Adenoid Vegetation (Adenoid Hypertrophy)

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When should Adenoidectomy be performed, and when should it be removed? (Adenoidectomy procedure)

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Adenoids, which are present in every child but can cause problems in some, should be initially monitored and only removed if results cannot be achieved with various treatments.

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The necessity for removing adenoids is as follows:

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1. Long-term, obstructive adenoid growth: presence of snoring, difficulty breathing at night, and even pauses in breathing (apnea),

2. In children with nasal congestion and mouth breathing,

3. In children with swallowing and speech problems,

4. Presence of adenoids causing dental, jaw, and palate developmental disorders,

5. Adenoidectomy is necessary in children with growth and development retardation.

6. Repeated adenoid infections,

7. Repeated middle ear infections (recurrent acute otitis media) and fluid accumulation in the middle ear (chronic serous otitis media),

8. Repeated sinus infections in children,

9. In cases of recurrent lower respiratory tract infections (if the focus is adenoids), the adenoids are removed by surgery. Pathological examination is also performed.

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When should Tonsils be removed? (Tonsillectomy procedure)

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Tonsils, which have protective functions fundamentally, can become harmful rather than beneficial in some cases. Tonsils and adenoids should only be removed when necessary. Not every throat infection is a tonsil infection; a decision for surgery should be made after being followed by an ENT Specialist. The conditions and requirements for surgery are well known. However, decisions should be made in light of these rules.

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To summarize the situations where tonsils must be removed:

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1. If tonsils are very large and have become obstructive for breathing and nutrition.

2. If there are frequent tonsil infection attacks; tonsillectomy should be performed if there have been 7 attacks in the last year, 5 attacks in the last 2 years, and 3 tonsil infection attacks every year for the last 3 years.

3. If the patient experiences apnea during sleep.

4. Tonsillerin birinde diğerine göre boyutlarda artış varsa, tümör şüphesi nedeniyle tanısal amaçlı,

5. If there is a difference in size between tonsils, for diagnostic purposes due to suspicion of tumor,

6. If the patient has had peritonsillar abscess or deep neck infection, meaning there was an abscess involving the tonsil and its surroundings due to tonsil infection.

Conditions where tonsils are not absolutely required to be removed but are beneficial to the patient's quality of life,

1. Bad breath due to chronic tonsillitis,

2. Tonsil stones,

3. Accumulation of white residue (magma) on the tonsils,

4. Snoring,

5. Difficulty swallowing and speaking due to tonsils,

6. Patients causing febrile convulsions (seizures due to high fever)

7. Febril konvülzyona ( yüksek ateşe bağlı havale geçirme) neden olan hastalar

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Op. Dr. Ali Yüksel Informs...

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Outer Ear Canal Infections

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Outer ear canal infections, usually encountered in the summer months, are caused by bacteria such as Pseudomonas aeruginosa, which can come from pools, seas, or dirty waters. Patients experience severe ear pain, ear discharge, reduced hearing, itching, and in advanced cases, swelling and redness in the ear. Sometimes, the patient becomes unable to eat due to severe ear pain. When you have these complaints, you should consult an ENT specialist. Treatment involves cleaning the outer ear canal with special aspirators, dressing with various medications, and planning treatment with appropriate ear drops and medications. Patients should protect their ears from water, and during showering, they should close their ears with silicone plugs or cotton with vaseline. The ear should not be exposed to pool and sea waters until the infection regresses.