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Adenotomy - third tonsillectomy in a child - is it necessary?

Adenotomy - third tonsillectomy in a child - is it necessary?


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When the child opens his mouth, palatine tonsils can be clearly seen inside the throat. But right behind them, invisible to the eye, is third almond, called guttural. Tonsils are designed to "collect" germs and produce antibodies that increase immunity. And as soon as an infection occurs, the tonsils grow larger to protect the body even more and then return to normal size.

Where is the third almond?

The third almond is invisible to the naked eye primarily because of located in the nasopharynx. It is most visible in children (from 6 weeks of age), undergrowth and usually disappears before the child turns 8 years old.

It also happens that the third almond overgrows in a pathological way (by multiplying bacteria) and sometimes it is necessary to remove it Adenoidectomy. A child usually has trouble breathing through the nose, often suffers from throat (angina) infections, otitis, chronic runny nose and antibiotic treatment brings improvement for a short time. The main cause of tonsil hypertrophy is precisely recurrent infections as well as allergensthat irritate the tissues inside the throat. The doctor then suggests to cut out the enlarged almond. Sentences on the removal of the third almond are divided, therefore often the final decision belongs to the parents.

What is the adenotomy procedure?

Adenotomy it surgery tonsillectomy performed as part of the National Health Fund or in private clinics for around PLN 2,000. It is usually carried out on children who have they are 3 years old and have visible indications.

Used for the procedure local (less often) or general anesthesia, it all depends on the child's age, physical and mental health. The whole procedure is short, about half an hour, usually the throat almond is cut off with a special device - an adenotome, followed by bleeding, which often stops spontaneously.

The child remains in the hospital after surgery usually daily so that you can control your bleeding and possible complications. 8 hours after the procedure, it can be given to the child summer liquids and easily digestible solid foods the next day. Complications after surgery they are very rare, usually bleeding, surgical trauma to the palate, tongue and eustachian tubes, there may also be edema and keloids that narrow the nasopharynx.