Why endoscopic control is important
With classic “blind” adenotomy, part of the tissue often remains at the mouths of the auditory tubes and in the posterior parts of the nasopharynx - this is what is associated with relapses, due to which the operation has to be repeated. The endoscope gives the surgeon a direct view: the adenoid tissue is completely removed, while the auditory tubes remain intact. In children, after such an operation, nasal breathing is quickly restored and recurring otitis media goes away.
When are tonsils and adenoids removed?
Palatine tonsils and adenoids are part of the immune system, so they are not removed without compelling reasons. But when the tonsil itself becomes the focus of a chronic infection, the harm from it outweighs the benefit.
The main indications for tonsillectomy: frequent tonsillitis (more than 4-5 times a year), a history of peritonsillar abscesses, complications of the heart, joints and kidneys, significant enlargement of the tonsils with breathing and swallowing problems.
Adenotomy is performed on children with persistent nasal breathing problems, snoring and sleep apnea, recurring otitis media and hearing loss, as well as with an emerging “adenoid” type of face.
Removal methods
- classic instrumental - proven method, used for decades
- endoscopic - under the control of an endoscope, allows you to completely remove tissue, especially in the nasopharynx
- laser - less blood loss, reduced operation time
- with cauterization - coagulation of the bed for reliable hemostasis
How is recovery going?
After surgery, it is recommended to stay in the hospital until the next morning - this is a standard safety measure due to the risk of early bleeding. In the first days, the throat hurts, swallowing is difficult; Cool drinks, ice cream and prescribed painkillers help.
On days 5–8, the plaque on the tonsil bed begins to fade - this is a normal stage of healing, and not a complication. Return to normal regimen after 2 weeks.