Tonsils and Adenoid

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Tonsils and Adenoid

Tonsils and Adenoid

The tissues called tonsils and nasal flesh consist of lymphoid cells. It has a role in the production of lymphocytes. Newborn babies are small due to immunoglobulins passing through the mother. 4 -5 years of age, they grow more often due to infections. They tend to shrink in old age. Large nasal flesh creates an obstacle to breathing through the nose. In addition, they disrupt the emptying of the ear and sinuses, leading to problems of different sizes. Hearing loss, snoring, mouth breathing, night coughs, runny nose are observed in these children. Chronic nasal flesh inflammation or growth can lead to orthodontic disorders, facial development disorders and speech disorders. When the growth of tonsils and nasal flesh reaches a size that narrows the upper respiratory tract, it causes problems such as snoring and sleep deprivation, which we call apnea. In these cases, it is useful to consult an ENT specialist. The disease, known as rheumatic fever, can lead to disorders of the heart valves. The most common cause of rheumatic fever is tonsillitis caused by streptococci.

IN WHAT CASES SHOULD TONSILS AND ADENOİD FLESH BE TAKEN?

Tonsil and nasal flesh surgeries are frequently performed in ENT clinics. If there is no benefit from drug treatment, surgical removal of them is resorted to. There are two criteria used to decide on this operation. Conditions Requiring Precise Surgery;
Blockage of the upper respiratory tract due to the size of the tonsils and nasal flesh
Abscess around the tonsils
Suspected malignant tumor
Nasal flesh and tonsil growths that disrupt the structure of the jaw.
Relative criteria; at the beginning of these are frequent recurrent tonsillitis. 40 percent of tonsil surgeries are performed for this reason.
7 times in the last year,
In the last 2 years; 5 times for Christmas,
Fever tonsillitis 3 times or more often on New Year's Eve in the last three years,
Carriers of diphtheria (kuşpalazi) microbe,
People with heart valve disorder,
Conditions such as inflammation of the middle ear due to inflammation of the tonsils and nasal flesh are called chronic tonsillitis. Surgical treatment is recommended in its solution.



Although tonsillitis is known as a child's age group problem, the same rules apply in adults. Tonsillectomy is also performed in adults who do not have any serious health problems that will interfere with the operation. The lower age limit is determined as 4-5 years, except in mandatory cases. It is not possible to determine the upper age limit. In general, the incidence of this disease in old age is low, and often simple solutions are preferred. IS TONSIL SURGERY RISKY? The risk of tonsillectomy is quite low. Statistics show that in one of 14 thousand operations, serious complications due to anesthesia or surgery occur. After surgery, the rate of serious bleeding is as low as 5 thousand. After tonsil surgery, many scientific studies have been conducted on the body's defense system, but no clear results have been obtained. A decrease in the number of certain types of lymphocytes has been observed in people with tonsils removed. But it has not been found that this leads to a clinical problem. There is a belief that pharyngitis is easier after tonsil surgery. The incidence of pharyngitis in people with or without tonsils is the same frequency. Removal of tonsils does not increase the rate of pharyngitis.

Op. Dr. Cem HIZLI

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