We ourselves have been afraid of these adenoids since childhood… Because of them, all respiratory diseases, and they can also grow and block breathing! But are they as insidious as they seem?
Myth number 1. All SARS – from adenoids
The opinion is fundamentally wrong. Adenoids (pharyngeal tonsil) is an accumulation of lymphoid tissue that protects the upper respiratory tract (in the dome behind the nose). A kind of filter that prevents infection from entering.
The child breathes, and when inhaling, all bacteria and dust particles collide with this “armor”, settle on it, and the purified air enters the bronchi and lungs. With ARVI, adenoids increase, but not vice versa – thus, the body’s defenses are activated. In addition, each child has and must have adenoids and (do not panic!) Can close some part of the lumen of the pharynx – up to 33%.
Myth number 2. Children’s snoring – from adenoids
The myth is only partially true. The cause of snoring can be nasal congestion, and neurological problems, and palatine tonsils, and sagging soft palate. But adenoids can be the cause.
In addition, the symptoms that speak in favor of adenoids are:
- Difficulty breathing (the child often breathes through the mouth);
- The nasal voice of a child;
- Frequent otitis media;
- Hearing problems.
If such symptoms are found, you should immediately visit an ENT doctor.
Myth number 3. If adenoids appear, then they must be removed
Adenoids can be enlarged (stable and long enough), and this is not always an indication for surgery.
There are 4 degrees of adenoids:
- 1 degree – when the pharyngeal tonsil overlaps up to 33% of the opening extending into the nasopharynx;
- 2 degree – covers from 33 to 66% of the hole;
- Grade 3 – from 66 to 90%;
- Grade 4 – from 90 to 100%.
The operation is recommended if the child has 3 or 4 degree of adenoids.
In addition, surgery is required if:
- Conservative treatment for the past year has not brought any results;
- Maxillofacial deformity was noticed;
- The doctor determines the malignant neoplasms;
- The hearing of the child is reduced;
- A breath hold of more than 10 seconds occurs.
The doctor may also raise the issue of surgery for recurrent otitis media, sinusitis, and halitosis. But these symptoms are not absolute for the operation.
If the above indications are not, the child is diagnosed with 1 or 2 degree of adenoids, then it is better to think 100 times. In most cases, conservative treatment can be dispensed with (physiotherapy, flushing, drug methods, cryotherapy, as well as a healthy lifestyle with hardening and trips to the sea).
Myth number 4. After removal of adenoids, the body remains unprotected
Undoubtedly, no one doubts the protective properties of adenoids, and after their removal the body is worse, but the respiratory tract does not remain completely without protection. Within 2-3 months after the operation, the ring tonsils of Waldeer Pirogov, located on the border of the oral cavity and pharynx, take on protective functions.
Myth number 5. Adenoids grow again after surgery
This myth is true only in 7% of cases. Moreover, many believe that this is due to the age of the child: the younger the baby, the more likely that adenoids will grow again. In fact, it is not age that affects it, but only the quality of the operation performed: if particles of lymphoid tissue remain (up to 50%) when adenoids are removed, then they can grow. This problem was relevant earlier when operations were done blindly. Modern equipment (endoscopes, microscopes) allow the doctor to track in detail the entire process.
Myth number 6. Adenoids and adenoiditis are one and the same
These are two different diagnoses. If adenoids are hypertrophy of the nasopharyngeal tonsil, then adenoiditis is an inflammatory process of this tonsil, which also enters other organs and systems of the body. Running adenoiditis goes into the chronic stage and can lead to the development of heart disease, kidney disease, and digestive tract organs.
Myth number 7. Adenoids pass with age
This myth is partly true. Adenoids – in most cases, not forever. They begin to function when the baby reaches the age of 3-6 months, work at full strength at the age of two or three years old, but after 7 years their function begins to fade away, and by 12-13 years of age the adenoid tissue disappears. But some people do not “outgrow” adenoids when they were not treated on time in childhood and the disease went into a chronic stage. Therefore, treat children in a timely manner and monitor your health!