Choosing a treatment method

The main question facing a doctor and parents – should they surgically remove adenoids or choose a conservative treatment? Indications for the adenoidectomy (removal of the adenoid) usually include the 3-degree hypertrophy of the pharyngeal tonsil (a hypertrophy degree is defined by an otolaryngologist based on the postnasal rhinoscopy and lateralis craniography analysis), recurrent otitis, auditory tube dysfunctions, chronic or recurrent bronchopulmonary diseases, allergies, obstructive sleep apnea syndrome. If adenoids don’t inflame (e.g. there are no adenoids) or inflame seldom, there are no problems with ear, then a surgical procedure is undesirable. In this case, a noninvasive therapeutic approach is preferred including monitoring of the pharyngeal tonsil condition with evaluation of auditory tubes patency (defined by an otolaryngologist based on nasopharynx examinations with a mirror or, less commonly, an endoscope, as well as respiratory disease prevention – seasonal influenza vaccination, cold training, breathing exercises. The conservative adenoid treatment for kids is usually of a local character. Such physiotherapeutic procedures as magnet and laser therapy, as well as blue light tubus of the nasopharynx can be effective. Anti-inflammatory and homeopathic medicine in sprays is used locally. If an otolaryngologist decides to surgically remove adenoids, then an obligatory minor examination is performed (besides lateralis craniography already made) – blood count, urine test, coagulogram. A surgery is performed only in case of no infection signs (purulent discharge from nasal passages or on the back of the throat, high body temperature, inflammation changes in the blood) and with normal haemocoagulative parameters.

How to remove adenoids?

In a classic approach of surgical removal of adenoids (adenoidectomy) is performed with a Beckmann’s ring knife. An assistant fixes a child’s head, after local anesthesia with lidocaine a surgeon inserts a knife through a mouth into a nasopharynx and cuts extrusive growths with one-three moves. Minor bleeding stops itself. A child is supervised for one day and then released home. The cut in the nasopharynx heals in 2-3 weeks.

Conservative treatment is provided in case there are no indications for the surgical removal. Measures to stimulate the immune system – diet according to appetite, physical activities, tempering, avoiding contact with dust and household detergents – are required. Air in a child’s room must be humidified (50-70%) and not too warm (19-21 degrees). Hypo allergic house care includes daily wet cleaning, airing, limited number of stuffed toys and carpets in a kid’s room.

Drug treatment of adenoids include local and systematic forms. Vitamins, immunomodulatory drugs (based on the results of an immunogram), drugs to reduce adenoid tissue, anti-inflammatory and antihistaminic drugs, if required, are prescribed for oral administration. Local treatment includes mucous lubrication (with sea salt solution), application of local glucocorticosteroids and homeopathic medicine. Physiotherapeutic procedures are also recommended – magnet and laser therapy for exacerbation, UV treatment for adenoiditis. Complex treatment is the most effective way to deal with adenoids and successfully adopt to an active social life.

Experienced otolaryngologists, Ph.D. Medicine, associate professors perform adenoidectomy in our clinic. The equipment of our clinic allows the doctors remove adenoids using the latest methods, as well as control and minimize complications.

In the clinic the adenoidectomy is performed on children older than 5 years.

MEDICAL TESTS required for the surgery:

  1. Complete blood count + blood platelets + coagulability (valid for 10 days)
  2. Blood type, Rh factor
  3. Coagulogram (valid for 10 days)
  4. Urine test (valid for 10 days)
  5. RWblood test (valid for 1 month) for children older than 13 years
  6. Fluorography (valid for 12 months) for children older than 17 years
  7. Blood tests for hepatitis B, C (valid for 1 month)
  8. Biochemical blood test (total protein, sodium, potassium, calcium, chlorine, cholesterol, BUN, creatinin, glucose, TB, DB, AST, ALT, chlorides) (valid for 10 days)
  9. ECG with a breakdown (statement of a cardiologist if needed) (valid for 1 month)
  10. Statements of narrow specialists (endocrinologist, cardiologist, therapist, etc. upon readings)(valid for 14 days)
  11. In case of chronical diseases – an abstract of outpatient medical record with a statement of a therapist (valid for 14 days)
  12. Additionally for children up to 18 years old – a statement of a pediatrician (health certificate, past medical history, lice and contagious skin diseases screening, on isolation from contagious patients) (valid for 3 days) + inoculation statement (valid for 1 month)

A price for the adenoidectomy surgery for children is 923.00 BYN including anesthesia and hospital stay.

A price for an ORT specialist consult is 30.00 BYN.

 

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