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Adenoids

  • Like tonsils, adenoids are lymph nodes in throat but unlike tonsils, adenoids can’t be seen easily through the mouth as these are situated in the nasopharynx region higher behind the nose and close to the roof of the mouth (soft palate).
  • An infection in adenoids causes their enlargement and breathing through nose becomes quite troublesome.
  • If you or your child is experiencing symptoms related to adenoid enlargement, such as persistent nasal congestion or sleep disturbances, it's important to consult with a healthcare provider or an ear, nose, and throat (ENT) specialist for a proper evaluation and to discuss the most appropriate treatment options.

    • Causes of Adenotonsillitis

  • When both adenoids and tonsils are infected and inflamed, the resulting and a rather painful condition is called adenotonsillitis.

    • Symptoms


  • Breathing through the mouth, especially in children, which also leads to a condition called malocclusion in which the teeth do not align properly when the jaw is closed.
  • Noisy breathing in daytime and snoring during the night.
  • The voice takes on a nasal quality.
  • When tonsils and adenoids become enlarged, they can obstruct the airways, potentially causing disrupted sleep and snoring. This, in turn, may result in more severe conditions like sleep pauses, also known as sleep apnea.

  • The child may also get other symptoms such as:

    • 1.Restless sleep with frequent waking up

    2.Mood swings

    3.Bedwetting

    4.Nightmares

    5.Abnormal sleepiness

    6.Cardiac problems.

    Chronic enlargement and infection of the adenoids can also cause sinusitis (infection in sinus cavities) and/or blockage of nasal drainage that, in turn, can cause chronic ear infections arising due to inadequate ventilation of Eustachian tube (ear canal).


    Precautions & Treatments


  • Because adenoids are situated deep behind the nose, a direct examination is not feasible. An ENT physician will request an X-ray of the nasopharynx to evaluate their dimensions and the extent to which they may obstruct the airway.
  • In cases of chronic adenoiditis, complete removal of adenoids may be necessary. Similar to a tonsillectomy, conventional methods involve the use of cold instruments where the surgeon relies on tactile feedback to determine if all adenoidal tissue has been removed. However, this method is blind and carries the risk of leaving some tissue behind.
  • On the other hand, advanced equipment like the microshaver system or the coblator can be employed to remove adenoids. These techniques utilize endoscopes to ensure the thorough removal of adenoids. Additionally, coblation offers the advantage of being a nearly bloodless procedure.