Adenoid tissue, also known as pharyngeal tonsil, is a body
tissue located between the nose and the throat that resembles a cluster of
grapes in shape. If it grows continuously or becomes inflamed, it may require
surgical removal. It’s called Adenoidectomy.

Adenoid hypertrophy, which is commonly seen in children,
does not recur after surgery. There are other tissues in the body that perform
the same function. This, called adenoid, belongs to the immune system, similar
to lymph nodes. It is responsible for capturing viruses and bacteria that enter
through the nose and fighting against them by producing antibodies. For
adenoids to cause problems, they need to grow large enough to obstruct the
airflow through the nose or block the openings of the Eustachian tubes in the
ears.

In addition, the presence of adenoids can contribute to
increased illness in children due to the proliferation of bacterial layers.
When children experience frequent discomfort or when adenoid enlargement or
inflammation is observed, surgery is recommended as an option. In some cases,
treatment can start with antibiotics. If there is no inflammation in the area,
the specialist may suggest waiting for a period before intervening since minor
size changes in this tissue are considered normal.

Moreover, scientific studies have shown that conditions such
as reflux and allergies play a role in adenoid enlargement. Children with
pathological acid reflux in the stomach and throat are known to be at higher
risk. Therefore, during periods of intense allergies, it can be expected for
this tissue to develop further. Adenoid enlargement can adversely affect sleep
quality and hinder the release of growth hormones during sleep, posing a
significant obstacle to early childhood development.

What are the Symptoms of Enlarged Adenoids?

Enlarged adenoids, a problem caused by the abnormal growth
of the pharyngeal tonsil tissue, typically occur in children but can rarely
appear in adults as well. The commonly known symptoms include:

•      
Difficulty breathing through the nose.

•      
Nasal speech.

•      
Snoring during sleep.

•      
Mouth breathing.

•      
Sleep apnea.

If a person suspects symptoms of enlarged adenoids, it is
important to promptly consult an otolaryngologist. The correct diagnosis can be
made with an examination and necessary tests, and this problem can be easily
resolved.

How is Adenoidectomy Performed?

Adenoidectomy is a surgical procedure performed to reduce
the size or completely remove the adenoid tissue without requiring any
incisions. Prior to the operation, the specialist provides information to the
patient regarding how the procedure will be carried out. It is generally
performed under general anesthesia for the comfort of the individual. The
anesthesia team determines the appropriate anesthesia method for the patient.
Additionally, fasting for a specific period of time may be necessary before the
treatment.

During the surgery, the specialist needs to gain access to
the nasopharyngeal area to remove or reduce the adenoid tissue. They may choose
either the nasal or oral route for this purpose, depending on the size of the
adenoids. Inserting a small instrument or an endoscope into the nasal passages
allows for visualization. This method is shorter and less invasive. Adenoids
can be removed within a short period, around 20 minutes, through the oral
route, which is quite comfortable for children.

After the removal or reduction of the adenoids, the
specialist ensures the control of bleeding and cauterizes any bleeding vessels
if necessary. Then, the treated area is carefully cleaned, and the procedure is
completed. Children may be observed for a few hours after the surgery. It is
crucial to pay attention to oral and nasal hygiene and follow the instructions
regarding the recovery process once at home.

Adenoidectomy is generally a successfully performed
procedure. However, like any surgery, it carries some risks. Possible
complications may include bleeding, infection, voice changes, alterations in
nasal structure, and a decrease in sleep apnea. These are not significant
concerns, as the specialist's assistance can help the patient overcome these
side effects.

Recovery Period after Adenoidectomy

After adenoidectomy, the specialist explains the precautions
that need to be followed to speed up the recovery process and prevent
complications. Rest and sufficient sleep are especially important for children.
Rest should be prioritized to aid the body's quick recovery. Mild pain, nasal
congestion, and throat discomfort are normal occurrences. Pain relievers or
relief methods recommended by the specialist can be used. Applying cold
compresses, using nasal sprays, or using moisturizing solutions are among the
options.

Soft, easily chewable foods should be preferred during
meals. Hot, spicy, and acidic foods should be avoided. Adequate fluid intake
should be maintained to keep the mouth and throat area moist. With the
specialist's permission, showering is allowed, but caution should be exercised
regarding hot steam. It is necessary for the patient to open their mouth during
coughing or sneezing to reduce pressure on the nose. To recover quickly and
comfortably, it is essential to attend the scheduled follow-up appointments and
strictly follow the specialist's instructions. Promptly consulting the doctor
in case of any complications is important.

Renowned for innovative treatments, his excellent patient
relationships, and his expertise in the field, Prof. Dr. Selçuk İnanlı
successfully performs adenoidectomy procedures in Turkey as well. If you notice
this problem in your child, do not worry and schedule a consultation
immediately. After a fast, safe, and comfortable treatment process, you will
return home happily. You can reach us through our contact information.