necessary to clean bacteria and viruses in the air taken through the nose, prevents viruses and bacteria harmful to the body, acts as an early warning system for the immune system, and as a natural result of these, protects babies and children from diseases.

Adenoids work together with tonsils and tonsil tissue to form a protective lymph ring against viruses, bacteria and toxins that try to enter the body through respiration and digestion.

In parallel with the child’s development, the immune system develops different defence mechanisms to protect itself. For this reason, the adenoid, which has a weaker defence and sensitive structure, usually starts to shrink after the age of 5 and disappears completely in later ages.

Adenoid, which is an important defence system that protects the body and the immune system against viruses, bacteria and toxins in the inhaled air, may grow or become inflamed more than usual due to genetic and allergic reasons. The adenoid reaches abnormal dimensions and tissue increase occurs is called adenoid hypertrophy (adenoid hypertrophy / adenoid vegetation). Adenoid enlargement and infection begin to occur in infants after 6 months of age and affect children between 2 and 8 years of age. The enlarged adenoid blocks the path of the inhaled air and makes breathing difficult. Adenoid infection turns the adenoid, which is actually a defence system, into a potential disease agent with the bacteria and viruses it contains.

How is adenoid treatment?

In order to diagnose adenoid enlargement , firstly; Physiological examination of the ear, nose and throat area is performed. Radiographic or endoscopic monitoring can also be performed if necessary.

After the diagnosis and diagnosis of adenoid enlargement or infection, the first type of treatment applied is medical treatment with medication. Antibiotics, antihistamines, decongestants, painkillers and nasal sprays are used to suppress inflammation and provide healing. However, this treatment method should not be prolonged and should not be insisted on in order to avoid side effects of the medication used.

If no results are obtained with medical treatment and problems persist, surgery is decided since adenoid begins to pose a threat to the immune system.

In which cases is adenoid surgery decided?

If adenoid problems such as recurrent or persistent growth and / or inflammation are frequently experienced and no results are obtained with medical treatment, it is decided to perform adenoid surgery (edonoidectomy). Since there are other tissues and structures in the immune system that fulfil the function of the adenoid, removal of the adenoid does not collapse the immune system. However, if left untreated, adenoid will pose a threat as a major source of disease.

Especially breathing difficulties, adenoid infection that recurs frequently and does not respond to medication, sleep apnoea, speech impairment, heart failure, developmental disorders in the teeth and jaw area, In cases such as tumour diagnosis, surgical intervention should be performed without wasting time.

 

Frequently Asked Questions

How long does the healing process take after adenoid surgery?

The healing process usually starts within a few days. Full recovery may take several weeks. It is important to follow the surgeon’s instructions.

Are the results of adenoid surgery permanent?

Usually yes, the results of adenoid surgery are permanent. However, in some cases it is possible for adenoid enlargement to recur.

At what ages is adenoid surgery performed?

Adenoid surgery is most commonly performed on children between the ages of 2-7 because the adenoid is most active and largest during this period. However, if complaints have reached serious levels, adenoid surgery can be performed from the age of 1. The adenoid naturally begins to shrink towards puberty, so adenoid surgery is rarely needed in adults. When deciding on the age for surgery, the severity of the child's complaints, growth and development status, and ear problems are taken into consideration.

How should nutrition be after adenoid surgery?

Give your child cold and soft foods on the first day after adenoid surgery. Ice cream, pudding, yogurt, cold milk, and fruit puree are ideal. Avoid hot, spicy, and hard foods for a few days because these can irritate the nasopharyngeal area. Plenty of fluid intake is very important; water, cold fruit juices, and ayran can be given. Since adenoid surgery is more comfortable compared to tonsil surgery, children can usually return to their normal diet within 2-3 days. It is recommended to avoid using straws in the first days.

Does the adenoid grow back after adenoid surgery?

Regrowth (recurrence) after adenoid surgery is rare but possible. The adenoid may regrow especially in children who had surgery at a very young age and in children with an allergic predisposition. The regrowth rate is approximately 5-10%. Complete removal of the tissue during adenoid surgery reduces this risk, therefore surgeries performed with endoscopic technique are more successful. If the adenoid grows back and causes serious complaints, adenoid surgery can be repeated.
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