Adenoidectomy

Adenoidectomy, the image from the site http://health.enotes.com

Most often, parents concerned about the issue of having to carry out the operation. Fear and excitement is both the fact of surgery, and all that is associated with it — the possible complications, anesthesia during surgery, etc.

Adenotomija (adenoidectomy) is the only effective treatment for adenoids. This operation should be carried out as early as possible after diagnosis, but it should be noted, only when indicated.

Do I need surgery?

There is no medicine, "drops" and "pills" of medical procedures and the "conspiracy" that could save the child from adenoid growths. Convince the parents is often very difficult. Parents somehow do not take such a simple fact that adenoid growths — it's anatomical education. It is not edema which may appear and disappear, not the accumulation of fluid that can "disappear", and quite took shape "body part", such as an arm or a leg. That is, "what has grown — it has grown," and do "it" is not going anywhere.

Another thing, when it comes to chronic inflammation of the adenoid tissue, which is calledadenoiditis. Typically, this condition is associated with an increase adenoid tissue, but not in all cases. So, in pure form adenoids be treated conservatively. The operation should be performed only when all therapeutic measures have been ineffective, or in the case of a combination of adenoiditis and adenoid vegetations (adenoidectomy).

The children are very often a parallel growth of the tonsils and adenoids (glands). In this situation, the most effective treatment is also surgery.

Anesthesia

Not so long ago, when there was no effective means of anesthesia, all patients adenotomy were performed without anesthesia. Therefore, parents often worry about this, referring to the fact that they or their friends adenoids removed "without anesthesia."

Currently, there are many ways of pain relief. As for the western ENT surgery, then there are all performed under adenotomy general anesthesia (anesthesia).

Most of the Russian clinics are now taken over by the experience. Of course, holding adenotomy under anesthesia for the child appropriate. He closes his eyes and when he opens them,operation already been done. However, we must not forget that any anesthesia may be accompanied by various complications.

Another type of anesthesia — local anesthesia. Calibration is done by greasing or spraying on the mucous membrane of the throat painkillers. The method is effective — the pain is completely removed. The disadvantage of local anesthesia is the fact that during the operation the child is conscious and perceives all that is going on. Often, at the sight of blood, he gets scared and crying, which may adversely affect the psyche. It is therefore recommended to supplement local anesthesia by intramuscular administration of sedative drugs — in this case, the child is conscious, but drowsy or asleep, which helps to mitigate the trauma.

Basically adenotomy can be carried out without anesthesia. And there is a physiological explanation. The structure of adenoid tissue is such that there is no pain nerve fibers — a man can stab into the amygdala, and he will not feel pain. However, it is not necessary to conduct such experiments — if possible, anesthesia should be performed.

The postoperative period

In the evening after surgery or the next morning, the child may have a fever. As a rule, it does not exceed the mark of 38 degrees. In order to bring down the temperature, do not use any products containing aspirin (acetylsalicylic acid) — they can cause bleeding.

After surgery, you may experience one or two times vomiting blood clots. Sometimes there are moderate abdominal pain or stool disorders associated with that baby during the operation "swallowed" the blood. These symptoms rapidly.

In most cases, after the operation there is a noticeable improvement in nasal breathing, but in the next few days may cause the child nasally, nasal congestion, "squelch in the nose." This is due to the presence of postoperative swelling of the mucous membranes, which falls to10th Day.

Child care after adenotomy

After a period of one month should be excluded exercise. For at least three days, the child should not bathe in hot water. It should also limit exposure to direct sunlight, in a hot and stuffy rooms.

Within 3 — 10 days (depending on the doctor's instructions) should follow a diet. At the same time of the child's nutritional eliminate rough, hard and hot food. The advantage should be given to the liquid, but enough calories and rich in vitamins food.

For better healing of the wound appointed nose drops. For at least five days apply osudosuzhivayuschie drops (naphazoline, tizin, nazivin, glazolin, Sanorin, ksimelin, nazol, etc.), as well as solutions that provide astringent and "podsushivayuschee" effect — Protargolum, collargol etc. The latter should not bury least 10 days.

Recommends a breathing exercises, on which you advise ENT doctor.

Can adenoids grow back after surgery?

Unfortunately, relapse (re-growth of the adenoids) are quite common. It depends on several factors, the most important of which are listed below:

  • The most important thing — it's the quality of the operation. If the surgeon does not completely remove adenoid tissue, even from the remaining "millimeter" may re-expansion of the adenoids. Therefore, the operation should be carried out in a specialized children's hospital (hospital) a qualified surgeon. Currently, the practice is implemented endoscopic removal of adenoids, which allows for a more complete removal of the adenoid tissue.
  • The earlier held adenotomija, the higher the likelihood of recurrence. It is better to conduct adenotomy in children after three years. However, with absolute indications surgery is performed at any age.
  • Most often relapses occur in children who suffer from allergies.
  • There are children who have individual features, characterized by high growth of adenoid tissue. In this case, nothing can be done. Such features are laid genetically.

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