Indications for surgical removal of the adenoids:
1. Violations of nasal breathing.
2. Frequently recurring sore throat.
3. Pain in the ears.
4. Chronic inflammation of the adenoids.
Preparation for surgery
Be sure to complete examination of the patient. Conducted a general analysis of blood and urine tests, analyze information previously transferred diseases and the presence of allergy to drugs. Since the surgery is performed under general anesthesia, the patient before surgery examines the anesthesiologist. For general anesthesia, a combination of the inhaled anesthetic, and injected intravenously. For the local anesthetic lidocaine is used.
If the baby is small or adenoids are located near the mouth of the auditory tube (back of the nose), or have neurological diseases, surgery is performed under general anesthesia. In older children and adults - under local.
Operation adenoidectomy
Technique of
Remove adenoids through the mouth. It is used three methods of excision of the adenoids: traditional with a scalpel, and the method by electrocoagulation koblatsii.
If electrocautery adenoids using a special tool in the form of a loop, which is heated to a high temperature (about 400 degrees C). With the loop, as it were excised adenoids. This method is good in that, besides the removal of abnormal tissue, due to the high temperature the coagulation of the wound surface, causing bleeding stops.
The traditional method implies a adenoidectomy special annular knife, which gets enlarged tonsils.
Koblatsii method is to apply for the destruction of the adenoids cold plasma surgery. The temperature of the plasma beam, which deals reaches about 60 degrees. This method is good that, thanks to the minimum width of the beam plasma enables operation without damaging healthy tissue to be. Just as in the case of eletrokoagulyatsionnoy loop plasma beam has a coagulating effect.
Recently, a method of endoscopic adenoidectomy in which the adenoids removed by endoscopic techniques. The endoscope is introduced in the nasal passages, and at its end is a lamp and camera lens. Image of an endoscope is broadcast on the screen. This allows you to monitor the progress of the operation.
Possible complications
- Bleeding during and after surgery.
- Rarely - voice changes.
- The need for subsequent surgical treatment of paranasal sinuses, nasal cavity or tonsils.
- Infection.
The postoperative period
Immediate surgery to remove the adenoids takes a few minutes. If it is carried out under local anesthesia, then after 2 hours it is possible to take the child home. The operation under general anesthesia requires a minimum of a 2-day stay in hospital.
Prices for adenoidectomy
The operation is performed free in the direction of a physician in the community.
The price for paid types of operations in Moscow:
- Laparoscopic surgery 15000 rubles.
- The operation under local anesthesia - 7000 rubles.
Treatment and prevention
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