As a rule, the only method of fighting adenoids in a child is a special operation called adenotomy. Unfortunately, after the operation, a recurrence often occurs in children - the re-development of the pharyngeal tonsil. Particularly intensely growing adenoids in a child aged five to six years and quite often the early removal of adenoids causes a relapse.
Is it necessary to remove the adenoids in the child?
Doctors until recently were unanimous in their opinion about the operation to remove adenoids. In case of recurrence, repeated operation was necessarily performed, as it was always believed that the consequence of adenoids is "a great evil" in comparison with the intervention of the operating one in the child's body.
Currently, many doctors believe that the adenoids in the child perform a very important function - they take on themselves a blow from the outside in the form of a large number of microbes of the environment, after all, after the removal of adenoids, the body regains the lost organ (there is a relapse). Specialists who are supporters of this theory are sure that all efforts to treat adenoids should be aimed at strengthening the immune system of the child's body. Stay, and long-term, fresh air, proper and healthy food, tempering and the absence of stressful situations in the child, in their opinion, can stop the development of the disease and avoid surgical intervention.
How often does the child have relapses?
Relapses, unfortunately, in children occur quite often after the removal of adenoids. It depends on many factors.
In most children, the results of the operation are positive. Nasal breathing is restored, the existing inflammatory diseases of the upper respiratory tract are quickly eliminated, appetite is restored, mental and physical activity is increased, and the child's further development is normalized. But the statistical data show that in children the recurrence of adenoids appears in 2-3% of cases and, first of all, in those who suffer from allergies, atonic asthma, urticaria, seasonal bronchitis, Quinck edema, etc.
As a rule, relapse in the child occurs with incomplete removal of adenoids and not earlier than three months after the operation. There is a relapse in the child with an increase, and a gradual, difficulty in nasal breathing, as well as all the other symptoms of adenoidism observed before the operation.
Carrying out adenotomy under general anesthesia, under the control of vision and using modern video-surgical methods reduces, and sharply, the number of relapses in children.
Treatment of adenoids without the use of surgery is only an auxiliary method that complements surgical treatment, despite the contrary opinion of some specialists. With developed adenoids, its effectiveness only reduces inflammatory conditions and prepares "soil" for the most favorable course of the postoperative period, which can reduce the risk of relapse. For this purpose: strengthening the immune system of the child's organism, systematic hardening, desensitizing treatment, etc.
Relapse in the child does not occur, in most cases, if a qualitative operation is performed. In the event that the specialist has not completely removed the adenoids in the child, then the adenoid tissue will likely re-grow, even if only the "millimeter" of this tissue remains. The operation must be performed in a specialized pediatric hospital and a highly qualified surgeon. In our time, an endoscopic method for removing adenoids is introduced into practice, which allows to remove adenoids more qualitatively, which reduces the risk of recurrence.
Relapses often occur in a child, if he is allergic. In a child who has individual characteristics that are characterized by increased proliferation of adenoid tissue, there is also a high risk of recurrence - these features of the body are laid genetically.