Tonsillar Hypertrophy (Tonsillar Size) And Adenoid Hypertrophy (Anasal Enlargement)
Adenoids and tonsils have a lymphoid structure. Waldeyer's lymphatic ring circles the entrance to the throat. The tonsils and adenoids are parts of this tissue. The space behind the nose is called the nasopharynx. Adenoid vegetation-hypertrophy, that is, adenoid, is located on the soft palate and back of the nose, in the upper part of the throat. Unlike the tonsils, the adenoids cannot be seen with the naked eye without the use of any special tools. The tonsils are easily visible from the oral cavity called the oropharynx. These encapsulated lymphoid tissues are located at the back of the throat on both sides and vary in size.
Tonsils (tonsils) are also parts of adenoid lymphoid tissue and contain lymphocytes. The job of these lymphocytes is to produce antibodies that aid in the functioning of the immune system. Although it is known that the effects of adenoids and tonsils on the immune system are of great importance, especially in childhood, it should not be forgotten that they tend to decrease with advancing age. Moreover, apart from the tonsils and adenoids, there are other structures responsible for the body's defense. According to studies, most of the children who have surgery on their tonsils or adenoids do not encounter any problems with the immune system.
What Problems Do They Cause:
Adenoids and tonsils (adenoids and tonsils) can cause various problems depending on their size and infections. While children are more likely to encounter adenoid problems, tonsil problems can be seen in adults as well as children.
Frequent infections affect the daily life of the patient negatively and lead to an increase in the frequency of drug use.
However, one of the most serious consequences of previous beta hemolytic streptococcal inflammations (infections) is that it causes damage to the kidneys, joints and heart valves, leading to lifelong disorders.
In addition to infections, it is possible to evaluate the size of the adenoids and tonsils as one of the main causes of some health problems. For example, if the adenoid is excessively large, sleep apnea may occur by obstructing the airway, and this may bring about chain health problems.
Large tonsils; can cause problems with speech, swallowing, and feeding. On the other hand, the accumulation of tissue and food residues (Magma / Tonsil stone) between the tonsils recesses causes bad breath and a feeling of stinging in the throat, making the person socially uncomfortable.
If the adenoid tissue is larger than normal, nasal congestion occurs. As a result, the patient sleeps with his mouth open and snores in his sleep. Lying untidy and sweating in the head area are other consequences of this condition. If left untreated, sleep problems progress. Not getting enough and quality sleep has a negative impact on the growth and development of children. At the same time, the development of the mouth, teeth and face area is also negatively affected; skeletal change is observed. In other words, developmental disorders occur in the facial and jaw bones.
The eardrum collapses due to aeration disorder in the middle ear. Communication impairment may develop due to hearing loss. However, the degree of hearing loss is sometimes very mild, so that the parents cannot notice this condition of their child. However, most of the patients apply to the doctor with the complaint of hearing loss.
Inflammation of the throat (pharyngitis) and some problems in the lower respiratory tract may occur due to coughing and post-nasal drip.
Headache may occur.
Sinusitis may occur.
Family members and people around the person feel uncomfortable because of the facial expression, namely the adenoid face, caused by the person's mouth-opened posture.
Diagnostic methods applied in the evaluation of adenoids and tonsils:
The patient's medical history is listened to. (He is asked to tell his complaints.)
A physical examination is done.
Endoscopic examination is used to see the adenoid. If endoscopy cannot be performed, X-ray examination may be necessary.
A bacteriological culture test is used.
Blood tests are requested.
Other examinations may be preferred during evaluation.
If you have enlargement or inflammation in your adenoids or tonsils, if your runny nose does not go away, if your sore throat recurs, chills, fever, bad breath, post-nasal discharge and nasal congestion, mouth breathing, recurrent ear infections, snoring and sleep problems, hearing loss You should consult a doctor if there is a need to keep the volume high while listening to something through devices such as television and tablets, delay in response time to voice stimuli is one of the first symptoms. If you encounter these symptoms in your child, it is important to seek help from a specialist without wasting time.
The treatment to be applied in acute inflammation of the adenoids and tonsils is determined in accordance with the examination. Usually, pain relievers, antibiotics, saline nasal sprays, intranasal steroids and mouthwashes are prescribed in drug therapy. If allergic factors are suspected, antihistamines are also recommended.
If adenoids and tonsils, which do not cause frequent infections and other serious problems, become chronic despite being treated with medication, or if a condition occurs that will adversely affect the development of the child, it may be necessary to remove the adenoids and tonsils. Your doctor will inform you about this. (Tonsillectomy, adenoidectomy, adenotonsillectomy)
In order for the child to develop in a healthy way, it is necessary to perform ENT examinations regularly.
Our Clinical Information
He was born in 1981 in Zile district of Tokat. Starting primary school at Rize Atatürk Primary School, Dr. Deniz Yazıcı continued his education life in the Ergani district of Diyarbakır, since his father's place of duty changed since the 4th grade of primary school.