Remove adenoids or hold off?
The third tonsil. What role does it play in the body?
Can adenoids affect a child’s academic performance?
The operation is done. Is further treatment necessary?
… A child’s mouth is always half open. He does not close it in a dream, sniffles, snores, often wakes up and gets up in the morning lethargic, with a headache. An experienced doctor, even in appearance, may suggest adenoids.
Adenoid tissue, or the third tonsil, is present only in children. It develops by about 3 to 6 months, after 12 years it begins to decrease gradually, by 16 – 20 years it becomes almost invisible, and at an older age it is already completely absent.
What role is nature intended for this tonsil? According to the otolaryngologist V. I. Voyachek, the third tonsil, entering the pharyngeal ring, creates an additional barrier for pathogenic agents, filtering the air inhaled through the nose, and thereby protecting the larynx, bronchi and lungs.
But this is only as long as its size remains normal. Under the influence of frequent infectious diseases that cause an inflammatory reaction of lymphoid tissue, the third tonsil can grow and close the entrance to the nasal cavity. Then the child begins to breathe through his mouth. An enlarged tonsil not only ceases to be a barrier to the pathogens of respiratory diseases, it is. on the contrary, it provokes them, as pathogenic microbes begin to accumulate in its folds and furrows. Such a center of smoldering infection threatens with fire every minute – and indeed, tonsillitis, tracheitis, bronchitis become the adenoid satellite. The child’s ears often hurt, he is chased by a persistent runny nose.
A prolonged violation of nasal breathing worsens the supply of oxygen to the body, and this affects not only the well-being, but even the child’s performance: it becomes distracted, inattentive. In addition, when growing, adenoid tissue often clogs the auditory tube, because of this the ventilation of the middle ear is disturbed and hearing is impaired, suppuration from the ear may appear.
In a child who constantly breathes through his mouth, the facial skeleton does not develop correctly: the lower jaw sags, the upper jaw is compressed as if. which violates the process of tooth formation. The upper incisors begin to protrude forward.
And few people know that even the development of the chest, even the bends of the spine can vary depending on improper breathing. This is how far the negative influence of the enlarged third tonsil extends.
Of course, all these changes do not occur immediately. And it is clear that the sooner help is provided to the child, the more accurately they can be warned.
As a rule, treatment is surgical – overgrown adenoids are removed. Hearing from the doctor that an operation is needed, parents are usually upset. And in every possible way they try to postpone the unpleasant moment when it is necessary to lead the child to the otolaryngologist. And waiting is only to the detriment.
I can assure you that the operation is a little painful and technically simple. Anesthesia is used, and this is also a completely harmless way: the surgical field is lubricated with an anesthetic solution or instilled into the nose, and then the doctor inserts a special instrument into the child’s wide open mouth, capturing the enlarged tonsil, one movement and a “gag” that prevented breathing, which brought so much troubles, deleted!
But, like every operation, the removal of adenoids requires preparation. You need to visit a dentist with your child and if you have bad teeth. be sure to cure them. A blood coagulation test is pre-prescribed. If it is lowered, the doctor usually prescribes vitamin K in tablets. Take it for three days, one tablet three times a day.
After the operation, the child needs to create a bed or at least half-bed regimen for 3 to 4 days. Make sure that he does not overheat, do not give him hot tea, hot milk. Food should be cold or warm. The first days, let the child eat cereal. jelly, mashed vegetables and fruits, ground meat. Some children, even after surgery, are no longer required, but out of habit, continue to breathe through their mouths. This must be followed.
The third tonsil does not have a capsule, it is not sharply delimited, but gives tongue-like outgrowths to the underlying tissue. Therefore, the complete removal of adenoids is impossible and in some children over time they grow again. To prevent such relapses, it is very useful before and after the operation to conduct a course of anti-inflammatory treatment. The doctor usually prescribes irrigation of the nasopharynx with various medications. It can be carried out at home, using a special manual sprayer for liquid medicinal substances. Such dispensers are sold in pharmacies. Using them is simple. Do not forget to just warm up the medicine.
Anti-inflammatory treatment is not a substitute for surgery. Only in cases where the adenoids are enlarged slightly and do not have a negative effect on the body (or there are contraindications for surgery). the doctor may limit himself to such treatment.