12 August

Removal of the adenoids - indications and contraindications

adenoids - a proliferation of glandular tissue of nasopharyngeal tonsils.They are located behind the wall of the facial skull: at the back of the nose, extending to the upper sky.The adenoids are glandular tissue, which does not perform any functions.They resemble warts that do not have receptors do not leak air, have no sweat and sebaceous glands.Overgrown glandular tissue fills the nasal passages, preventing the normal gas exchange.Removing the adenoids need to make before puberty, otherwise there will be deformation of the cranium.A child who can not breathe through the nose, prone to colds.His nasal passages are in permanent inflammation.The patient has a strong snoring, which is not typical for a person between the ages of three and fourteen years.

Timely removal of the adenoids prevents delay of intellectual development as adenoid "curtain" completely blocks access of oxygen to the brain.The child is breathing only through the mouth and the upper sinus excluded from gas exchange.

According to experts, the removal of the adenoids must be done as soon as possible, but after three years of life.The operation, carried out in infancy is not so effective and carried out for health reasons.

classical adenoidectomy

Before removing the adenoids required preparation of the patient for surgery.To do this, you need to exclude all contraindications, which are the following states:

  • Hemophilia and other blood diseases that lead to clotting delay;
  • Tuberculosis of the lungs and mucous membranes;
  • diabetes in decompensation stage;
  • Active infectious process in the pharyngeal lymphoid ring;
  • Carriage hemolytic streptococcus.

Before you will be removing the adenoids, cured acute painful condition of the child, and chronic - are transferred to the stage of remission reliable.You also need to make sanitation of the oral cavity, removing or sealed carious teeth.

adenoidectomy, surgical technique

For three days before the operation the child prescribed hemostatic agents.To this end assigned calcium gluconate.Intravenous administration of calcium preparations produced under strict indications at the initial low blood clotting.

adenoidectomy is performed in the morning on an empty stomach - for possible complications, where the need to supply anesthesia.Sprawl glandular tissue does not have pain receptors, so the use of general anesthesia unnecessarily.The artificial coma state drug can be much more dangerous than surgery for adenektomii.For children with labile mentality used anesthetic spray, so-called "freezing" pharyngeal mucosa.

How many years ago adenoidectomy is performed circular knife Beckmann, which has several dimensions: from the first to the fifth.The knife is sharpened loop on the handle.Before the surgery, the surgeon checks the loop ends.They should not be sharp as a razor, but a little blunt.This is necessary in order to glandular tissue are not cut off, but slightly torn.In this technique, the operation of the adenoids are removed with little or no bleeding.

spatula pressed against the tongue to the bottom of the sky, Beckman knife inserted in the mouth to the opener (the facial bones of the skull, which limits the nasopharynx in the back), and then in one motion the surgeon and down, cut off the adenoid tissue.The knife is displayed together with embedded adenoids.

patient removed the cotton swabs from the nose and offer to blow his nose.After that, the child takes a deep breath through your nose.On the first day after adenoidectomy is made, the patient is not suitable for solid food, seeds, chips and all other substances, irritating the mucous membrane of the mouth.Bleeding after adenektomii usually negligible or non-existent.

adenoidectomy, reviews

Since the proliferation of nasopharyngeal tonsils, to some extent depends on genetic predisposition, parents who adenoidectomy was made, give positive feedback.They did an operation "to live"!While adults want the best for their children.Relatives are often asked to make children adenoidectomy, anesthesia in this case must be "adequate".That is, total.

However overgrown tissue nasopharyngeal tonsils do not have nerve endings.Submission of a short anesthesia (takes 2-3 minutes) disables part of the brain.According to psychiatrists, patients who have had three general anesthesia can not be considered adequate person.In this regard, produced adenoidectomy, anesthetized with limited local effect on the mucosa of the nasopharynx.Regional anesthesia, which aims to anesthesia due to "turn off" certain nerve bundles, produced by the injection of the anesthetic.The procedure itself is more painful than adenoidectomy regardless of what method.

adenoidectomy laser

This is the best method, because virtually no complications.What is important is the right choice, which suggest the parents of patients.Using the latest technology in an operation such as adenoidectomy laser can pursue different goals.Either complete removal, as in classical surgery or "smoothing" of the adenoids.To do this, use the method of vaporization, but not a laser knife.As a rule, the removal of the adenoids by vaporization vessels requires repeated intervention, because they do not completely removed glandular tissue regenerate quickly.

classical method adenoidectomy is effective at a hundred percent, regardless of the tools.

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