Adenoids - is an enlargement of the glandular tissue of the nasopharyngeal tonsil. They are located behind the wall of the facial skull: at the level of the back of the nose, extending to the upper sky.
Adenoids are a glandular tissue that does not perform any functions. They are similar to warts that do not have receptors, do not pass the air, do not have sweat and sebaceous glands. With enlargement, the glandular tissue fills the nasal passages, preventing normal gas exchange.
The removal of adenoids must be done before the period of puberty, otherwise deformation of the cranial box will occur. A child who can not breathe in the nose, is prone to colds. Her nose moves are in a state of constant inflammation. The patient has a strong snoring that is not typical for a person aged three to fourteen.
The timely removal of adenoids hinders intellectual retardation, as the adenoid "curtain" completely blocks the access of oxygen to the brain. The child breathes only through the mouth, and the upper nasal sinus is excluded from the gas exchange.
According to experts, the removal of adenoids should be carried out as soon as possible, but after three years of life. An operation conducted in childhood is not so effective, and is conducted on vital indications.
The classic removal of adenoids
Before removing adenoids, a patient must be prepared for surgery. To do this, you need to exclude all contraindications, which are the following states:
- Hemophilia and other blood diseases that lead to a delay in coagulation;
- Tuberculosis of the lungs and mucous membranes;
- Diabetes mellitus in the stage of decompensation;
- Active infectious process in the lymphoid pharyngeal ring;
- Hemolytic streptococcus.
Before the removal of adenoids is performed, acute painful conditions of the child are cured, and chronic ones are translated into a stage of reliable remission. In addition, it is necessary to carry out a sanitation of the oral cavity, removing or clogging carious teeth.
For three days before the operation the child prescribes hemostatic remedies. For this purpose calcium gluconate is prescribed. Intravenous administration of calcium preparations is based on strict indications at baseline low blood coagulation.
Removal of adenoids is performed in the morning on an empty stomach - in case of possible complications, for which anesthesia will be required. The glandular tissue has no pain receptors, so the use of general anesthesia is unjustified. The artificial state of the narcotic coma can be much more dangerous than the operation for adenectomy.
For children with labile psyche an anesthetic aerosol is used, the so-called "freezing" of the throat mucus.
Like many years ago, the removal of adenoids is made by a Beckman ring knife, which has several sizes: from the first to the fifth. The knife is a sharpened loop on the handle.
Before surgery, the surgeon checks the ends of the loop. They do not have to be sharp like a razor, but slightly blunt. It is necessary in order that the glandular tissue does not tear apart, but slightly ruptured. With such technique, the removal of adenoids occurs almost without bleeding.
The spatula presses the tongue to the lower sky than Beckman is inserted into the mouth to the coulter (the bones of the facial skull, which restricts the nasopharynx from behind), then with one surgeon's movement on itself and down, the adenoid tissue is cut off. The knife is displayed along with the cut adenoids. The patient removes cotton swabs from the nose. After that, the child makes a deep breath through the nose.
In the first day after the removal of adenoids, the patient is not recommended for solid food, seeds, chips and all other substances that irritate the mucous membrane of the oral cavity. Bleeding after adenectomy is usually minor or absent at all.
Since the growth of the nasopharyngeal tonsil is to some extent dependent on hereditary predisposition, the parents, who had been removed adenoids, give positive feedback. They were doing the "live" operation! While for their children, adults want better.
Relatives often ask children to remove adenoids, while anesthesia should be "adequate". That is, general. However, glandular tissues of the nasopharyngeal tonsil have no nerve endings. Submission of short-term anesthesia (operation takes 2-3 minutes) disables the area of the brain.
According to psychiatrists, a patient who has undergone three general anesthesia can not be considered an adequate person.
In this regard, during the removal of adenoids, anesthesia while limited to local effects on the mucous membrane of the nasopharynx. Regional anesthesia, the purpose of which is pain relief due to the "disconnection" of certain nerve beams, is carried out by injection of anesthetic. Such a procedure is in itself more painful than the removal of adenoids in whatever way.
Removal of adenoids by laser
This is the best method, because it does not cause complications practically. Important is the right choice that suggests to the parents of patients. Using the latest technology in an operation such as removing adenoids with a laser can pursue different goals. Or complete deletion, as in the classical surgery, or "smoothing" the adenoids. This is done using a vaporization method, but not a laser knife.
Typically, the removal of adenoids by vascular vaporization involves repeated interventions, since not completely removed glandular tissue quickly regenerates.
The classic method of removing adenoids is effective by one hundred percent, regardless of the tools used.