Exercises after adenoid removal. Removal of adenoids. Exercises for the shoulder girdle and neck muscles

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All recommendations are indicative in nature and are not applicable without consulting a doctor.

Adenotomy is one of the most common surgical interventions in ENT practice, which does not lose its relevance even with the advent of a host of other methods for treating pathology. The operation eliminates the symptoms of adenoiditis, prevents the dangerous consequences of the disease and significantly improves the quality of life of patients.

Often adenotomy is performed in childhood, the predominant age of patients is children from 3 years old and preschool children. It is at this age that adenoiditis is most common, because the child actively contacts the external environment and other people, encounters new infections and develops immunity to them.

The pharyngeal tonsil is part of the Waldeyer-Pirogov lymphoid ring, which is designed to contain infection below the pharynx. The protective function can turn into a serious pathology when the lymphatic tissue begins to grow disproportionately larger than is required for local immunity.

An enlarged tonsil creates a mechanical obstruction in the pharynx, which manifests itself as breathing problems, and also serves as a source of constant reproduction of all kinds of microbes. Initial degrees of adenoiditis are treated conservatively, although symptoms of the disease already exist. The lack of effect of therapy and the progression of pathology leads patients to a surgeon.

Indications for adenoid removal

Enlargement of the pharyngeal tonsil in itself is not a reason for surgery. Specialists will do everything possible to help the patient in conservative ways, because surgery is an injury and a certain risk. However, it happens that it cannot be done without it, then the ENT weighs all the pros and cons, talks with the parents if we are talking about a small patient, and sets a date for the intervention.

Many parents know that the lymphoid pharyngeal ring is the most important barrier to infection, so they are afraid that after the operation the child will lose this protection and will get sick more often. Doctors explain to them that abnormally overgrown lymphoid tissue not only does not fulfill its direct role, but also maintains chronic inflammation, prevents the child from growing and developing properly, creates a risk of dangerous complications, therefore in these cases there is no need to hesitate or hesitate, and the only way to get rid of the child will undergo surgical intervention from suffering.

Indications for adenotomy are:

• Adenoids grade 3;
• Frequent recurrent respiratory infections, difficult to respond to conservative therapy and causing progression of adenoiditis;
• Recurrent otitis media and hearing loss in one or both ears;
• Speech and physical development disorders in a child;
• Difficulty breathing with sleep apnea;
• Changes in bite and formation of a specific “adenoid” face.

degree of adenoiditis

The main reason for intervention is the third degree of adenoiditis, leading to difficulty breathing through the nose, and constantly worsening infections of the upper respiratory tract and ENT organs. In a small child, proper physical development is disrupted, the face acquires characteristic features that will be almost impossible to correct later. In addition to physical suffering, the patient experiences psycho-emotional anxiety, lacks sleep due to the inability to breathe normally, and suffers from intellectual development.

The main symptoms of severe adenoiditis are difficulty in nasal breathing and frequent infections of the ENT organs. The child breathes through the mouth, which is why the skin of the lips becomes dry and cracked, and the face becomes puffy and stretched. The constantly slightly open mouth attracts attention, and at night parents hear with concern how hard it is for the baby to breathe. Episodes of nocturnal breathing stops are possible, when the tonsil completely blocks the airways with its volume.

It is important that adenoid removal surgery be performed before irreversible changes and serious complications occur from a seemingly minor problem limited to the pharynx. Untimely treatment, and especially its absence, can cause disability, so it is unacceptable to ignore the pathology.

The best age for adenotomy in children is 3-7 years. Unreasonably postponing surgery leads to serious consequences:

1. Persistent hearing loss;
2. Chronic otitis media;
3. Changes in the facial skeleton;
4. Dental problems - malocclusion, caries, impaired eruption of permanent teeth;
5. Bronchial asthma;
6. Glomerulopathies.

Adenotomy, although much less common, is also performed on adult patients. The reason may be:

• Nocturnal snoring and sleep disordered breathing;
• Frequent respiratory infections with diagnosed adenoiditis;
• Recurrent sinusitis, otitis.

Contraindications to adenoid removal are also defined. Among them:

1. Age up to two years;
2. Acute infectious pathology (flu, chicken pox, intestinal infections, etc.) until it is completely cured;
3. Congenital malformations of the facial skeleton and anomalies in the structure of blood vessels;
4. Vaccination carried out less than a month ago;
5. Malignant tumors;
6. Severe bleeding disorders.

Preparing for surgery

When the need for surgery is decided, the patient or his parents begin searching for a suitable hospital. There are usually no difficulties in choosing, because surgical removal of tonsils is carried out in all ENT departments of public hospitals. The intervention is not very difficult, but the surgeon must be sufficiently qualified and experienced, especially when working with young children.

Preparation for surgery to remove adenoids includes standard laboratory tests - general and biochemical blood tests, coagulation tests, determination of group and Rh affiliation, urine test, blood tests for HIV, syphilis and hepatitis. Adult patients are prescribed an ECG; children are examined by a pediatrician, who, together with an otolaryngologist, decides on the safety of the operation.

Adenotomy can be performed on an outpatient or inpatient basis, but most often hospitalization is not required. On the eve of the operation, the patient is allowed to have dinner at least 12 hours before the intervention, after which food and drink are completely excluded, because general anesthesia can be used, and the child may vomit during pain relief. In female patients, surgery is not prescribed during menstruation due to the risk of bleeding.

Features of anesthesia

The method of pain relief is one of the most important and responsible stages of treatment; it is determined by the age of the patient. If we are talking about a child under seven years old, then general anesthesia is indicated; for older children and adults, adenotomy is performed under local anesthesia, although in each case the doctor approaches it individually.

Surgery under general anesthesia for a small child it has an important advantage: the absence of operational stress, as is the case when the baby sees everything that happens in the operating room without even feeling pain. The anesthesiologist selects drugs for anesthesia individually, but most modern drugs are safe, low-toxic, and anesthesia is similar to normal sleep. Currently, Esmeron, Dormicum, Diprivan, etc. are used in pediatrics.

General anesthesia is preferable in children 3-4 years old, in whom the effect of being present at the operation can cause severe fear and anxiety. With older patients, even those under seven years of age, it is easier to negotiate, explain and reassure, so local anesthesia can also be performed on preschool children.

If planned local anesthesia, then a sedative is first administered, and the nasopharynx is irrigated with a lidocaine solution so that further injection of the anesthetic is not painful. To achieve a good level of pain relief, lidocaine or novocaine is used, which is injected directly into the tonsil area. The advantage of such anesthesia is the absence of a period of “recovery” from anesthesia and the toxic effect of drugs.

In the case of local anesthesia, the patient is conscious, sees and hears everything, so fear and anxiety are not uncommon even in adults. To minimize stress, before adenotomy, the doctor tells the patient in detail about the upcoming operation and tries to calm him down as much as possible, especially if the latter is a child. Psychological support and attention from parents are also of no small importance, which will help to endure the operation as calmly as possible.

Today, in addition to classical adenotomy, other methods have been developed for removing the pharyngeal tonsil using physical factors - laser, coblation, radio wave coagulation. The use of endoscopic technology makes treatment more effective and safe.

Classic adenoid removal surgery

classic adenotomy

Classic adenotomy is performed using a special instrument - Beckmann's adenotomy. The patient, as a rule, sits, and the adenotom is inserted into the oral cavity to the tonsil behind the soft palate, which is raised by the laryngeal mirror. The adenoids must completely enter the adenotomy ring, after which they are excised with one quick movement of the surgeon’s hand and removed through the mouth. The bleeding stops on its own or the vessels coagulate. In case of severe bleeding, the surgical area is treated with hemostatic agents.

The operation is often performed under local anesthesia and takes a few minutes. Children who are sedated and prepared for the procedure by their parents and doctor tolerate it well, which is why many specialists prefer local anesthesia.

After removal of the tonsil, the child is sent to the ward with one of the parents, and if the postoperative period is favorable, he can be sent home on the same day.

Others shortcomings possible pain during manipulation is considered, as well as a higher risk of dangerous complications - entry of removed tissue into the respiratory tract, infectious complications (pneumonia, meningitis), injuries to the lower jaw, pathology of the hearing organs. The psychological trauma that can be inflicted on a child cannot be ignored. It has been established that children may experience an increased level of anxiety and develop neurosis, so most doctors still agree on the advisability of general anesthesia.

Endoscopic adenotomy

Endoscopic removal of adenoids is one of the most modern and promising methods of treating pathology. The use of endoscopic technology allows a thorough examination of the pharyngeal area and safe and radical removal of the pharyngeal tonsil.

The operation is performed under general anesthesia. The endoscope is inserted through one of the nasal passages, the surgeon examines the wall of the pharynx, after which he excises the adenoid tissue with an adenotome, forceps, microdebrider, or laser. Some specialists complement endoscopic control with visual control by introducing a laryngeal speculum through the oral cavity.

Endoscopy makes it possible to most completely remove the overgrown lymphoid tissue, and in case of relapse it is simply irreplaceable. Endoscopic removal of adenoids is especially indicated when the growth occurs not in the lumen of the pharynx, but along its surface. The operation is longer than a classic adenotomy, but also more accurate, because the surgeon acts with precision. The excised tissue is often removed through the nasal passage, free from the endoscope, but it is also possible through the oral cavity.

endoscopic adenotomy

An option for endoscopic adenoid removal is shaver technique, when the tissue is excised with a special device - a shaver (microdebrider). This device is a micro-mill with a rotating head placed in a hollow tube. The cutter blade cuts off the hypertrophied tissue, crushes it, and then the tonsil is sucked out by an aspirator into a special container, which eliminates the risk of it getting into the respiratory tract.

The advantage of shaver technology- low trauma, that is, healthy tissue of the pharynx is not damaged, the risk of bleeding is minimal, no scars remain, while endoscopic control makes it possible to completely excise the tonsil, preventing relapse. The method is considered one of the most modern and effective.

A limitation to removing the tonsil with a microdebrider may be that the nasal passages in a small child are too narrow, through which it is impossible to insert instruments. In addition, not every hospital can afford the necessary expensive equipment, so private clinics often offer this method.

Video: endoscopic adenotomy

The use of physical energy in the treatment of adenoiditis

The most common methods of excision of the pharyngeal tonsil using physical energy are the use of laser, radio waves, and electrocoagulation.

laser treatment

Laser removal of adenoids consists of exposure of tissue to radiation, which causes a local increase in temperature, evaporation of water from cells (vaporization) and destruction of hypertrophic growths. The method is not accompanied by bleeding, this is its advantage, but there are also significant disadvantages:

• Inability to control the depth of exposure, which creates a risk of damage to healthy tissue;
• The operation is long;
• The need for appropriate equipment and highly qualified personnel.

Radio wave treatment carried out using the Surgitron apparatus. The pharyngeal tonsil is removed with a nozzle that generates radio waves, while the vessels are coagulated. The undoubted advantage of the method is the low probability of bleeding and low blood loss during surgery.

Plasma coagulators and coblation systems also used by some clinics. These methods can significantly reduce the pain that occurs in the postoperative period, and are also practically bloodless, therefore they are indicated for patients with blood clotting disorders.

Coblation is the effect of “cold” plasma when tissues are destroyed or coagulated without burns. Advantages - high accuracy and efficiency, safety, short recovery period. Among the disadvantages are the high cost of equipment and training of surgeons, recurrence of adenoiditis, and the likelihood of scarring in the tissues of the pharynx.

As you can see, there are many ways to get rid of the pharyngeal tonsil, and choosing a specific one is not an easy task. Each patient requires an individual approach, taking into account age, anatomical features of the structure of the pharynx and nose, psycho-emotional background, and concomitant pathology.

Postoperative period

As a rule, the postoperative period is easy; complications can be considered rare if the surgical technique is chosen correctly. On the first day, a rise in temperature is possible, which is reduced by conventional antipyretic drugs - paracetamol, ibufen.

Some children complain of sore throat and difficulty breathing through the nose, which are caused by swelling of the mucous membranes and trauma during the operation. These symptoms do not require specific treatment (except nasal drops) and disappear within the first few days.

The patient does not eat for the first 2 hours, and for the next 7-10 days he adheres to a diet, since nutrition plays a significant role in the restoration of nasopharyngeal tissue. For several days after the operation, soft, pureed food, purees, and porridges are recommended. The child can be given special baby food for babies, which will not cause injury to the pharyngeal mucosa. By the end of the first week, the menu expands; you can add pasta, omelet, meat and fish soufflé. It is important that the food is not hard, too hot or cold, or composed of large pieces.

In the postoperative period, carbonated drinks, concentrated juice or compote, crackers, hard cookies, spices, salty and spicy foods are strictly not recommended, as they increase local blood circulation with the risk of bleeding and can injure the mucous membrane of the pharynx.

1. bathhouse, sauna, hot bath are excluded for the entire recovery period (up to a month);
2. playing sports - no earlier than a month later, while normal activity remains at the usual level;
3. It is advisable to protect the person undergoing surgery from contact with potential carriers of a respiratory infection; the child is not taken to kindergarten or school for about 2 weeks.

Drug therapy in the postoperative period is not needed, only nasal drops are indicated, which constrict blood vessels and have a local disinfecting effect (protargol, xylin), but always under the supervision of a doctor.

Many parents are faced with the fact that after treatment, the child continues to breathe through the mouth, out of habit, because nothing interferes with nasal breathing. This problem is dealt with through special breathing exercises.

Complications include bleeding, purulent processes in the pharynx, acute inflammation in the ear, and relapse of adenoiditis. Sufficient pain relief, endoscopic control, and antibiotic protection make it possible to minimize the risk of complications with any of the surgical options.

The key task of postoperative therapy is to create optimal conditions for the rapid regeneration of the mucous epithelium at the site of the operated tissue. To speed up recovery after adenoid removal in children, it is necessary to strictly follow all medical instructions for the postoperative period.

Otherwise, it is possible that complications will develop, leading to a deterioration in the child’s well-being. After adenotomy, the main attention is paid to drug treatment, hardening procedures, breathing exercises and nutrition. Already 2-3 hours after excision of the hypertrophied pharyngeal tonsil, the child is discharged home. But in order to prevent postoperative bleeding and septic inflammation of the nasopharynx, parents should monitor compliance with a gentle regimen over the next two to three weeks.

The first hours after adenotomy

Adenotomy is a surgical procedure during which an ENT doctor removes hyperplastic lymphoid tissue in the nasopharynx vault. Despite the fact that the operation takes little time, after excision of adenoid vegetations the risk of septic inflammation of the mucous membranes and postoperative bleeding increases many times. Immediately after adenotomy, patients are transferred to the general ward, where a specialist monitors their health for 2-3 hours.

To prevent aspiration of blood, the following must be done after surgery:

• put the patient on the bed and turn him on his side;
• place a towel under the head into which the patient will cough up mucus and blood;
• Apply gauze soaked in cold water to your face.

3 hours after surgery, the otolaryngologist should conduct a pharyngoscopy examination to assess the condition of the nasopharyngeal mucosa. In the absence of bleeding and severe swelling of the tissue on the posterior wall of the hypopharynx, the patient is discharged from the hospital.

Important! Over the next 2 weeks, the operated child must be taken to an ENT doctor for examination.

Note to parents

In the postoperative period, you need to carefully monitor the child’s condition and listen to his complaints about his health. Timely contact with a specialist can prevent the development of serious postoperative complications. During the half-month, parents should monitor not only the patient’s nutrition, but also adherence to a gentle regimen:

• exclude from the diet foods that irritate the mucous membranes of the ENT organs;
• limit physical activity, as this can lead to bleeding;
• strictly follow drug therapy and use vasoconstrictor drugs recommended by a specialist;
• Avoid using antipyretics that contain acetylsalicylic acid;
• Ventilate the room regularly and use humidifiers.

Important! After surgery, you should not give your child Aspirin to lower the temperature, as it thins the blood and can cause bleeding.

During the day after adenotomy, it is possible that the temperature may rise to subfebrile levels. It is undesirable to use antipyretics to eliminate hyperthermia, since this is a completely normal reaction of the body to surgery. But if low-grade fever persists for the next 3-4 days, seek help from a doctor. This may indicate the development of inflammation in the operated tissues.

Nutrition

A gentle diet is one of the key components of the postoperative rehabilitation period. Removal of adenoids leads to tissue swelling, which increases the risk of injury to the mucosa. To prevent damage to the ciliated epithelium in the hypopharynx, you should avoid eating spicy and solid foods for at least 2 weeks.

In the first days after adenotomy, you should limit the consumption of spicy and hot foods, as they can cause irritation of the oropharyngeal mucosa.

The following foods should be included in the diet:

• fruit and vegetable purees;
• meat broths and herbal infusions;
• oatmeal and semolina porridge;
• steamed soups and cutlets.

After each meal, it is recommended to rinse the oropharynx with decoctions based on medicinal chamomile, oak bark or sage. They contain phytoncides that suppress the development of pathogenic bacteria, which prevents the development of septic inflammation in the operated tissues.

Prohibited Products

Poor nutrition can not only cause inflammation, but also provoke the development of an abscess in the peritonsillar and retropharyngeal region. Even if the child demands the usual diet, you should not indulge his whims, as this can lead to undesirable consequences. It is recommended to exclude hot spices, hot dishes, carbonated drinks and unnatural juices from the menu.

Food dyes cause allergic reactions in the operated tissues, which leads to a decrease in local immunity and swelling of the mucous membranes.

Within 10 days after adenotomy, it is undesirable to consume the following foods:

• canned and pickled vegetables;
• confectionery products (sweets, pastries, cakes);
• canned fish and stew;
• sour fruits and vegetables.

Confectionery products pose the greatest danger to a child's health. They contain a large amount of sugars, which are a suitable substrate for the development of pyogenic bacteria.

Breathing exercises

Breathing exercises are one of the most effective ways to restore normal nasal breathing after adenotomy. Classes should be carried out daily for 1-2 weeks after surgery. During gymnastics, you need to consider several important recommendations:

• at the moment of increasing load on the respiratory system (bending, squats), the child should exhale deeply;
• when relaxing your muscles and spreading your arms to the sides, you need to inhale;
• exhalations and inhalations should not be sharp.

Breathing exercises begin 5-6 days after adenotomy. Over time, the load is increased to speed up the restoration of the functional activity of the nasopharynx. What exercises can you do after adenoid removal?

• for abdominal breathing: stand straight with your arms along your body; exhale slowly so that the upper part of the abdominal wall is drawn into the stomach;
• for chest breathing: take a deep breath through your nose so that your chest rises up and your stomach retracts; holding your breath for 2-3 seconds, exhale slowly through your nose;
• for full breathing: take a slow breath through your nose, sticking your stomach forward; As you exhale, pull in your stomach, “squeezing” your chest as much as possible.

Breathing exercises should not be performed if respiratory diseases develop, as this will only worsen the child’s well-being.

Each exercise must be performed at least 10-15 times in a row in three approaches. If your child complains of dizziness, postpone classes for 2-3 days.

Possible consequences of adenotomy

Having decided on surgical intervention, parents should be aware of the possible consequences of adenotomy. Failure to comply with the rules of rehabilitation therapy leads to the development of local complications. Common postoperative complications include:

During surgery, the surgeon is not always able to completely remove hyperplastic adenoid tissue. For this reason, relapses of ENT disease and re-growth of the pharyngeal tonsil often occur. In this case, repeated surgical treatment is required.

Preventive measures include complete abstinence from physical activity for a month after surgery. Throughout the postoperative period, it is not recommended to bathe children in hot water, as this can lead to dilation of blood vessels and nosebleeds. In addition, it is necessary to minimize the patient's exposure to the sun.

To reduce the likelihood of developing respiratory diseases, in the first 10 days after adenotomy it is recommended to limit the child’s contact with others.

You can speed up the healing process of wounds in the nasal cavity with the help of nasal drops that have an antiphlogistic and regenerating effect. If you have allergic reactions to the components of medications, you should contact your doctor and replace the vasoconstrictor drops with more gentle ones that do not irritate the nasopharyngeal mucosa.

- A fairly simple operation performed as prescribed by a doctor. The decision to conduct it is made if conservative methods of treating adenoiditis are ineffective. This surgical procedure is performed under anesthesia and lasts no more than half an hour. In most cases, adenotomy does not cause complications. However, no less important than the operation is the period after removal of the adenoids. After all, it is at this time that normal respiratory functions are restored.

First time after surgery

Immediately after surgery, the patient is transferred to the hospital, as he needs to be monitored. The child is prescribed bed rest, the optimal position for the first few hours is on his side. A towel is placed under his head so that he can freely spit out saliva, as well as mucous secretions or blood. In order to reduce swelling and pain after removal of the adenoids, a cold compress is applied to the face from the side of the removed tonsils.

After three hours, the doctor should perform a pharyngoscopy to detect severe swelling or bleeding. If such symptoms are not identified, the child is discharged. From this moment on, the parents take full responsibility for his condition.

Possible complications

Despite the fact that adenotomy is a fairly simple manipulation, certain complications may occur after surgery to remove the adenoids. This happens quite rarely, but the features of the recovery period suggest such a development of events.

The most common symptoms that may appear are:

• headache and dizziness;
• swelling of the tissues of the nasopharynx;
• severe nasal congestion and runny nose;
• pain in the throat area;
• the appearance of tinnitus;
• spread of inflammation to the middle ear;
• nosebleeds;
• change in psycho-emotional state;
• dyspeptic syndrome.

In addition to this clinical picture, there are also possible consequences of adenotomy, such as cough, fever and enlargement of the adenoids after removal. It is worth paying special attention to their appearance, since they may indicate a certain pathological process in the child’s body.

Temperature

In general, an increase in temperature after adenoid removal is a fairly common occurrence. However, when it appears, you must ensure that it does not rise above 38 degrees. In this case, it is necessary to increase the amount of fluid the child consumes and provide him with proper care.

In case of prolonged hyperthermia (more than three days), you should consult a doctor and start taking antipyretic drugs. It is best to give preference to Nurofen or other drugs in liquid form, since the use of tablets is undesirable. Their use after removal of adenoids in a child is undesirable due to possible pain.

You should also pay attention to the fact that during the period of remission you should not use salicylates, in particular aspirin. This is due to the fact that the medicine has a blood-thinning effect and can cause severe bleeding.

The appearance of cough after adenotomy

Cough after adenoid removal is quite rare. However, if such a symptom appears, one can suspect the presence of chronic diseases. Sinusitis, frontal sinusitis or sinusitis due to constant mucous secretions contributes to the occurrence of a reflex dry cough.

In such a situation, the following actions have the greatest effect:

• in a supine position, it is best for the child to be on his side;
• to relieve irritation from the mucous membrane it is necessary to carry out inhalations;
• You can consult your doctor so that he can individually prescribe medications that help relieve the unpleasant symptom.

Rehabilitation process

During the entire postoperative period when adenoids are removed, the child should receive maximum attention. At this time he needs care and attention. After all, after performing an adenotomy, certain inconveniences are possible - from pain to psycho-emotional stress. This is due to the fact that even simple surgery can cause severe stress.

It is also necessary to understand that following all the doctor’s recommendations promotes faster recovery and prevents possible complications after adenoid removal in children. That is why the rehabilitation stage is no less important, as well as the correct intervention.

To organize care for a child after surgery, it is necessary to ensure that he does not experience great physical exertion. Also, much attention is paid to a balanced diet and special exercises that promote accelerated recovery of respiratory function. If pronunciation defects appear (most often nasality), it is necessary to achieve correct sound production. This is done to improve speech.

Nutrition after adenotomy

It is necessary that nutrition after adenoid removal meets certain requirements:

• it should not be hot;
• the consumption of solid food must be avoided so as not to damage the mucous membrane;
• food should have a uniform consistency;
• It is not recommended to give your child spicy, sour, salty, and fatty foods. It is also necessary to reduce the consumption of fried foods.

The answer to the question of what to feed a child after adenoid removal is strictly individual. It depends on the family budget and personal preferences of the patient. It is necessary that the food has high nutritional value and is easily digestible. But at the same time, it should not be too bland.

After each meal, for the purpose of anti-inflammatory action, it is necessary to gargle with a decoction of chamomile or sage. A weak solution of furatsilin is also well suited for this purpose. If a child refuses to eat, you should not force him, as the cause of such behavior may be pain.

In general, the diet after adenoid removal in children should be balanced and as nutritious as possible. The presence of large amounts of protein and beneficial microelements is welcome. As for various treats, it is believed that during rehabilitation a child can eat ice cream, as it helps relieve swelling of the mucous membranes.

Breathing exercises

After removal of the adenoids, the treating specialist may prescribe special exercises. They are especially relevant when the question arises of how to teach a child to breathe through his nose. The technique for performing breathing exercises after surgery is as follows:

1. Inhalation of air followed by retention (if possible). After this, exhale, and everything repeats. The exercise is performed while standing and is accompanied by raising the arms as you inhale and lowering them as you exhale. Inhale through the nose, exhale through the nose.
2. Breathing through the chest: when inhaling, you need to expand the chest and draw in the stomach, when exhaling, stick out the stomach. You need to breathe through your nose.
3. Belly breathing - when inhaling, the stomach is protruded, while exhaling, it is retracted. They breathe through their nose.
4. Alternate breathing, first through one and then through the other nostril, also has a good effect.

Are relapses possible?

Many parents are interested in the question of whether adenoids grow back after removal. The answer to this depends primarily on the characteristics of the child’s body.

1. This can happen if he is prone to allergic reactions.
2. The presence of chronic bronchitis and bronchial asthma also has a significant impact on relapse.
3. There is a significant risk of relapse in children with urticaria or atopic dermatitis.

The thing is that in children with allergies, the tonsils develop very quickly and can grow back. That is why such patients are rarely prescribed adenotomy. It is also necessary to remember that the risk of regrowth is increased in young children.

The symptoms of this phenomenon are as follows:

• worsening nasal breathing;
• the appearance of snoring during sleep;
• frequent nosebleeds;
• increased incidence of respiratory diseases.

In most cases, relapse after adenoid removal occurs within three to four months. And it is necessary to notice the symptoms that indicate this, because repeated adenoiditis can have more serious consequences.

Adenotomy, like any surgical intervention, can cause serious consequences. After adenoids, children most often experience the following problems:

• Decreased immunity - this consequence is temporary. With a full recovery period, the immune system returns to normal within 1-3 months.
• Snoring and runny nose – these symptoms are considered normal for 1-2 weeks after surgery. As soon as the swelling goes down, the snoring will go away. If symptoms persist for an extended period of time, you should consult an otolaryngologist.
• Secondary infections - their development is possible if after surgery a wound remains in the nasopharynx. Also, a weakened immune system leads to the development of infection.

In addition to the above consequences, more serious problems are possible: aspiration of the respiratory tract, trauma to the palate, intense bleeding after or during surgery.

Temperature after adenoid removal in children

Any surgical intervention is stressful for the body. Therefore, temperature after removal of the adenoids in children is a normal reaction. As a rule, slight hyperthermia is observed from 37 to 38˚C. The temperature rises in the evening, but it is not recommended to bring it down with medications that include aspirin. Such medications affect the structure of the blood, thinning it. Even one tablet can cause severe bleeding.

To reduce temperature after adenotomy, the following drugs are recommended:

• Ibuprofen is the safest antipyretic for children.
• Paracetamol - effectively relieves fever, but has a hepatotoxic effect.
• Metamizole - used to reduce fever and relieve pain.

If the fever persists for more than three days, you should immediately consult a doctor. In this case, hyperthermia may indicate the development of an infectious disease/complication.

Temperature after surgery may indicate problems not related to the respiratory tract: pathologies of the endocrine system, infectious viral diseases, inflammatory reactions. This unpleasant condition may be caused by childhood diseases such as scarlet fever or whooping cough.

Cough after adenoid removal in a child

The period after adenotomy is dangerous due to the development of various clinical symptoms. Cough after removal of the adenoids is primarily associated with the outflow of purulent fluid from the paranasal sinuses after the nasal passage is freed. As a rule, coughing attacks go away on their own within 10-14 days.

A prolonged postoperative cough may indicate a relapse, that is, new growth of the tonsils and swelling of the surrounding tissues. To prevent this condition, you should contact an otolaryngologist for a thorough examination.

Snoring after adenoid removal in a child

A symptom such as snoring in a child after adenotomy is normal. As a rule, it lasts for 1-2 weeks. This unpleasant condition is associated with swelling of the nasopharynx and narrowing of the nasal passages due to surgery. But if discomfort is observed for 3-4 weeks, then the baby should be shown to an otolaryngologist.

In some cases, secondary snoring occurs in children after surgery; let’s look at its causes:

• Proliferation of tonsils (relapse).
• When lying in a horizontal position for a long time, mucous secretions flow to the back wall of the larynx, causing snoring.
• Inflammatory processes during the recovery period.
• Allergic reactions.
• Nasal congestion and chronic pathologies of the nasopharynx.
• Anatomical features of the structure of the organs: uneven nasal septum, suspended uvula of the palate, narrow airways.
• Poor nasopharyngeal hygiene.

In addition to the above factors, snoring may be associated with the persistence of the habit of breathing through the mouth. This significantly disrupts the quality of sleep and negatively affects mental abilities and physical activity. In some cases, nighttime snoring causes short-term cessation of breathing. If this condition persists for a long period of time, then there is a risk of oxygen starvation of the brain and dysfunction of the central nervous system.

• The last meal should consist of soft food that does not irritate the laryngeal mucosa.
• Daily breathing exercises normalize nasal breathing and strengthen the walls of the larynx.
• Vasoconstrictor drops reduce swelling of the mucous membrane, and nasal sprays with an antibiotic are also recommended.
• To disinfect the oral and nasal cavities, rinses with hypertonic solutions and herbal infusions are used.

Runny nose after adenoid removal in a child

The most common signs of adenoids are a prolonged runny nose and constant nasal congestion. As the nasopharyngeal tonsil grows, these symptoms worsen. If conservative therapy is ineffective, the patient is prescribed surgical treatment.

Many parents mistakenly believe that a runny nose goes away after the child’s adenoids are removed. But this is far from true, since mucous discharge can persist for 10 days, and this is the norm. It should also be taken into account that a runny nose is directly related to postoperative swelling of the nasal cavity.

Poor discharge of mucus from the paranasal sinuses may indicate a secondary infection. In this case, in addition to snot, additional symptoms appear:

• Increased body temperature.
• Bad breath.
• Green thick snot.
• General weakness.

If pathological symptoms persist for 2 or more weeks, then this is a clear sign of a severe bacterial infection, a manifestation of a viral disease, or an exacerbation of a chronic disease that requires treatment.

The appearance of a runny nose after adenotomy may be associated with the following pathologies:

• Deformation of the nasal septum.
• Hypertrophic processes in the nasopharynx.
• Immunological reactivity of the body.
• Bronchopulmonary disorders.

To ensure that mucous discharge from the nasal cavity does not persist for a long time in the postoperative period, it is necessary to follow medical recommendations. First of all, it is forbidden to abuse tablets with antiseptic and antibacterial substances, which can thin the nasopharyngeal mucosa and cause persistent infection. It is also not recommended to perform steam inhalations with alkaline agents or use concentrated saline solutions to rinse the nose and throat.

Sore throat after adenoid removal in children

Removal of hypertrophied adenoid tissue of the pharyngeal tonsils can cause a number of painful symptoms in the postoperative period. Many parents face this problem when their baby has a sore throat after adenotomy.

Discomfort may be associated with the following factors:

• Trauma to the throat during surgery.
• Infectious and inflammatory process.
• Relapse of chronic diseases of the oropharynx.
• Complications after anesthesia.

Sore throat can radiate to the ears and temples, and stiffness when moving the lower jaw is also often observed. As a rule, this problem goes away within 1-2 weeks. To relieve the painful condition, the doctor prescribes medicinal aerosols, inhalations and oral medications. If the pathological condition progresses or persists for a long period of time, then you should consult an otolaryngologist.

After adenoid removal, a child has a headache

Another possible complication that occurs after adenoid removal in children is headaches and dizziness. The painful condition is temporary and most often occurs in the following cases:

• Adverse reaction of the anesthesia used.
• Reducing arterial and intracranial pressure during surgery.
• Dehydration of the body.

Discomfort appears on the first day after surgery and may persist for 2-3 days. You may also feel slightly dizzy when waking up after anesthesia. Headaches are aching, bursting in nature and intensify with loud sounds and sudden turns of the head.

For treatment, drinking plenty of fluids and getting proper rest is indicated. For excruciating pain, the doctor prescribes safe painkillers.

Vomiting after adenoid removal in children

One of the side symptoms of adenotomy is vomiting. After removal of the adenoids, it acts as a reaction to the anesthesia used and most often occurs with the following symptom complex:

• Attacks of nausea.
• Stomach ache.
• Deterioration in general health.

Sometimes there are blood impurities in the vomit, which disappear 20 minutes after surgery if the patient’s blood clotting is normal.

In addition to vomiting attacks, children may have a fever. Hyperthermia with abdominal pain should not last more than 24 hours. If symptoms persist for a longer time, then urgent consultation with an otolaryngologist and pediatrician is indicated.

After removal of adenoids, the child's voice changed

Many doctors note that after removal of the adenoids, children's voice may change. Such changes are temporary and persist during the first days after surgery. In some babies, the voice becomes nasal, hoarse and may resemble a cartoon.

As nasal breathing is restored (about 10 days), the voice also normalizes. It becomes clear and sonorous. If pathological symptoms persist for more than 2 weeks, then the baby should be shown to a doctor.

A child has a nasal voice after adenoid removal

The postoperative period during surgical treatment of hypertrophied tissue of the pharyngeal tonsils is very often accompanied by changes in voice. This symptom is caused by swelling of the nasopharynx and palate and is temporary. But if, after removal of the adenoids, a nasal voice persists for a long period of time, then this may indicate the development of a serious complication.

According to medical statistics, in 5 out of 1000 patients, voice changes are a pathology such as velopharyngeal insufficiency. It manifests itself in a dull, nasal voice, slurred pronunciation of words, especially consonants.

This complication develops due to the fact that the soft palate does not completely cover the nasal passages. When speaking, air enters the nasal cavity, the sound resonates and becomes nasal. For treatment, breathing exercises and a complex of physiotherapy procedures are used. In particularly severe cases, surgery of the soft palate is possible.

Nervous tic in a child after adenoid removal

As a rule, a nervous tic in a child after adenotomy is associated with the following factors:

• Psycho-emotional trauma.
• Complications of general anesthesia.
• Severe postoperative pain.
• Trauma to nerve tissue during surgery.

Complications may arise due to the removal of adenoids under local anesthesia. In this case, the nervous tic is associated with the fear of the little patient who observed all the surgical procedures.

Another possible cause of the disorder is due to the fact that the movements that the patient made were fixed in the form of a tic. Due to impaired nasal breathing, runny nose or sore throat, children often swallow saliva, strongly straining the muscles of the neck and pharynx. After the operation, swallowing appears as tics and persists for a certain time.

If the disorder persists for a long period of time, you should contact your pediatrician. In especially severe cases, consultation with a neurologist is necessary. Anticonvulsants and psychotropic drugs may be prescribed for treatment.