What is it?
The adenoids and tonsils are lymphoid tissues that act as part of the immune system, especially in childhood. Enlargement or frequent inflammation can lead to mouth breathing, snoring, recurrent throat infections and fluid build-up in the middle ear.
The mouth and throat are examined, and adenoid size is assessed with an endoscope. The eardrum and middle ear pressure are also checked, as enlarged adenoids can be linked to ear problems.
The decision on surgery considers infection frequency, breathing pauses during sleep and ear findings together. In some cases a period of observation is enough; the decision is made with the family based on the examination, and the course can differ for each child.
Who is it assessed for?
- Children and adults with many throat infections each year
- Children who sleep with their mouth open and snore
- Children with recurrent middle ear fluid
- Those with a history of recurrent tonsil abscess
- Adults with bad breath and tonsil stones
Step by step
- 1
History
Infection frequency, medications used and sleep patterns are discussed.
- 2
Examination
Throat examination, endoscopic adenoid assessment and ear examination are performed.
- 3
Further tests
Hearing and middle ear pressure tests are planned if needed.
- 4
Decision
Observation or surgery is discussed together with the family.
- 5
Follow-up
Check-ups are arranged after surgery or during observation.
Questions
Does removing the tonsils weaken immunity?
The body has many other lymphoid tissues with immune roles. The possible effects and the need for surgery are discussed with you in detail.
How should my child prepare for the visit?
Explaining what will happen in simple words helps your child feel at ease. If an endoscopy is needed, it is kept short and explained to the family beforehand.
How long is recovery after surgery?
Recovery time varies with age and the procedure. Diet and rest advice is given in writing before surgery.
This page is for general information and does not replace a medical examination. Results and the suitable approach vary from person to person.