Laser treatment of adenoids in children: reviews, consequences
Frequent colds in a child, accompanied by nasal congestion and runny nose, may indicate the development of adenoiditis. Such an ailment is most often diagnosed among toddlers who attend pre-school institutions. How to cope with this problem? Currently, experts recommend that the treatment of adenoids in children with a laser. Let us consider in more detail what this method and its effectiveness are.
Adenoids - what is it?
At the junction of the pharynx and nose, the person has an amygdala called nasopharyngeal or adenoids. The organ itself is a lymphoepithelial tissue that forms the pharyngeal ring.
The main function of the amygdala is to "catch" the pathogens that enter the body through the oral cavity, and the production of lymphocytes. It is developed mainly in young children and actively "works" during the formation of immunity. Why, then, can adenoids cause various pathological conditions? Let's try to figure this out.
The main reason for seeking LOR is nasal congestion. In children, this problem often develops against the backdrop of proliferation of nasopharyngeal tonsil tissues. This condition is called adenoiditis. Inflammation of adenoids in children is usually a symptom of another disease, but in some cases they can become a separate problem that is chronic.
pathology Lymphoid tissue proliferation can occur if the child has a hereditary predisposition associated with impaired functioning of the lymphatic and endocrine system. In addition to the increased risk of adenoiditis, these children experience lethargy, constant fatigue, apathy - direct symptoms of thyroid pathologies.
If the child often suffers from cold illnesses, the lymphoid tissue of the tonsils simply does not manage to get back to normal. Because of this adenoids are constantly in an inflamed condition. A similar phenomenon is often observed in children who attend kindergartens.
Regular contact with the irritant( allergen) also promotes a constant inflammatory process in the nasopharyngeal tonsil.
What else can provoke an increase in adenoids? Komarovsky EO - a well-known pediatrician, whose opinion most modern parents listen to, claims that adenoiditis can develop even if inhaled too dry air or overheated. If in the room where the child spends most of the time, the air parameters do not meet the recommended standards, the baby becomes more difficult to breathe through the nose. Overdried mucous does not fulfill its task and begins to pass viruses and microbes, which then cause inflammation of the nasopharyngeal tonsils.
The presence of some symptoms may indicate an inflammation of adenoids in children. The signs of the disease include:
- permanent or periodically occurring nasal obstruction, which leads to a worsening of nasal breathing;
- , snoring occurs during sleep;
- is disturbed by night sleep due to the fact that the child is forced to breathe through the mouth;
- , after a dream, a dry barking cough arises;
- the child starts to gundosit, the voice changes;
- often develop otitis, the hearing is weakened;
- develops a deformity of the chest( in neglected cases);
- worsens the sense of smell.
To determine the degree of development of the pathological process and to choose a method of therapy, a diagnosis will be required. Currently, otolaryngologists often spend pharyngoscopy, anterior and posterior rhinoscopy. More accurately determine the degree of adenoiditis allows radiography of the nasopharynx and video endoscopy. After confirming the diagnosis, you may need laser treatment of adenoids in children. However, first you can try conservative treatment options.
Methods of treatment
At the initial and middle stage of development of pathology, doctors recommend to conduct drug therapy aimed at reducing the size of adenoids and strengthening the protective forces of the child's body. EO Komarovsky adenoid recommends starting treatment as early as possible. After all, only in this case it will be possible to avoid serious consequences.
The most popular methods are washing the nasal passages, topical application of antiseptic agents, instillation of hormonal and vasoconstrictive drops. Strengthen the effect of drugs will help physiotherapy: warming up, magnetotherapy, electrophoresis and laser therapy.
One of the most common ways to treat inflammation of the nasopharyngeal tonsil is laser therapy. This is a fairly effective method, which belongs to the category of physiotherapy procedures. Treatment of adenoids in children with a laser can avoid surgical intervention. Although up to some time only the removal of tonsils was considered the most rational option of therapy.
When a medical laser is used, the enlarged lymphoid tissue of the nasopharyngeal tonsil is heated. This can be achieved by the appearance of light flashes with different amplitudes. Light types of lasers can transmit light energy to cells and accelerate blood circulation in tissues. The device has anti-edematous, anti-inflammatory, antiseptic and antibacterial effects.
Indications for laser therapy
Use of laser for adenoids in children is recommended only in those cases when the disease is in the first or second stage of development. At these stages, this method of treatment can still have a positive effect. If the child is completely unable to breathe through the nose due to an increase in the tonsil in the nasopharynx, the doctor can recommend only the removal of the adenoids surgically.
Until the age of three, the procedure is assigned to babies with any degree of hypertrophy of the lymphoid tissue of the nasopharyngeal tonsil. The effect of laser radiation in such cases helps significantly slow down the process of increasing adenoids or completely prevent it and avoid further surgery.
Laser adenoids treat even the youngest children. This method has many advantages:
- there are no painful sensations;
- for the procedure does not need to go to hospital;
- light device beam only affects inflamed tissues;
- manipulation leads to an improvement in metabolic processes, which contributes to a speedy recovery;
- laser radiation improves the absorption of drugs and enhances their effectiveness;
- rehabilitation after the manipulation is very fast.
Adenoid cutting with laser
Children with severe adenoiditis may completely lose the ability to breathe through the nose. This, in turn, leads to hypoxia of the brain, a violation of cardiac activity. Oxygen starvation leads to memory impairment, constant weakness, drowsiness.
There is a huge risk of stopping breathing during sleep. Continuous breathing through the mouth causes a change in the skeleton of the face and deforms the chest. In such cases, only the removal of adenoids in children by a laser is shown. Comments on the consequences of such a procedure are positive. To carry it out, specialists use high-frequency lasers, called "surgical knives" in practice.
Reviews say that manipulation is usually performed under local anesthesia. In some cases, during the operation, the removal of areas of enlarged lymphoid tissue must be performed with a scalpel, and only then the laser is applied.
The removal of vegetation by the laser is due to the evaporation of the liquid. The doctor then directs the beam to the swollen tissue, heats and cuts the site. With a large volume, a repetition of the procedure is required.
Laser removal of enlarged tissue of the nasopharyngeal tonsil can be carried out by the method of coagulation. This method is used only for large areas of vegetation. Removal of the adenoid is carried out by means of a burn.
Cauterization in children of adenoids with a carbon dioxide laser is used only in cases where nasopharyngeal tonsils are enlarged slightly. The technique allows to smooth out the expanded structures of tissues due to evaporation of water.
Interstitial coagulation also allows the evaporation of submucosal tissue structures and does not damage the very shell of the tonsils. Laser destruction can be prescribed after surgical removal of adenoids. At the same time, a specialist removes a large part of the expanded tissues in a standard way, and the laser beam subsequently helps evaporate the remaining inflamed areas.
Contraindications to the procedure
Trimming of adenoids by laser is carried out only on strict indications. The need for such a procedure is determined by a specialist after a preliminary diagnosis.
In some cases this method of therapy is contraindicated. It is not prescribed for blood diseases, thyroid dysfunction, cardiovascular ailments, open form of tuberculosis.
Preparation and manipulation of
Before the procedure, the baby must be shown to the otolaryngologist. The doctor determines the degree of adenoiditis and decides about the need for laser removal of the expanded tissue.
It is impossible to start treatment of adenoids in children with a laser without preliminary testing of laboratory tests. A general blood test is absolutely necessary to exclude the presence of other inflammatory processes in the body. Coagulogram allows you to determine the coagulability of blood.
The duration of the procedure should be determined by a specialist. In some cases, the doctor may recommend that adenoids be removed in several sessions.
Where is laser adenoids removed? Children similar procedure is carried out only in specialized ENT-rooms. The cost will depend on the chosen method of therapy.
After removal of the adenoids by laser and following the recommendations of the doctor, the risk of recurrence of the disease is reduced to 15%.According to the reviews, it is possible to fully recover within a month.
To accelerate rehabilitation and avoid negative consequences, it is necessary to release the child from physical exertion for at least 2 weeks. You can eat only warm food and drinks. It is not recommended to overheat the baby.
A respiratory gymnastics is mandatory, which will help improve gas exchange in the lungs. It is desirable that the humidifier of the air is constantly working in the child's room.
In the future, it is important to choose a set of measures aimed at strengthening the body's defenses. It can be the intake of vitamin-containing products, regular exercise, long walks in the fresh air, proper nutrition, the use of folk methods of strengthening immunity.