Removal of adenoids in children - how it's done
May 13, 2018
In adenoids of the 1st degree, conservative treatment is prescribed: vasoconstrictive agents and 2% solution of collargol or protargol are instilled in the nose. Removal is carried out at II - III degree.
There is an endoscopic removal of adenoids, a laser, removal of a radio wave. Also carry out removal through the mouth with the help of conventional tools.
Laser removal of adenoids in children
If conservative treatment has not yielded results, adenoids are removed. You can select a laser view. The laser was used in surgery in the 60s of the last century. Laser devices of domestic and imported production give excellent results.
Laser - an excellent alternative to a scalpel in various areas of surgery. Minor traumatism, minor bleeding or lack of them, sterility, high accuracy, minimal recovery period after surgery have led to the use of lasers for ENT surgery. The laser has an analgesic effect. The doctor can choose which type of apparatus is suitable for the particular operation.
Vaporization( burning of the surface of a tissue or organ with hot steam) of small adenoids is carried out with a carbon dioxide laser. Removal of a large ailment is done by the method of coagulation with the use of a focused beam, in the direction from the body of the adenoid to its base. The procedure is not always single. Possible surgical removal of adenoids followed by coagulation of the remains of altered tissue.
The high purity of the surface of the nasal mucosa and the prevention of recurrences for removal ensure the use of the laser. The operation and healing take place in the shortest possible time.
Endoscopic removal of adenoids
Adenoidectomy consists in the removal of the hypertrophied gland located in the nasopharynx. The indications of surgical treatment of adenoids include:
- Severe nasal breathing disorder.
- Frequent recurrent throat diseases.
- Severe earache.
- Severe inflammation of the adenoids.
Preparation for surgery includes examination of the patient. All the necessary tests are carried out, detailed data are collected about the previous diseases and the presence of allergic reactions to the drugs. Sometimes such an operation is performed with local anesthesia - a solution of lidocaine is used.
Endoscopic removal of adenoids includes surgical excision of adenoids with a scalpel or electrocoagulation. Electrocoagulation always uses a "loop", which quickly heats up to a huge temperature. Further, the same "loop" inflamed adenoids seem to be cut off, and due to high temperature even the slightest bleeding from the wound is stopped.
The method "Coblation"( orconbation) is becoming very popular. With this method, the temperature of the beam used does not exceed 60 degrees. Advantages of this method:
- Minimum thickness of the plasma beam, which allows performing the operation without damaging the healthy tissues.
- Reduced bleeding.
- The complete absence of thermal effects on the tissue reduces pain.
- Thanks to its convenient design, it is possible to treat inflamed tissues in very difficult places.
- Reduced the time of hospitalization of the patient.
The cost of removing adenoids in children
The removal of adenoids in children is not associated with any difficulties. Initially, a conservative treatment is prescribed, and with a second diagnosis, an operation is performed. She can be prescribed at any age.
In Russia the list of services is provided:
- Consultation of an ENT doctor - 600 rubles;
- Bacteriological seeding on the flora - 500 rubles;
- Laser therapy( 1 session) - 550 rubles;
- Removal of adenoids - 7000 - 1000 rubles.
Treatment after operation
After the operation, all physical exertion, exercise for a two-week period should be eliminated, and preferably for a month.
Contraindicated coarse, hard and hot food. You should eat liquid food, fresh foods that are rich in vitamins. The term of such a diet is 3 to 10 days, depending on the doctor's instructions.Day three children should not bathe in hot water. It is necessary to limit stay in the open sun, in hot and stuffy rooms.
The child is prescribed drops in the nose( naphthyzine, tizin, glazolin, sanorin, nasol, etc.) for at least 5 days to better heal the surgical wound.
Be sure to do respiratory gymnastics.
In the evening after the operation, and sometimes in the morning, the child's temperature rises( not more than 38 degrees).If there is a need for a reduction, then drugs containing aspirin should not be used, which can provoke bleeding.
After the operation, one-or two-fold vomiting may occur with blood clots. There may be abdominal pain or stool.
Immediately after the operation, nasal breathing improves, however, in the following days, the child may experience nasal congestion and nasal congestion. This is due to postoperative edema in the mucous membranes, which falls to the 10th day.