Tonsils and adenoids are members of the lymphoid structure in the throat area and defense system against the microbe. Tonsils produce the types of white blood cells that fight against certain diseases. For this reason, the immune system of the tonsils is thought to be the first defense line role against bacteria and viruses entering the mouth. This function can leave them particularly vulnerable to infection and inflammation. The problem is more common in children because the immune system functions of the tonsils are most active before puberty. Moreover, unlike an adult immune system, a child's system is less exposed to bacteria and viruses and has not yet developed immunity. Microbes can be an exaggerated response, and in children, naturally adenoid and tonsils can grow much more easily than adults.
Tonsillectomy (tonsillectomy) can be roughly required for the following reasons:
• Recurrent, chronic or severe tonsillitis
• Complications of enlarged tonsils
• Bleeding of tonsils
• Other rare diseases of tonsils (tonsil cancer)
If there are frequent ongoing tonsillitis attacks, humiliating the tonsillectomy:
• For one year 7 more than tonsillitis is attack
• Each year, two years, five more than tonsillitis is attack
• Each year, three years, three more than tonsillitis is attack
Tonsillectomy can also be used to treat other rare diseases or conditions of tonsils:
• One or both tonsils of cancerous tissue
• Repeated bleeding in the blood vessels on the surface of tonsils
These are components of the Waldeyer's ring lymphoid tissue, composed of the oropharynx and nasopharyngeal lymphoid tissue lineage, and especially composed of adenoids, palatine tonsils and lingual tonsils.
Adenoids are seen at birth and then grow up. Individuals with tonsils continue to grow up to the age of 5-7. Adenoids become symptomatic with snoring, nasal airway obstruction, and shortness of breath during sleep, usually when children 18-24 months of age are admitted. Adenoids usually begin to shrink as children reach school age, and when they arrive before or during adolescence, adenoids are often small enough for the child to become asymptomatic.
Adenoids can be infected and contain pathogenic bacteria that can cause ear, nose and sinus diseases.
The indications for adenoidectomy are as follows:
• Growing of adenoid tissue (obstructive breathing, obstructive sleep apnea) and causing nasal airway obstruction that can lead to chronic mouth breathing (can cause dental structural disorders involving palatal and dental care)
• Repetitive or permanent otitis media in children
• Recurrent and / or chronic sinusitis
I would like to share with you a paragraph in the source that briefly summarizes the indications for tonsillectomy and adenoidectomy:
"Absolute indications for tonsillectomy and adenoidectomy, adenotonsillary hyperplasia with obstructive sleep apnea (growth of tonsils and nipples), failure to develop or abnormal dentofacial growth, malignant disease suspicion (cancer suspect), and haemorrhagic tonsillitis (for tonsillectomy). indications are adenotonsillary hyperplasia and halitosis with upper airway obstruction, dysphagia or speech impairment, otitis media and recurrent or chronic rhinosinusitis or adenoiditis are relatively indications for adenoidectomy but not indications for tonsillectomy Recurrent or chronic mousengotonsillitis, Streptococcus is relative (relative) indications for tonsillectomy but not an indication for adenoidectomy. "
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Source and suggested links:
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
Mobile phone: +90 533 6550199
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47