Removal of tonsils, glands and adenoids in a child. The period after removal

The removal of glands and adenoids helps to save the child from night snoring, apnea, otitis media, constant nasal congestion and sore throat. The operation can be carried out both under general and local anesthesia.

In the distant past, there were surgery to remove the glands and adenoids “for live”, made under the frightened cries of the operated, without any anesthesia. Modern adenotomy and tonsillotomy are safe effective surgical manipulations that make it possible to greatly facilitate the life of the child.

Indications for the removal of glands and adenoids

The main indication for the removal of the glands and adenoids is their chronic hypertrophy. Children with overly enlarged tutorials and adenoids suffer from frequent respiratory viral diseases, nasal congestion, chronic runny nose, diseases of the throat and otitis media. Adenotomy is also carried out in case of hearing deterioration and the accumulation of fluid in the ears.

Important: the body of the child with hypertrophied tonsils lacks air, which simply cannot enter the required quantity. The kid is trying to get more oxygen, so he breathes through his mouth. Such breathing is very dangerous, since it can provoke the development of laryngitis, tonsillitis, pneumonia and a number of other serious diseases.

The portrait of the child, which shows the operation to remove the tonsils, is very sad: open mouth, pallor of the skin, an oblong puffy face, unemotionalism, meager facial expressions, narrow upper jaw, curved upper teeth. Specialists call this type of face adenoid. In half of the children similar to the portrait described, there is a delay in mental development, which appears due to oxygen deficiency in the brain.

IMPORTANT: Operation to remove tonsils is carried out at any age. Usually doctors prescribe adenotomy and tonsillotomy if conservative treatment has not brought positive results.

Adenoids of the 1st degree in a child

Adenoids of the 1st degree are characterized by insignificant growth. At this stage, adenoids grow only by a third of the possible volume and also allow air to freely penetrate the body. The holes through which the nose are communicated with a throat are closed less than half. This allows the child to breathe normally with his nose throughout the day and only during night sleep there is a snoring or noisy breathing. A child with an open mouth is sleeping.

Important: adenoids of the 1st degree do not require surgical treatment, except when they cause hearing problems.

Adenoids 2 degrees in a child

The second degree of exposure of adenoids is indicated when the child has mainly rotary breathing, and nasal breathing is very difficult. At night, the baby snores strongly, sometimes attacks of apnea with long holdings of breathing appear. The 2nd adenoids cover the holes that pass the air more than half. Parents can detect the disease on their own, and their suspicion should confirm the Opolaryngologist.

Important: adenoids of the 2nd degree can be tried to cure with medicines. To reduce them, doctors prescribe hormonal and homeopathic remedies. If the treatment has not given positive results, adenoids are removed.

Adenoids of 3 degrees in a child

Adenoids of the 3rd degree are characterized by the maximum possible growth of lymphoid tissues. They completely overlap the holes through which the air should flow. Symptoms in adenoids of the 3rd degree are much more pronounced than in adenoids of the 2nd degree.

Important: adenoids of the 3rd degree are not treated with conservative methods, but removed through surgery.

Increased adenoids in a child. Adenoid hypertrophy in children

In most cases, enlarged adenoids are a consequence of frequent colds. Adenoids and tonsils together play the role of the so -called protective barrier in the body of the child. During illness, the tonsils increase in size in order to more effectively beat the attacks of viruses.

If the child every now and then picks up new infections, the tonsils simply do not have time to return to normal. Increasing with each disease more and more, adenoids grow so much that they themselves become a focus of infections.

Symptoms of overgrown adenoids in a child

Symptoms of hypertrophied palatine tonsils in a child include:

• chronic or frequent runny nose
• snoring in a dream, apnea
• difficult nasal breathing
• ajar mouth
• a nasal voice
• hearing deterioration
• restless sleep
• adenoid type of face
• frequent colds

Important: if a child has a holding of breathing in a dream, a sharp deterioration in hearing or pain in the ears should immediately contact a children's lorus.

Symptoms of adenoid inflammation in children

Adenoids in children can be inflamed periodically or constantly in an inflamed state. In this case, body temperature may vary from 37, 5 to 39.5 ° C. The child complains of a burning sensation in the nasopharynx, a strong nasal congestion. Sometimes, pain in the ears, fatigue, and loss of appetite are added to general symptoms.

Night sleep is often interrupted by seizures of strong cough, while mucus and pus from the nasopharynx enters the respiratory tract.

Important: against the background of inflamed adenoids, allergies can develop in a short time.

How do adenoids remove in children?

Removal of adenoids is the most common surgical operation in children of preschool and primary school age. Can be carried out as under local (traditional adenotomy), and under general (endoscopic adenotomy) anesthesia.

For traditional adenotomy The doctor drips a solution of lidocaine or other analgesic drug into the child’s nose. The child is seated on a chair and tightly fixed his arms and legs. The doctor quickly cuts out adenoids with a special tool, but he acts at random due to the inability to see the operational zone.

The advantage of conducting adenotomy under local anesthesia is the minimum time spent on the operation and the exclusion of risks associated with the introduction of general anesthesia.

However, the method has significant disadvantages, among which:

• frighten the child from the type of blood
• serious violation of the psyche of the child
• the risk of damage to the teeth or soft tissues of the nasopharynx during surgery
• the likelihood of a relapse of the disease due to incomplete removal of adenoids

Important: adenoid tissue has no nerve endings, so the child will not feel pain even without pain relief.

Endoscopic adenotomy under general anesthesia guarantees the complete removal of adenoid growths and enables the surgeon to do their work qualitatively.

Important: it is necessary to prepare for the operation under general anesthesia and undergo a number of examinations. A few days before the operation, the anesthesiologist provide the results of a general blood and urine test, a blood coagulation analysis, and ECG of the child. You also need to obtain permission for surgery from a pediatrician and a children's dentist.

General anesthesia provides complete loss of consciousness and insensitivity to the manipulation of a doctor. In order to maintain air flow through the respiratory tract, an intubation tube or mask is used.

Endoscopy allows you to go around bleeding in time, treat the operated area with a laser. In order to cut out the overgrown lymphoid tissue, the surgeon uses a circular scalpel or microdebrider - a shaver tool that is inserted into the nasopharynx cavity and begin to work.

Important: excision of the tonsils is carried out quickly, the total time of the operation usually does not exceed 20 - 25 minutes.

The child departs from anesthesia under the supervision of an anesthesiologist for about 30 - 40 minutes. Then the baby is transferred to the ward to his mother. There he is resting or sleeping for several hours. The doctor assesses the condition of the child, examines him and, in most cases, lets go home.

Removing adenoids in children with a laser

Laser adenotomy is carried out to remove small adenoids. The essence of the procedure is that instead of a scalpel in the hands of the surgeon there is a laser, the beam of which is the necessary manipulations.

The removal of adenoids with a laser can be coagulation or valorization. In the first case, growths are immediately removed completely, and in the second - in layers.

The advantages of the method of laser adenotomy include:

• quick painless recovery after surgery
• minimum tissue injury
• good quality of work
• low probability of relapse

The disadvantage of this type of adenotomy is low effectiveness for large adenoid growths.

The postoperative period after the removal of the glands and adenoids in children

The postoperative period primarily depends on the type of operation and on the characteristics of the child's body. If adenotomy was performed under local anesthesia, the postoperative period, which will require medical support and observation, is several hours.

During the operation under general anesthesia, the child departs from anesthesia and is under the supervision of a doctor until the evening. If there are no complaints and complications, then on the same day a small patient is released home.

Important: the only unpleasant postoperative moment is a high probability of a child’s discharge from a bloody mucus from his mouth or nose.

It is advisable to observe the home regime from 2 weeks to a month, despite the fact that the condition of the child is completely normalized on the third or fourth day. It is necessary to avoid children's groups for so long as to give children's immunity to completely recover.

A few weeks after surgery, the child is limited in physical activity and fed mainly difting dietary food.

Important: after the operation, a slight increase in body temperature, weakness, lethargy and sore throat is possible. But all these symptoms disappear in a few days, and the child continues to live an ordinary life.

What to do if the temperature has risen after the removal of adenoids in children?

A slight increase in body temperature after surgery (usually from 36.8 to 37.8 ° C) is considered the norm. The fever above 38 ° C should immediately inform the doctor who performed the operation. He will examine the child, determine the cause of the high temperature and prescribe the necessary treatment.

In no case should the temperature be shot down with preparations containing aspirin. This drug greatly changes the structure of the blood, liquefying it. Having offered the child a tablet of aspirin, you can provoke the appearance of severe bleeding. To normalize body temperature and eliminate pain, Nurofen (ibuprofen) is used.

Important: the treatment of diseases that occurred in the postoperative period and are accompanied by an increase in body temperature should be carried out only under the supervision of a doctor.

The consequences of the removal of tonsils, glands and adenoids

The consequences of the removal of glands and adenoids are more positive than negative ones. The child begins to breathe well with his nose, as soon as the edema falls, the night snoring stops, apnea retreats. A few weeks later, nasal disappears from the voice.

The number of colds is reduced, and those that the child still get sick pass quickly and without complications. Otit and sore throat end. The child visits children's groups without risk in a short time to “pick up” another infection.

The appearance of the negative consequences of the operation can be discussed in a two -week postoperative period. At this time, it is possible to increase body temperature, pain and discomfort in the throat, fatigue. If the operation was carried out under local anesthesia, and the child was very scared, he can wake up for some time at night and cry.

Removal of tonsils, glands and adenoids: tips and reviews

Barbara: Last week, adenoids and part of the glands were deleted by my daughter (4.5 years). The operation took place under general anesthesia. It all started with the fact that his daughter began to worsen his hearing. When we got to the reception to the ENT, I was dumbfounded. According to the results of the audiogram, he determined that hearing is reduced due to the constant presence of water in the ears. If you do not carry out an urgent operation to remove adenoids, the situation may worsen up to the full loss of hearing. In addition, after the sore throat transferred to 2 years, the daughter increased greatly and remained like that forever. They almost completely overlapped the clearance in the throat. The doctor also decided to conduct partial tonselotomy. The operation took place quickly and without complications. An anesthesiologist brought his daughter to the chamber, spoke about the features of departure from anesthesia. My daughter just slept for several hours, then woke up and asked for drinking. At that time, while she moved away from anesthesia, an anesthetist and the doctor who performed the operation looked into the chamber every now and then. They completely controlled the condition of the child and gave recommendations. In the evening we were released home. Already on the first night after the operation, my daughter breathed very quietly in a dream. I was even scared. I listened all the time to her breathing. A few days after the operation on the recommendation of the doctor, I gave my daughter Syrup Nurofen for anesthesia. The temperature at this time increased slightly, to 37.5 ° C. I really hope that after this operation, the daughter will cease to hurt as often as it was before.

Marina: At 5, my daughter spoke very poorly. Despite the fact that she dangled constantly, it was almost impossible to make out the words. On the advice of a friend, I turned to Laura, who explained to me that we had problems with the speech due to overgrown adenoids. The doctor recommended adenotomy. We handed over the necessary tests and went to the operation. Anesthesia was common. I immediately worried about this, but later I never regretted the decision to do the operation precisely under general anesthesia. My daughter did not even understand where she was and what was happening to her. The postoperative period passed easily and quickly. I did not notice any negative consequences of anesthesia.

Katya: The son of adenoids under the local anesthesia at 9 years old was removed. Before that, he often hurt colds and snored at night. The operation is simple, after 2 hours we were released home. The son did not cry, although he well understood where and why we were going. After the operation, the constant congestion of the nose disappeared, the son ceased to hurt. I am very glad that we still had surgery. I only regret that I did not dare to do it before.

Removing tonsils - A simple surgical operation, which is carried out every fourth child. Do not avoid removal of adenoids or glands if they noticeably worsen the health of the child. Only by saving the baby from constant runny nose, colds and otitis media, and parents and the child will finally breathe calmly.

Video: Do \u200b\u200bchildren need to remove adenoids?