Adenoidectomy Tonsillectomy

Adenoidectomy on Wikipedia

Adenoidectomy is a surgical procedure which involves the removal of a lymphoid tissue or adenoids which are found at the back portion of the nose. These lymphoid tissues are important in protecting the body against the attack of viruses and bacteria that can trigger infections. They produce antibodies that fight against bacteria and viruses that enter through the nose.

Adenoids are only present in children. The lymphoid tissue begins to grow at birth and it reaches its maximum size when the child is approximately five years old. As the child gets older, the size of the adenoids diminishes and on his adulthood, adenoids are completely eradicated.

There are a number of factors that cause adenoid inflammation. Enlarged adenoids can be triggered by a bacterial or viral infection. When the adenoids are irritated, they can also enlarge. There are a number of substances that cause allergic reactions which can lead to the enlargement of the adenoids. There are even cases where adenoids are already enlarged in the womb before the baby is born.

The most common symptoms of an enlarged adenoid include breathing through the mouth, difficulty in breathing through the nose, snoring, sleep apnea, constant runny nose, inflammation of the middle ear, chronic middle ear infections and frequent occurrence of sinusitis symptoms.

Many children would find breathing through the mouth very uncomfortable because it causes the lips to crack and mouth to dry. Meanwhile, enlarged adenoids can cause children to fall asleep because of their disturbed breathing pattern. Sleep apnea, a condition characterized sudden pause in breathing while sleeping, is also one of the most serious health complications of an untreated enlarged adenoid. Sleep apnea can cause the victim to suffer from excessive sleepiness during the daytime and it can affect the normal functioning of an individual.

When adenoids enlarge, it would be best to seek for immediate medical treatment to prevent any serious health complications in the future. Adenoidectomy is often recommended by doctors to alleviate the symptoms of adenoid enlargement.

There are cases where adenoidectomy may not be necessary but there are really cases where the surgical procedure is strongly advised to eradicate the disturbing symptoms of the condition. In fact, severe cases of enlarged adenoids can interfere in the daily normal functioning of an individual. Adenoidectomy becomes necessary when the symptoms of an enlarged adenoid cause a lot of discomfort to the victim.

If medication could not alleviate the symptoms of the condition, adenoidectomy also becomes necessary. Adenoidectomy also becomes essential when the child suffers from chronic ear and sinus infections which can lead to temporary hearing loss. Furthermore, adenoidectomy becomes essential when the adenoids frequently bleed and it causes severe obstruction in the airway. If the victim is diagnosed with tonsil cancer, adenoidectomy should also be performed.

Adenoidectomy is actually a surgical procedure that entails limited amount of risk. The removal of adenoids will not put the patient to an increased risk of developing an infection. In fact, studies show that the body is still capable of dealing with the attack of bacteria and viruses without the help of adenoids.

Until now, there is no known alternative treatment to adenoidectomy. Many doctors would recommend antibiotics for a couple of weeks however, antibiotics are not the ultimate solution to swollen adenoids because they cannot completely eradicate the presence of bacteria that trigger the condition. Adenoidectomy is still considered as the ultimate solution to improve the disturbing symptoms of swollen adenoids in children.

Adenoidectomy should only be performed by a professional ears, nose and throat surgeon!

Normally, the adenoidectomy only lasts for 15-30 minutes. General anesthesia is required during the adenoidectomy to prevent the child from suffering from pain during the procedure. Adenoids can be removed by scraping it using a special instrument known as curette. Adenoids can also be removed by applying heat on the adenoids usiang a special instrument known as diathermy. The device can produce high frequency electric currents that release heat waves.

In cases where tonsils are greatly affected by the virus or bacteria that infects the adenoid, tonsillectomy, or the removal of tonsils, can also be prescribed by doctors. During the last 50 years, adenoidectomy has been associated with tonsillectomy. In fact, adenoidectomy and tonsillectomy are performed together to prevent the further spread of infection.

After performing adenoidectomy, it is normal for the child to suffer from pain in the jaw, throat and ears. Painkillers are of great help in dealing with the pain. The child can eat 3-4 hours after the operation but he is more likely to suffer from difficulty in swallowing the food. A few days after the operation, significant improvement can be noticed from the patient. In fact, infections linked with swollen adenoids are gradually eliminated.

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Tonsil Stones

Tonsil Stones

Tonsil stones are found at the back of throat and resemble small stones. In some cases, they can also appear in the area between your wisdom teeth and tonsils. They grow with time and if they become too large, they can be quite uncomfortable. Aside from that, they also have unpleasant smell and taste.

Tonsil stones are formed within the crypts (tiny pockets) that exist on the tonsils. These crypts are susceptible to these stones because they are hollow and often get filled with debris such as bacteria, food particles and mucous. All such debris gets cemented together due to white blood cells which results in hard stone like structures. The continue to grow in size and ultimately burst or become free.

In many cases, tonsil infection can speed up the formation of these stones because infection contributes to the crypt size. Though stones can help in preventing infection by isolating the waste particles, but they can themselves cause infection if left there for too long. Tonsilloliths are not dangerous, but their presence indicates that you should improve your oral hygiene You can prevent their formation by rinsing your mouth frequently with a salt and water solution or a mouthwash.

Tonsil Stones – Symptoms

Tonsilloliths show up more frequently in adults and all small stones rarely exhibit any warning signals. Even large stones are found incidentally on CT scans and X rays. If they are not treated for long, they can create some frustrating symptoms. We are discussing few of them below:

Bad breath
This is one of the most important and prominent symptoms tonsil stones. Initially bad breath is of minimal inconvenience to the sufferer and usually remedy is to chew some gum or a mint tablet. However, it is just covering up the problem and stage comes when it is not possible even to cover it up.

White-colored Debris
This is another indication of tonsil stones where white debris is present at the rear end of throat as a lump of hard mass. In may cases, they are hidden within the tonsil folds. In such cases they are detectable with MRI or CT scans.

Irritated Throat
At any time a tonsilloliths or tonsillar stone show up together, it is very hard to identify whether painful sensation in your throat is due to any infection due to tonsil stone. Their presence can lead to sore throat or tenderness in area.

Difficulties in swallowing
Depending upon the place and size of tonsil stones, they could prove painful or sometimes it becomes very hard to swallow liquids or food.

Ear Aches
They may develop at any place in your tonsil. Because of shared nerve paths, one could feel soreness in their ears.

Irritation in tonsils
Once tonsil stones are formed, inflammation from stone may result in infection, which may worsen in some cases.

Treatment of tonsil stones

It is possible for you to get rid of these annoying tonsil stones by using various methods. Many people get rid of these stones by picking them up with the help of their fingers, which they stick in their mouth. The main problem with this idea is that it is not perfect and you may continue to poke around in your mouth without success.

Another best way to get rid of them of them is by using a Q-tip or cotton swab and then use it to squeeze your tonsils with sufficient force for dislodging the stones. Alternatively, you can also use toothbrush for getting rid of them.

Another DIY method is to use an irrigation device such as Waterpik that can be used for directly spraying water on your tonsils for dislodging your stones. Many people still fail to get any luck with all these mehods. There are numerous other ways to get rid of these smelly and nasty stones and you can consult your doctor on this issue.

Finally, one thing to remember is that tonsil stones are not actually stones but just mineral deposits. They arise when you don’t wash your food properly, as a result food particles can get stuck on all such mineral deposits. Many people have misconception that tonsil stones are in any way related to the kidney stones. This is not true!

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