Today, unfortunately, the disease of the region of the pharyngeal tonsils is widespread, which increase, thereby violating the natural nasal breathing. As a result, the child begins to feel discomfort. Laser therapy with adenoids in children will be the most effective solution to the problem.
- What is their danger to the child?
- Laser against adenoids
- Intraoperative laser therapy
- Non-invasive laser therapy
- How is the procedure performed
- Studies before manipulation
- Doctor's opinion
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What is their danger to the child?
Adenoids are hypertrophic pharyngeal tonsil, located in the area of the nasopharynx arch. In case of their increase in size, the mouth of the auditory tubes closes, and if there is a strong growth, passages from the nasal cavity to the nasopharynx (hoans) can be closed and nasal breathing can be disturbed.
Since the passage of the middle ear will not receive the necessary ventilation, such a pathological condition can develop: middle purulent or exudative otitis media.
Prolonged inflammation of the middle ear or modification of the exudate is guaranteed to cause scarring and adhesions in the tympanum. In addition, calcium salts begin to be deposited behind the membrane, which leads to a decrease in hearing.
Therefore, if children have frequent diseases of otitis or rhinosinusitis, it is necessary to start treatment on time, and even better - to remove adenoids.
Laser against adenoids
Today, the widespread manipulation is the treatment of adenoids by the laser in children. And it's absolutely not surprising, because this procedure is very effective, it is able to solve the problem painlessly without harming a small patient.
Important! Laser irradiation has antiseptic, antimicrobial and anti-inflammatory effect!
The applied method has two main directions: non-invasive and intraoperative laser therapy.
Intraoperative laser therapy
It is used as an additional aid to standard surgical treatment. That is, adenoids are removed by using an adenotom (a special knife).
After this, the removal site, to accelerate tissue regeneration and stop bleeding, is treated with a laser beam. Manipulation is carried out using low-intensity radiation of a certain wavelength.
Naturally, removal of adenoids by a laser is possible, but one must be prepared for the fact that this manipulation needs special endoscopic equipment, and therefore it has a high cost.
Non-invasive laser therapy
It involves eliminating the problem without recycling lymphoid tissue, using only laser therapy. The impact of the beam is aimed at eliminating such problems: removal of puffiness, stopping inflammation, reducing pain, improving blood circulation and trophism of tissues, tissue regeneration, stimulating the immune response.
How is the procedure performed
Laser reduction of adenoids begins with the washing of the nasal cavity. This is necessary in order to remove all available secretions from the pharyngeal tonsil. For this purpose, a salt spray is used.
Important! Laser therapy is a completely painless manipulation, which does not need fixation of the baby or special anesthesia!
The only difficulty at the time of its implementation is a motionless position, which is difficult to achieve from the child. Processing is carried out by a helium-neon laser through a light guide inserted through the nose.
The number of necessary manipulations can be determined only by a specialist. There are also recommendations that must be followed after the procedure. They are as follows:
- restriction of physical activity;
- Inadmissibility of visiting the pool, sauna or bath;
- dietary sparing food, i.e., It is prohibited to drink cold, sweet, salty, hot and hot foods, as well as drinking carbonated drinks.
Studies before manipulation
If it is necessary to remove adenoids in a child, you need to contact an otorhinolaryngologist who can deliver an accurate and correct diagnosis. It is he who decides whether manipulation will be effective on an individual basis.
The doctor checks the increase in adenoids by applying a nasal mirror, and he can also use a flexible or hard endoscope. In addition, it is necessary to undergo roentgenography of the nasal sinus area.
Attention! This check is extremely necessary, as often adenoids can occur in conjunction with sinusitis, which involves inflammatory processes in the airway sinuses! If these two ailments are allowed, physiotherapy is allowed, but antibiotics should be prescribed after the operation.
Also, the ENT should prescribe a coagulogram and a general blood test. Their results can show the presence or absence of other diseases that can cause negative effects after carrying out this manipulation. Also, the test will show the effectiveness of the coagulating blood system, as with low coagulation the operation is prohibited.
- presence of high temperature;
- the presence of anemia or other ailments associated with blood;
- development of any neoplasms;
- the presence of hyperthyroidism and hypothyroidism;
- diseases in the cardiovascular system;
- presence of infectious-type diseases.
In fact, it is possible to minimize the occurrence of adenoids. This opinion is shared by Dr. Komarovsky, who advises to do the following:
- provide the child with proper nutrition, especially in the cold season;
- temper the children's body;
- in time to apply to a specialist for the purpose of treating ARI and ARVI;
- often clean the nasopharyngeal canal;
- do not admit to the sick;
- to come to the doctor with the slightest suspicion of the proliferation of adenoids.
Every adult should understand that the presence of adenoids is already a serious problem, which must be started in the first stage, not run. After all, mainly these growths lead to loss of hearing and other ailments. So give the children a bright, beautiful and fragrant world, and the price of the procedure will justify the result.
According to modern ideas, the enlarged adenoids do not lend themselves to conservative (non-surgical) treatment. The only effective method is the injection of corticosteroid hormones in the form of sprays in the nose. But it should be used only according to the doctor's prescription. Other methods of treatment, such as local antiseptics, decoction of oak cortex, homeopathic remedies, physiotherapy (including laser) are not effective in the long term, and sometimes can even worsen the course of the disease.
Therefore, doctors resort to surgical removal of adenoids. Currently, it is possible to conduct adenoidectomy under visual control with the help of a laryngeal mirror or a miniature video camera, which is inserted into the nasopharynx with a thin probe, and the doctor sees all the manipulations performed on the screen. Laser irradiation can be used in the removal of adenoids for cauterization of bleeding tissues, acceleration of healing and more favorable course of the postoperative period.
Indications for the operation are only four:
- constant nasal congestion, breathing through the mouth, when the adenoids increase so much that they interfere with nasal breathing;
- loud snoring accompanied by respiratory sleep stops - obstructive sleep apnea syndrome (OSAS) in combination with enlarged adenoids. This is an extremely dangerous condition that can result in death;
- recurrent otitis media. There is a probability of transition to chronic otitis media and a decrease or even a complete loss of hearing;
- recurrent rhinosinusitis - inflammation of the nasal cavity and paranasal sinuses (maxillary, frontal).
In other cases, even if the adenoids have grown, but the above-mentioned phenomena are absent, adenoidectomy is not indicated. Also, the operation is not performed if the child is often sick with ARVI or snores in sleep, but there are no breath stops.