TONSIL AND ADENOID

TONSILLITIS

What is adolescent flesh and tonsils?

Adenoid and tonsils are lymphoid organs located at the entrance of the upper respiratory tract. They function as part of the immune system. Tonsils are available at birth. It usually grows up to 5–7 years of age, then stops growing, reaching adult size during puberty.

We know that adenoids and tonsils are part of the immune system. Well, does not removing these organs by surgery weaken the immune system? This question has been asked for a long time; It is a question that confronts families and doctors. It is more risky to stay in the body of tonsils, which have become unable to defend due to their frequent inflammation, and even began to harm health. There is no more disease after the tonsils are removed because other tissues that act as tonsils in the throat and body continue to fight microbes.

What is tonsillitis (tonsillitis)?

Tonsillitis develops as tonsils meet and swell with germs. It is an inflammation caused by a group of beta hemolytic streptococcus, which is often described as a "beta microbe" between the ring. There is high fever, severe pain often swallowing by swallowing. Other symptoms include swelling of the lymph nodes in the neck, namely glands, hoarseness, bad breath, and loss of appetite. The diagnosis is made by examination and culture test. Antibiotics and pain relievers are used in the treatment to relieve pain.

When is tonsil surgery performed?

Tonsil surgery is required for recurrent and chronic inflammations that do not result in drug treatments. If the following conditions are involved, surgery is performed.

Tonsillitis 8–10 times a year Inflammation of the tonsils 5 to 7 times a year in two years. 3 to 5 times a year for three years or more. Sore inflammation. Tonsillitis with or without frequent inflammation. sleep-breathing problems (apnea), difficulty in eating solid food, and tonsil surgery should be performed in case of suspicion of malignancy.

What awaits the family in tonsil surgery?

The operation is performed under general anesthesia. The operation will take approximately 20-30 minutes. However, when the start and end times of general anesthesia are also added, the total time spent in the operating room can be up to 1–1.5 hours. Tonsils are taken orally. No cuts are made longitudinally from the outside. Generally, the total length of stay in the hospital is between 5 and 10 hours. Solid, dry and hot foods should be avoided for 1 week after the operation. Sports-exercise should not be done for 2 weeks. Pain after surgery is enough to pass with pain medication syrups to be taken by mouth. The most important complication of tonsil surgery is bleeding. Therefore, preoperative bleeding values ​​should be measured carefully and care should be taken not to use blood thinners such as aspirin; it should not be operated on during infection. Bleeding that will require repeat operation is rare. But if blood comes from the mouth, you should definitely contact your doctor.

What can happen if surgery is not done?

It is not possible to answer this question clearly. There are separate risks for each patient. As a result, because the patients we deal with are children, naturally families are anxious about surgery. First of all, let's consider enlarged juvenile flesh-tonsil problems without recurrent infection. In later periods, changes in jaw and tooth structure due to mandatory oral breathing may be observed. As a result of insufficient oxygenation during sleep, growth and developmental delay can be seen. Another side effect is pulmonary (lung) hypertension and right heart dysfunction. In addition, lower wetting may appear during sleep due to increased abdominal pressure.

Considering the frequent tonsillitis, it may be necessary to take a look at the complications of tonsillitis. After tonsillitis, an abscess that spreads from the throat to the neck may develop. Again, in tonsillitis, ARA (acute rheumatic fever) may be seen, especially in the heart and joints, or acute glomerulonephritis in which the kidney is involved. Of course, these will not be every patient. The important thing is to properly illuminate the patient and therefore the parents. Decisions should be taken by staying in scientific framework mutually.

Op.Dr.Cenk EVREN | ENT Specialist