In this article, we will consider how a laser is used for painless treatment of adenoids in a child. They are a hypertrophied tonsil of the pharynx, which is located on its posterior wall. Only a doctor can see her through a special mirror.
Functions
The main function of tonsils is protection against various microbes. In the throat are many tonsils, as well as smaller concentrations of lymphoid tissue. The pharyngeal tonsil is the largest cluster of this tissue, which most often grows, becomes inflamed, transforming into adenoids, which can seriously impair human health. In children, adenoids appear between the ages of two to seven years and cause respiratory infections, accompanied by cough and chronic runny nose. Adenoid growths can become inflamed, and this process is called adenoiditis. The most effective way to get rid of them is with laser treatment of adenoids in a child.
What is the purpose of removing adenoids?
Naturally, not every child needs to remove adenoids. But with too serious an increase in the pharyngeal tonsil, hearing is worsened, a runny nose appears of a chronic nature, deformation of the facial skeleton becomes possible, and in this case the removal of adenoids is simply necessary. Otherwise, such complications may arise:
- Decrease in local immunity. With an enlarged tonsil, the mouths of the auditory tubes overlap, which connect the nasopharyngeal cavity with the middle ear. Due to stagnant factors, various rhinitis and otitis media develop. With a further increase in tonsils, inflammation spreads to the structures located below - the bronchi, trachea, and pharynx.
- Hearing loss. An increase in the pharyngeal tonsil affects the decrease in mobility of the tympanic septum. This is manifested in the fact that the child confuses individual words and sounds.
- Decreased performance and lethargy. Enlarged adenoids cause a constant oxygen deficiency, the child is often forced to breathe through his mouth. In turn, lack of oxygen reduces mental ability, increases fatigue, attention becomes distracted, weakness is characteristic.
- Allergy. Since the outflow of mucus is difficult, adenoids form an ideal environment for the reproduction of viruses and bacteria, and if there are appropriate circumstances, an allergic reaction can occur.
- A "adenoid type" of the facial skeleton is formed, which is due to a violation of the uniform development of bones, which is prevented by too large a pharyngeal gland. The voice becomes nasal, the child can not pronounce individual sounds.
Adenoids can also cause irritability, poor sleep and nocturnal enuresis.
Therapeutic effects and specifics of laser therapy
According to doctors, laser treatment of adenoids in children gives good results. The effectiveness of this method is evidenced by the fact that due to its implementation in the future, elimination of adenoids may not be necessary. This treatment is a type of physiotherapy, which is associated with the heating of the adenoid overgrowth with a medical laser beam, which has the following effects:
- eliminates edema;
- eliminates the process of inflammation;
- has an antimicrobial effect;
- reduces pain;
- enhances tissue regeneration;
- stimulates the immune system.
In what cases is laser treatment of adenoids in a child prescribed?
Indications
The main indication for laser therapy is an increase in the pharyngeal tonsil in a child of the first or second degree, which is not very pronounced. In addition, laser treatment is intended for children under the age of three in order to delay surgery. This is due to the fact that in early childhood it is not always possible to remove adenoids.
Contraindications
Among the contraindications are:
- vascular and heart diseases;
- defects in the functioning of the thyroid gland;
- heat;
- blood pathology, especially anemia;
- tumors of various types;
- tuberculosis and other infections.
Advantages
The treatment of adenoids in a child with a laser of dignity has the following:
- restoration of breathing through the nose;
- lack of pain;
- complete elimination of the infectious process and inflammation;
- local exposure to the inflamed area;
- improvement of blood microcirculation;
- increased absorption of drugs while using laser therapy;
- stimulation of local immunity;
- acceleration of material metabolism;
- rapid improvement of health;
- extra-stationary therapy.
Laser treatment of adenoids in children in Moscow is carried out in many clinics. For example, in the "ENT Clinic of Doctor Zaitsev", "Medionics", "He-Clinics".
Features of laser therapy
Before laser therapy, the following studies in children are required:
- Examination by an otolaryngologist. Only a specialist is able to determine the degree of tonsil enlargement and establish whether laser therapy will be effective in this situation. In addition to examining with a nasal mirror, the doctor can probe the adenoids with your finger, either with a flexible or rigid endoscope. In the form of adenoids, such a dangerous neoplasm as youthful nasopharyngeal angiofibroma can hide, and in this case all physiotherapeutic methods of treatment are unacceptable.
- X-ray or computed tomography of the sinuses. An X-ray examination of the sinuses near the nose is necessary, since adenoids can be combined with the process of inflammation of the airways pauses, that is, sinusitis. If sinusitis is combined with adenoids, then there are no contraindications to physiotherapy , however, it should be accompanied by drug therapy.
- Coagulogram and general blood test. The latter is for the most part screening in nature, but it should be performed to exclude other concomitant pathologies in which physiotherapeutic procedures are contraindicated. The coagulogram is also carried out for diagnostic purposes, but with reduced blood coagulation, laser therapy is not recommended. The nasal cavity is pre-washed with a saline spray, mucus and secretions from the adenoid surface are removed.
Anemization
After this, anemization is carried out, causing a local vascular spasm in the nasal mucosa. For this purpose, vasoconstrictors or an adrenaline solution are used. With adenoids, laser therapy is a painless procedure. A certain difficulty lies only in keeping the child stationary. A laser light guide is inserted into the common nasal passage, and adenoids are irradiated. The duration of laser treatment of adenoids in a child and the number of sessions are determined by the age of the patient. Experts recommend using adenoids with a laser repeatedly (during the year - two to three times). As soon as the course of laser therapy ends, it is advisable to continue the therapy with drugs under the supervision of a doctor, including also homeopathic remedies. Within ten days after laser irradiation, it is not recommended to visit the pool or bath, and physical activity is not allowed. You can not eat acidic and coarse foods, and you must refrain from taking cold or hot food.
Adenoid reduction
Adenoids complicate not only nasal breathing, but also close the mouth of the auditory tubes, as a result of which the ventilation of the middle ear is disrupted. As a result, diseases such as otitis can develop, which lead to adhesions, scars, and deposits of calcium salts. Because of this, hearing is irreversibly reduced. Large-scale growths, that is, in the third and fourth degree, it is desirable to eliminate the operational method. Before removal, they need to be treated, because the complete elimination of large growths is far from always possible, while even larger ones can grow from the remaining particles.
Effective laser treatment of adenoids in a child is now very popular. Currently, there are methods thanks to which it is possible to reduce their size to normal, destroying pathological growths (vegetation) and without affecting healthy lymphoid tissue. Laser reduction, that is, reduction, of adenoids is one of them. It represents the elimination of adenoid growths in incomplete volume, due to which it is possible to significantly reduce the size of the organ and alleviate the patient's condition.
Features of the treatment of adenoids in a child with a laser are that in this case, the inflamed tissue is evaporated and soldered capillaries that feed it. The remaining healthy lymphoid tissue continues to function. This procedure is carried out under local anesthesia and lasts no more than twenty minutes. In addition, laser destruction of vegetation is used, which is most often carried out by means of a pulse-periodic laser action at several points on adenoids. Adenoid growths are destroyed from the inside, resulting in their compaction and further dystrophy. Thanks to the treatment of adenoids in a child with a laser without pain, the size of the growths decreases, and the pharyngeal tonsil acquires its physiological appearance.
Adenoid proliferation prophylaxis
To prevent the development of adenoid vegetation in children:
- prevention of acute respiratory pathologies and flu - a balanced diet, hardening of the body, the use of stimulants of immunity and vitamins in the cold season;
- maintaining hygiene of the nasal cavity;
- timely treatment of diseases of the nose, throat, ear and acute respiratory infections;
- the use of protective masks and the prevention of communication with patients with acute respiratory infections;
- going to a medical institution if the first symptoms of the appearance of adenoid branches are detected.
Such a pathology is much easier to prevent than to treat further. But with inevitable removal, laser intervention should be chosen because it is safe.
Reviews on the treatment of adenoids with a laser in children
Reviews about this method of therapy are only good. The operation is completely painless, it does not take too much time. Recovery is fast. As a result, nasal breathing in a child improves, and immunity strengthens.