It is a small mass comprising of cells which is responsible for immune response. It’s located behind nose Is present in all children. Grows from 1yr to reach maximum size by 7yrs and disappear by 11yrs. So a normal thing
Do we need to treat adenoids?
Adenoid is a normal structure its presence does not need treatment. When there is disease of adenoids we need to treat
What are the common diseases affecting adenoids?
- Adenoid Hypertrophy
How can you know if your child has Adenoid Hypertrophy?
Snoring and mouth breathing is most common. Child might have hearing difficulty due to fluid in ear. Attention deficit hyperactive disorder (ADHD) is associated sleep apnoea. Out of position teeth.
How to test for adenoid Hypertrophy?
X rays or endoscopy of nose.
How is adenoid hypertrophy treated?
Treatment for adenoid hypertrophy is aimed to stop mouth breathing and improve ear function. First give a trial of medical treatment to achieve the goals. If medical option fails need to do adenoidectomy.
Wont adenoids disappear by 11 yrs. then why not wait?
Normal adenoid disappears by 11 yrs. not ones which have disease. Children almost always breath through their nose, breathing through mouth is not natural. Normal development of face, teeth, nose and sinuses needs nasal breathing. More the time child continues. mouth breathing worse the developmental effects.
How is adenoidectomy done?
under endoscopic guidance using debrider or Coblation adenoid is removed. It’s a painless procedure.
Why is tonsil surgery done with adenoidectomy?
Adenoidectomy may lead to increase in tonsil size which might block airway. Tonsil needed to be removed when there is recurrent infection. Enlarged tonsils which are threat to block can be partially removed.