Health Zone Turkey: tonsillectomy indications

Friday, October 20, 2017

Who is Required for Tonsil and Adenoid Surgery?

Adenoidectomy (Adenoid Removal Surgery)

Who is eligible for tonsillectomy? - Indications of tonsillectomy - Indications of adenoidectomy operation - Growth of adenoid tissue - Tonsillectomy - Adenoidectomy - Who needs tonsillectomy? - Tonsillectomy indications - Indications for adenoidectomy - Should adenoid be taken? - Should tonsils be taken? - Tonsillectomy in İstanbul - Adenoidectomy in İstanbul - Tonsil removal in Turkey

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

The procedure can also be suggested in the following situations:

• Tonsillitis-forming bacterial infection does not improve with antibiotic therapy

• Tonsils abscess (peritonsillary abscess - an infection, drug treatment or drainage procedure that results in an infusion of inflammation behind the tonsil, or recurrence).

Health problems due to enlarged tonsils:

After frequent or ongoing infections, the tonsils may grow or be naturally large. As the tonsils grow; tonsil operation can be used to treat the following problems:

• Respiratory distress

• Respiratory disturbance during sleep

• Swallowing difficulty

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

Indications for adenoidectomy operation

Adenoidectomy (adenoids surgery) is a surgical procedure in which the adenoids removed. Adenoids are lymphoid tissue behind the nose. They are not generally understood by physicians who are not experts in the otolaryngology because they are not observed during routine physical examination due to their location. Although the adenoids are the same as the tonsils of the tissue, the diseases associated with infected adenoids differ from their location in relation to the tonsils (nasal obstruction, mouth open sleep, recurrent sinusitis attacks and middle ear inflammation attacks ...).

Adenoidectomy is usually performed together with other surgical procedures (eg, tonsillectomy, insertion of tympanostomy tubes). In fact, in the majority of the 20th century, tonsillectomy was often performed with adenoidectomy. Despite more than 50 years of research, some debates are still linked to indications for adenoidectomy. Tonsillectomy and adenoidectomy were performed by appointment, especially early in the 1900's, with tonsils and adenoids being considered infectious reservoirs causing a wide variety of diseases.

In the above image, the adenoids seen as a small piece of tissue on the right are on the posterior nasopharyngeal wall behind the nasal cavity shown below (located on the posterior wall of the nasopharynx lying behind the adenoid nasal cavity). They develop from subepithelial lymphocyte infiltration at 16 weeks of gestation.

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. "

Tonsils, tonsillectomy Thermal welding bloodless and bladeless technique, adenoid hypertrophy, adenoid surgery, you can find detailed information on the following links:

Source and suggested links:

Tonsillectomy - Mayo Clinic

Tonsillectomy Procedure: Tonsil Removal & Recovery Time

Adenoidectomy: Background, History of the Procedure, Epidemiology

Indications for tonsillectomy and adenoidectomy. - NCBI

Adenoidectomy; a good operation with clear indications. | The BMJ

Adenoidectomy Operation in İstanbul, Turkey

Tonsillectomy and Postoperative Patient Care Points

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

Private Office:

Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul

Appointment Phone: +90 212 561 00 52

E-Mail: muratenoz@gmail.com
Mobile phone: +90 533 6550199