It is a small mass comprising of cells which is responsible for immune response
Its located behind nose
Is present in all children
Grows from 1yr to reach maximum size by 7yrs and disappear by 11yrs
So a normal thing
Adenoid is a normal structure its presence does not need treatment
When there is disease of adenoids we need to treat
Adenoid Hypertrophy
Adenoiditis
Snoring and mouthbreathing is most common
Child might have hearing difficulty due to fluid in ear
Attention deficit hyperactive disorder (ADHD) is associated sleep apnoea
Out of position teeth
X rays or endoscopy of nose
Treatment for adenoid hypertrophy is aimed to stop mouth breathing and improve ear function
First give a trial of medical treatment to achieve the goals
If medical option fails need to do adenoidectomy
Normal adenoid disappear by 11 yrs not ones which have disease
Children almost always breath through their nose, breathing through mouth is not natural
Normal development of face, teeth, nose and sinuses needs nasal breathing
More the time child continues mouthbreathing worse the develomental effects
under endoscopic guidance using debrider or Coblation adenoid is removed
Its a painless procedure
Adenoidectomy may lead to increase in tonsil size which might block airway
Tonsil needed to be removed when there is recurrent infection
Enlarged tonsils which are threat to block can be partially removed