Adenoids

Paediatric Otolaryngologist Thomas Havas

Is your child suffering from Adenoids?

We'd like to help you understand more about "Adenoids in Children". Online information collection, however, is not an effective way to ease this problem. Ensure you bring your child to see the best ENT specialist.

Professor Havas is one of the few specialists who has post-fellowship training in Paediatrics, leading university affiliations and public hospital appointments. Please call us or use the "Book an Appointment" form to arrange to see him.

What are Adenoids?

adenoid

Adenoids are aggregates of lymphoid tissue that sit in the post-nasal space behind the nose. They are part of what is known as Waldeyer’s ring, which is the lymphoid tissue comprising of the adenoids, tonsils and lymphoid tissue at the base of the tongue.

Although they probably have a primary immunological defense role, as a source of T cells if you lose your adenoids, tonsils, liver and spleen your bone marrow would still make enough T cells.

Adenoids cause problems in children in two ways. Firstly, if they grow, they mechanically obstruct the back of the nose. This obstruction can become even worse if the adenoids grow into the back of the nose, which is called intra nasal adenoid extension.

In cases of chronic low-grade infection of the adenoids, with or without obstruction, the adenoid tissue develops a layer called a bio-film. This is a proteinacious layer over the adenoids, which harbours bacteria and can act as a source of infection and re-infection of the nose, paranasal sinuses or middle ear.


What is Adenoids Surgery? Adenoidectomy.

Adenoidectomy is performed to remove enlarged adenoid tissue causing blockage at the back of the nose. In one third of cases adenoid tissue extends through the hole at the back of the nose, into the nose, and needs to be removed as well.

Standard adenoidectomy is done under general anaesthesia as a day only procedure. A curette through the mouth goes behind the palate to remove the adenoid tissue in the post nasal space.

The patency of the hole at the back of the nose is then checked with a telescope placed in through the nostrils. If there is adenoid tissue extending into the nose, it is removed using the telescope and an instrument introduced through the nostril.

The procedure can be performed on children of any age but is most commonly performed on children between the ages of 2 – 6 years.


Do the adenoids grow back?

The most commonly asked question in regards to adenoidectomy is; "Do the adenoids grow back?" The answer to this question is that the adenoids do not grow back but if any adenoid tissue is left behind, it can enlarge and cause recurrent symptoms.


If you have any further questions regarding adenoids in children, please do not hesitate to contact Havas ENT Clinics. We are glad to help!