A child snores after adenoid removal: how to eliminate the symptom

When a child snores at night, congenital anomalies in the structure of the nasopharynx are diagnosed: defects and deformations of the palate, a deviated nasal septum. In 90% of children, snoring is caused by hypertrophy of the lymphoid tissue in the nose and adenoids, so experts often insist on adenotomy - removal of the nasopharyngeal tonsils.

Parents rely on surgical procedures in the hope that snoring and negative consequences will be avoided. But often a child snores after adenoid removal. We will analyze in detail in the article why snoring remains during the recovery period, because adenoid vegetations are not the only reason for a baby’s snoring.

Causes of snoring

Adenotomy does not always improve the condition of children and prevent snoring.

Before agreeing to surgical intervention, proper treatment should be carried out using conservative methods.

Nasopharyngeal tonsils are a useful and functional formation (for example, unlike polyps); for some, the growth of the palatine tonsil is considered a physiological feature of the body, which normalizes as the child grows. Adenotomy is an emergency measure, so the operation is prescribed for strict medical reasons.

Most often, adenoids are a secondary cause of snoring. Frequent inflammatory processes in the nasopharynx provoke the development of lymphoid tissue, which leads to a pathological enlargement of the palatine tonsils.

A constant runny nose, inflammation of the mucous membranes of the sinuses, which arise against the background of a decrease in the body's protective functions, and untreated diseases are the primary factors for the growth of adenoids.

Therefore, if you completely cure the disease and support the immune system, the nasopharyngeal tonsils will not hypertrophy, snoring will not bother you, and there will be no more indications for surgical intervention.

There are other factors that cause snoring to bother a child:

• A hidden form of allergy, manifested by swelling of the laryngeal tissues;
• Curved nasal septum, congenital narrowness of the nasal passages;
• Anatomical features of the structure of the skull - a small, sloping back chin, an enlarged uvula of the palatine (due to the appearance of inflammation after excision);
• Neglect of recovery rules in the postoperative period, insufficient hygiene of the nasopharyngeal area;
• Repeated hyperplasia of the palatine tonsils after adenotomy;
• Breathing through the mouth - in this case, it is necessary to train, adhering to special exercises for the formation of nasal breathing.

External factors also play a role in the occurrence of snoring. Insufficient hydration, dust mites, and an unsuitable pillow provoke the development of snoring. External causes go unnoticed, so parents are perplexed why snoring in children did not stop after excision of the adenoids.

If, after diagnosis, a problem with the organs of the ear, nose and throat is not found, a search begins for the cause due to problems with other systems and organs:

1. Dysfunction of the thyroid gland or thymus;
2. Short-term cessation of breathing during sleep - parents should listen more carefully and take a closer look at their sleeping son or daughter. Apnea is caused by sudden shudders, deep breaths through the mouth, irregular snoring;
3. Excess weight - with fat deposits on the neck, face, which makes breathing difficult;
4. Pathologies of the central nervous system, hereditary diseases.

If snoring occurs after surgery to remove adenoids, it is recommended to undergo a comprehensive examination to identify the cause of the pathology. It is possible that repeated surgery will be required.

Features of adenotomy

Most often, adenoids are excised surgically. The operation is simple, performed on an outpatient basis, with an experienced surgeon it lasts 15-20 minutes and has virtually no complications. If the intervention is performed with a surgical knife and not with an optical quantum generator or ultrasound method, bleeding is likely to occur. If there is a strong leakage of blood, the child is hospitalized to avoid complications.

To ensure the fastest possible healing process after adenoid removal, it is recommended to adhere to the following recovery measures:

• Eliminate spicy, over-salted, smoked, fried foods from the diet so as not to provoke swelling of the mucous membranes or irritate the larynx;
• Avoid vigorous physical exercise that may cause bleeding;
• Treat the throat with antiseptics to prevent infection;
• Follow all medical instructions: take medications in a timely manner, instill vasoconstrictors (vasoconstrictors) into the nose;
• Protect your child from viral and infectious diseases, but do not neglect walks in the fresh air;
• Do not expose the patient to ultraviolet rays, beware of strong thermal effects.

Avoid strenuous physical training Treat the throat with antiseptics Take medications in a timely manner Instill nose drops

If the course is favorable, after 14 days healing occurs, the pain does not bother, the mucous membranes are restored, snoring disappears.

In the first 7-14 days after surgery, snoring is considered normal - the operation provokes swelling in the nasopharynx, the nasal passages narrow, so the child begins to snore.

But if snoring persists for more than two weeks, when the swelling subsides and the pharyngeal tonsils take their normal shape, you should consult an otolaryngologist again - the patient may have complications from adenotomy:

1. The tonsils became enlarged, nasal breathing became difficult;
2. At the entrance of adenotomy, tissue proliferation was not completely eliminated;
3. Formation of repeated hypertrophy.

If the above complicated conditions occur, a repeat operation is indicated, during which bloodless tissue freezing is used, followed by laser surgery.

Relapse Prevention

After an adenotomy, the patient’s protective functions of the body are reduced, so the patient is at risk of developing respiratory viral diseases. During the recovery period, doctors prescribe antibacterial therapy, but many parents unjustifiably neglect the doctor’s prescriptions of antibiotics - a relapse of the pathology is possible.

After surgery to remove an overgrown pharyngeal tonsil, the elasticity of the elastic soft tissues of the palate and larynx, which have been in a loose state for a long time, is lost. For recovery, medications and folk remedies are prescribed that accelerate tissue regeneration processes:

• Snorex is an effective anti-snoring remedy for people of all ages with extracts of sage, mint, propolis;
• Rinses from decoctions of chamomile, sage, oak bark, coltsfoot - medicinal plants have anti-inflammatory and antibacterial effects;
• Sea buckthorn oil intranasally - heals, stimulates tissue cell renewal.

Self-prescription of drugs and alternative medicine is fraught with deterioration of the condition, so before use you should consult with your doctor and carefully study the instructions for use. Moreover, the doctor will show you basic breathing exercises. If necessary, the doctor will prescribe a visit to the physiotherapy room and reflexology.

Preventive measures to get rid of snoring

Hardening should begin gradually and the process should not begin immediately before surgery. It is advisable to dry the child with a damp towel as soon as possible, do not prohibit swimming in open water, and accustom him to contrast showers. After hardening, there will be less risk of developing chronic respiratory viral diseases.

A seasoned child will not get sick immediately after getting caught in the rain or getting his feet wet. Moreover, such infectious viral diseases as measles, rubella, whooping cough, accompanied by night snoring, will be more easily tolerated.

Preventive measures also include creating comfortable and environmentally friendly sleeping conditions:

1. Comfortable pillow corresponding to the age and height of the child;
2. Maintaining the humidity level in the room;
3. Eliminate exposure to allergens;
4. Daily wet cleaning of the house.

Comfortable pillow Possible allergens Humidity level in the room Wet cleaning of the house

It is important to teach your child that rinsing the nose and gargling after going outside also prevents infection and reduces the risk of ARVI, which ensures normal breathing and healthy, sound sleep.

Children's snoring is a pathology that must be combated from the first days. If you cannot cope with the problem on your own, it is recommended to contact specialists - ENT doctors and somnologists.

Source: https://hrapguru.ru/lechenie/rebenok-hrapit-posle-udaleniya-adenoidov.html

A child snores after adenoid removal: why and what to do

The cause of childhood snoring is most often narrowed airways. Due to difficulty in nasal breathing, the baby breathes through the mouth. Nine out of ten children who snore during sleep have the problem of enlarged adenoids, complicated by enlarged tonsils.

This pathology can be overcome with the right treatment. However, in some cases, surgery associated with cutting out the adenoids cannot be avoided.

When deciding on surgical intervention, many adults harbor hopes that all the symptoms of the disease will completely go away. But what to do if the surgical intervention did not produce positive results and the child snores after removal of the adenoids? Why has the snoring returned?

Snoring and adenoids

When the reason that the baby begins to snore when falling asleep is actually enlarged adenoids, this becomes obvious. But this is a secondary reason, because if there is chronic inflammation in the body, the lymphoid tissue grows, increasing the “production area” due to the inability to produce the required number of leukocytes.

Basically, the growth of adenoids is fraught with chronic runny nose with sinusitis. They appear against the background of a weakened immune system. That is why if you treat the underlying disease and then increase your immunity, the size of the adenoids will begin to decrease, and snoring will go away without surgery.

And if you do not engage in treatment and strengthen the immune system, then snoring will remain even after the removal of the adenoids, since after the operation swelling of the posterior wall of the nasopharynx will begin against the backdrop of continuous flow of mucus from the nasal cavity.

The same will happen if you do not exclude other probable causes of snoring in the form of:

• allergic reactions. They do not always have a violent manifestation, but they are mainly accompanied by swelling of the pharynx;
• curvature of the nasal septum, acquired after injury (including unsuccessful surgery) or congenital;
• anatomical features of the structure of the skull - a retracted chin, enlarged palatal soft tissue, etc.;
• signs of obesity. It can also cause snoring if fat deposits, which make breathing difficult, are observed in the cervical and facial areas.

All of the above reasons and external factors such as dry air, too high a pillow, dust and other irritants can exist in the vicinity of the adenoids, remaining undetected against their background. Subsequently, the relatives are only amazed at why snoring remained after the adenotomy.

How is the operation performed?

The specialist makes a clear decision to cut out the adenoids when they make the breathing process too difficult. In this situation, the degree of their growth is not important.

The peculiarities of the anatomy of the structure of the respiratory passages in some children are such that even grade 1-2 adenoids can prevent the flow of oxygen into their body, while other toddlers with stage 3 inhale and exhale normally, but it constantly provokes respiratory diseases in them .

It is possible to finally come to the conclusion that the adenoids were the cause of the child’s snoring during sleep only 2-3 weeks after the child’s complete recovery.

The removal of adenoids itself is not difficult. It is often performed on an outpatient basis under local anesthesia. This takes about 10-15 minutes. If the operation was performed by an experienced surgeon, then there are almost no complications observed after it. Very rarely, if the intervention was carried out with a round scalpel, and not using laser or ultrasound equipment, bleeding is possible.

In this case, the little patient is left under the supervision of a specialist overnight. No matter how successful adenotomy is, it is still an injury, due to which an inflammatory process and an edematous state always occur. This is why breathing through the nose is difficult for the first couple of days, and the baby snores during daylight hours and snores at night.

This is the norm; moms and dads don’t need to worry about what’s happening. In fact, it is possible to understand whether snoring remains after the manipulation to remove the adenoids no earlier than after a seven-day period has passed after the manipulation.

Snoring after adenotomy

The reasons for the development of secondary snoring include the following:

1. Enlarged tonsils. After manipulation to cut out the adenoids, they can grow.
2. In a supine position, mucous masses flow to the posterior surface of the nasopharynx wall.
3. A stuffy condition in the nose, diseases associated with the nasopharynx in a chronic form (rhinorrhea), disturbing only at night.
4. Features of anatomy related to the location of organs: suspended uvula of the palate, narrowed nasal passages, curvature of the septum in the nose, etc.
5. Inflammation during the rehabilitation period after surgery.
6. Insufficient hygienic measures in relation to the nasopharynx.
7. Allergies.
8. Hormonal endocrine disorders.
9. Breathing is not through the nose, but through the mouth due to the long delay in surgical intervention.

Adults should monitor their own child’s breathing during the night’s rest. How long does it take for a baby to breathe through his mouth or nose? With enlarged tonsils or poorly performed adenotomy, the child snores, breathing through the mouth due to the fact that it is difficult to breathe through the nose.

During the night period, the muscles are in a relaxed tone, and the overgrown tissues have taken up a lot of space. When air is inhaled, the muscles of the pharynx, which are in a relaxed state, vibrate and produce characteristic sounds. To identify the cause of what is happening, you should re-consult with an otolaryngologist or somnologist.

When snoring does not stop or initially occurs after the adenoids are removed, it is necessary to undergo a complete examination again to discover the real cause of the problem. Repeat surgery will probably be needed.

Can surgery cause snoring?

The ten-day postoperative period proceeds against the background of the child snoring in his sleep. This phenomenon is normal, since it is caused by swelling of the mucous membrane of the nasopharynx, which appears immediately after surgery.

Due to the narrowing of the nasal passages for this reason, it is common for the operated baby to snore during the recovery period. However, if no changes for the better are observed after a month, a consultation with an ENT doctor is necessary.

Surgery to remove adenoids in children is fraught with the following consequences:

1. Enlarged tonsils, leading to difficulty breathing through the nose.
2. Not complete removal of overgrown tissue.
3. Relapse of hypertrophy.

They necessitate repeated adenotomy, during which they resort to bloodless freezing of the tissue and its subsequent cutting with a laser.

Preventing complications

Throughout the next week after surgery, parents ensure that the child observes all the necessary conditions for the speedy healing of the mucous membrane of the nasopharynx. These include the following:

1. Dietary food that excludes sour and spicy foods, solid foods, carbonated drinks, and highly concentrated fruit juices.
2. Refusal of excessive physical activity, serious physical activity, which can lead to bleeding.
3. Treating the neck with antiseptic solutions to avoid infection in the operated area.
4. Compliance with all medical orders and prescriptions, including drug therapy.
5. Prevention of colds and viral infections without giving up regular walks outside.
6. Avoiding sudden changes in temperature. During the postoperative period, sunbathing, hot water procedures, and a bath are contraindicated for children.

If you strictly follow all the doctor’s recommendations, the risk of re-development of such a problem as children’s snoring is minimized. With proper care you can achieve positive results.

Relieving children's snoring

To prevent the proliferation of adenoids and tonsils, it is recommended to follow some simple rules. According to doctors, they are quite effective in reducing the manifestations of snoring in children. These recommendations include the following:

1. In the evening, eat food that has a soft consistency and does not irritate the laryngeal mucous membrane.
2. Protecting the baby from hypothermia, fraught with colds, ARVI, and flu.
3. Daily performance of special breathing exercises aimed at strengthening the laryngeal tissue and normalizing breathing through the nose.
4. The use of nasal drops that have a vasoconstrictor effect, allowing to eliminate the edematous state of the mucous membrane of the nasopharynx.
5. Sanitation of the nose and throat with hypertonic solutions and herbal decoctions.
6. Daily wet cleaning and ventilation of the room in which the baby plays and sleeps.

In many cases, snoring returns after adenotomy due to lack of compliance with medical instructions.

Preventive actions

To prevent the problem of nighttime snoring in children from returning, doctors recommended taking measures aimed at strengthening the body’s defenses, since the operation had a painful impact on the child’s immune system.

We are talking about taking vitamin complexes with immunomodulators. However, these measures, although effective, are not sufficient to obtain sustainable long-term results.

They should be supported by methods such as healing and hardening. They will strengthen children's weakened immunity. They should be produced correctly. It is recommended to start hardening procedures with foot baths with cold water, wet rubdowns and a contrast shower.

Swimming in the river in the summer is also recommended. It will relieve the child from pain and protect him from respiratory diseases. This means that infections that cause snoring will not have a chance to linger in the respiratory tract.

Parents are recommended to create comfortable and environmentally friendly conditions for their child’s full and quality night’s rest:

1. Make sure you have comfortable bedding, in particular a pillow that is properly selected for your age. The pillow on which the baby sleeps is chosen to be low and flat, which does not contribute to the bending of the neck, which provokes snoring.
2. In the nursery where the child sleeps, keep it clean and at a comfortable temperature. A necessary measure is evening ventilation in order to maintain the required level of air humidity.
3. Eliminate from the nursery everything that could be an allergen for the baby. We are talking about flowers with a strong smell, perfumes, and household chemicals.

Parents should take care to accustom their children to daily nasal hygiene to eliminate mucous accumulations and contaminants from the nasal passages, which make breathing difficult and reduce the quality of night's rest.

Caring mothers and fathers need to understand that children's snoring is not a normal phenomenon that can be ignored.

In the event that adenotomy does not give a positive result and does not solve the problem of snoring in the child, repeated diagnostics should be performed to find out the reasons for what is happening. Why hesitate? Delaying time with a visit to the doctor is fraught with repeated surgical intervention.

Source: https://ZdoroviySon.com/vopros-otvet/rebenok-hrapit-posle-udaleniya-adenoidov.html

Why does a child snore after adenoid removal?

Adenoids are considered the most common cause of childhood snoring. And many believe that their surgical removal (adenotomy) solves two problems at once. But adenoids are a useful and functional formation (unlike polyps, for example).

Therefore, removing them completely is an extreme measure, and surgery should be prescribed strictly for medical reasons. In addition, this is far from the only cause of children's snoring. Therefore, it is not uncommon for a child to have his adenoids removed, but snoring remains.

Causes of snoring

Often the cause of enlargement of the adenoids themselves is chronic rhinitis and sinusitis, and they occur against the background of weakened immunity. Therefore, if you treat the underlying disease and then increase your immunity, the adenoids will gradually decrease in size, and snoring will disappear without any surgery.

And vice versa, if you do not get rid of the chronic disease, then snoring will remain, since after the adenoids are removed, the back wall of the larynx will begin to swell from the constant irritation of mucus flowing from the nose.

The same thing will happen if other possible causes of night snoring are not eliminated:

• allergic reactions, which do not necessarily manifest themselves violently, but are always accompanied by swelling of the larynx;
• deviated nasal septum, congenital or resulting from injury (possibly unsuccessful surgery);
• anatomical features of the structure of the skull - sloping back chin, enlarged soft tissues of the palate, etc.;
• Obesity can also be a cause of snoring if fat is deposited on the neck and face, making breathing difficult.

Moreover, all these reasons, as well as external ones: dry air, too high a pillow, dust and other external irritants can coexist with the adenoids, remaining unnoticed against their background. And then parents can only wonder why snoring continues after adenotomy.

Features of the operation

It is possible to draw final conclusions about whether the adenoids are the cause of children’s snoring only after at least 2-3 weeks have passed since complete recovery. During this time, the swelling of the mucous membranes completely disappears, and the adenoids acquire their normal shape. If the snoring does not stop, then they need to be removed.

The operation itself is simple, usually performed on an outpatient basis, under local anesthesia and takes 10 to 15 minutes. Performed by an experienced surgeon, it almost never causes complications.

In rare cases, if it was carried out using a round scalpel rather than a laser or ultrasound, bleeding is possible, and then the child is left overnight under the supervision of a doctor.

But no matter how successful the adenotomy is, it is an injury, after which inflammation and swelling always appear. Therefore, in the first few days, breathing through the nose is difficult, and the child wheezes during the day and snores at night. This is a normal phenomenon and there is no need to be alarmed. And whether snoring really remains after the removal of the adenoids can be understood no earlier than a week after the operation.

All this time, it is necessary to observe the conditions that maximally favor the healing process of the mucous membrane:

• a gentle diet, without foods that irritate the larynx: sour, spicy, solid, carbonated water, concentrated juices;
• avoid active physical activity, which may cause bleeding;
• treat the throat with antiseptic solutions to avoid infection of the operation area;
• carry out all medical appointments, including taking medications and instilling vasoconstrictor drugs into the nose;
• protect your child from viruses and infections, but do not cancel walks in the fresh air;
• do not expose the baby to high temperatures: do not sunbathe, do not walk for a long time in the open sun, do not take hot baths, do not go to the sauna.

Usually, within two weeks after the operation there is no pain left, and after about a month the mucous membranes are almost completely restored. Under favorable conditions, by this time snoring will completely disappear.

But if the problem remains unresolved, we must continue to look for the reasons.

What to do?

Unfortunately, the conditions in our medical institutions are far from ideal. And adenotomy surgery is prescribed for a child with an already weakened immune system. Therefore, it is not uncommon for a baby to “catch” a respiratory infection during or immediately after it and snore due to nasal congestion.

It is not possible to recognize the problem immediately, since the postoperative condition is characterized by the same symptoms as with ARVI: runny nose, swelling of the mucous membranes, nasal congestion and even elevated body temperature.

When a doctor prescribes a prophylactic course of antibiotics after surgery, the risk of developing a respiratory disease is almost zero. But many parents unreasonably refuse to take this group of drugs.

In young children, soft tissues recover quickly; they only need a little help with proven folk remedies.

• Snorex" - soothes unpleasant postoperative sensations" />Already 3-4 days after the operation, you can begin to carefully gargle with decoctions of sage, oak bark, coltsfoot, calendula, and eucalyptus. These plants have pronounced anti-inflammatory properties and accelerate wound healing.
• For an older child, you can purchase complex preparations that contain extracts of several medicinal plants. An excellent antiseptic that at the same time pleasantly cools the throat, soothing unpleasant postoperative sensations, is “Snorex” - a complex preparation based on sage and mint extracts, containing propolis.
• It soothes mucous membranes well, restores tissue and even improves immunity, while eliminating residual snoring and another natural preparation MySleepGood, which contains no chemicals at all, only herbal ingredients.
• It is useful to bury sea buckthorn oil in the nose - a universal healer that quickly heals the throat, stimulating tissue renewal.

But you need to remember that only a doctor can make decisions about prescribing any (even completely natural) drugs in the postoperative period. He will also give permission when you can start performing a complex of breathing exercises and show you basic exercises. Ideally, it is also possible to include physiotherapeutic procedures and reflexology.

Prevention of snoring

It is necessary to strengthen the child’s immunity through health improvement and hardening - precisely those procedures that mothers of “sick” babies are so afraid of. This is why children get sick because their untrained immune system is unable to cope with even a minor infection on its own.

Hardening does not mean that a month after the operation you need to start dousing the child with ice water. But gradually lowering its temperature and accustoming him to cold baths for his hands or feet, wiping with a damp towel, a contrast shower, and swimming in open water in the summer is simply necessary.

A hardened child will not fall into bed with a fever several hours after he accidentally got caught in the rain or got his feet wet. He will more easily endure more serious illnesses: measles, whooping cough, rubella, which can also be accompanied by snoring at night.

• And most importantly, he will no longer suffer from chronic respiratory diseases, and the infection will not be able to remain in the respiratory tract for a long time, causing inflammation and snoring.
• An equally important role in preventing children’s snoring is played by creating comfortable and environmentally friendly sleeping conditions:

• the pillow should be comfortable and size appropriate for the child’s age and height;
• Before going to bed, the room must be ventilated and the air humidity checked;
• all possible allergens: strong-smelling flowers, perfumes, household chemicals, etc. must be moved to other premises;
• Wet cleaning in the baby’s room is done daily, maximum every other day.

It is advisable to teach your child that rinsing his nose before bed is no less important than brushing his teeth. This will remove mucus and impurities accumulated during the day, ensuring normal breathing and restful sleep.

And remember that children's snoring is a deviation from the norm that should not be ignored. Therefore, if you cannot cope with the problem on your own, seek help from specialists.

Anna Alexandrova

Source: https://sladson.ru/apnoeh/osobennosti/rebenok-hrapit-posle-udaleniya-adenoidov.html

Why does a child snore after adenoid removal?

A baby snores if there is an upper respiratory tract disease in his body. The pathology is dangerous due to its complications. If the causes of rhonchopathy include adenoids, surgical treatment is indicated. According to statistics, in 5-10% of cases, snoring remains in a child after removal of the adenoids.

Childhood rhonchopathy and its consequences

The condition in question is chronic. With this diagnosis, there is a high risk of developing airway obstruction. The process is accompanied by hypertrophy of lymphoid tissue.

• anomaly of the face, jaw;
• hypertrophy of the tongue, tonsils.

Snoring in a child after adenotomy

More often, adenoids grow along with tonsils. Doctors notice this phenomenon when examining the baby’s throat. The process requires surgical intervention. With the removal of the adenoids, the overgrown tissue is also trimmed. First, the surgeon must explain to the parents why the manipulation in question is necessary. With the help of surgery, the doctor brings the tonsils to normal size.

If they continue to grow after surgery, snoring may return. Doctors include the reasons why a child snores after adenoid removal:

• partial removal of overgrown tissue;
• mouth breathing;
• disrupted regime.

In the first case, another operation is prescribed. The adenoid is bloodlessly frozen and the excess tissue is cut out with a laser. If a newborn breathes through his mouth for a long time, special exercises are prescribed to relieve snoring. With their help, breathing through the nose will be restored.

Attention! Ronchopathy may remain after surgery if the child has violated the doctor-recommended regimen. To eliminate the condition in question, it is important to follow the surgeon’s instructions.

Adenoids as one of the factors of snoring

Excessive proliferation of lymphoid tissue blocks the entrance to the respiratory tract. Doctors attribute narrowing of the lumen to the causes of snoring due to adenoids. When the tonsils become enlarged, the risk of developing ronchopathy increases due to the following factors:

• passage of air through a narrow opening and at high speed;
• vibration of the tissues of the soft palate contributes to the formation of the corresponding sound.

In addition to severe snoring, breathing problems lead to other serious consequences, including asthma attacks.

The essence and types of adenotomy

It is necessary to remove adenoids if pus appears or the shape of the face changes. Surgical treatment is also indicated for chronic inflammation occurring in the nasopharynx. More often, the child requires the help of a surgeon if enlarged tonsils provoke complications.

The essence of adenotomy: complete removal of the adenoids. Manipulation is carried out in several ways:

1. Classical. The operation is carried out using an adenotom - a special knife. A laryngeal speculum is also used. The disadvantage of the technique is intense bleeding and insufficient visibility. How long treatment lasts depends on the severity of the disease. If excess tissue remains after the intervention, a relapse will occur after a certain time.
2. Endoscopic. The advantage of the technique is the visibility of the surgical field. Before the intervention, it is recommended to undergo a comprehensive examination. The method under consideration is characterized by high accuracy, efficiency and high-quality tissue removal.
3. Laser. Surgery is performed with a laser. The choice of instrument depends on the complexity of the upcoming operation. This technique is considered highly accurate and low-traumatic. Due to the sterility of the instrument, there is a minimal risk of secondary infection. Feedback from parents is positive, since laser adenotomy promotes rapid tissue healing.
4. Cold plasma. The operation is performed by a coblator. The advantages of this method are that it is bloodless, painless, and has a low risk of complications. The downside of this method of fighting the disease is its high price.

Possibility of complications

Negative consequences of surgical treatment include intense bleeding, aspiration of the respiratory tract, trauma to the palate, and complications after general anesthesia. Otolaryngologists claim that adenotomy provokes a decrease in the immune system for a short period.

After surgery, the child may still snore. If this condition is observed for 10 days, this is the norm. When the swelling disappears, snoring will disappear.

Causes of snoring after removal of adenoids

If the adenoids have been removed, but snoring remains, it is necessary to undergo a re-examination. This can result from non-compliance with the recommendations of the pediatric surgeon during the rehabilitation period. The risk of infection of the wound in the nasopharynx area increases.

Non-pathological reasons provoking the phenomenon in question:

• breathing through the mouth;
• air with dust;
• low humidity.

Treatment of postoperative rhonchopathy in a child

Since postoperative snoring can be caused by vasodilation, the child is recommended to eat ice cream. Cold causes them to narrow. To eliminate a sore throat, taking local anesthetics and painkillers is indicated.

To normalize body temperature, an antipyretic drug is prescribed, which does not contain acetylsalicylic acid. Additionally, breathing exercises are being developed. Physical activity is excluded.

Other methods to combat snoring at an early age

Ronchopathy in children often develops against the background of an inflammatory process. For treatment, increasing the protective forces and physiotherapy are indicated. To speed up recovery and normalize breathing during sleep, rinsing is prescribed. The manipulation is carried out before using decongestants that treat the nasal mucosa and the adenoids themselves.

Effective methods include laser therapy and quartz treatment. If conservative methods do not produce results, surgery is prescribed. To prevent snoring from getting worse, it is recommended to do the following:

1. Eat foods that do not irritate the mucous membranes.
2. Don't get too cold.
3. Apply exercise therapy.
4. Eliminate swelling with special drops.
5. To recover from surgery, an antibiotic is instilled into the nose.

Prevention of sleep-disordered breathing in children

To reduce the risk of rhonchopathy after surgery, it is recommended to strictly follow the doctor’s instructions. To prevent illness during sleep, doctors include ventilation of the living room, frequent rinsing of the nasal cavity, and correct sleeping position.

Advice! Pediatricians suggest sleeping on your side using an orthopedic pillow. Its thickness should be 6 cm. It is better to rest on a slightly raised pillow. Exercise therapy exercises are performed daily to strengthen the respiratory organs.

Conclusion

Ronchopathy is a disease that is accompanied by the appearance of a corresponding sound. The harmless etiology of the disease includes drying out of the passages in the nose and incorrect body position during sleep.

In other cases, pathology indicates inflammation in the respiratory tract, the appearance of tumors in the nose, and hormonal disorders. This phenomenon negatively affects the performance of the entire organism. Ronchopathy can cause respiratory arrest for 3 minutes. When the first signs of illness appear, it is recommended to show the baby to a pediatrician or ENT specialist.

Source: https://znatoksna.ru/rebenok/obshhie-problemy/hrapit-posle-udaleniya-adenoidov.html

Child snores after adenoid removal

Snoring always occurs as the airway narrows. Often the causes of this phenomenon in childhood are enlarged adenoids. Due to the fact that it becomes almost impossible to breathe through the nose, the child tries to breathe through the mouth.

Why snoring is dangerous

If your child snores very rarely, then do not worry - this is normal. In the case when snoring appears constantly and prevents the baby from sleeping, the problem must be solved urgently - it cannot be delayed for years.

It happens that breathing becomes so difficult that it stops.

This phenomenon passes very quickly, but if it occurs regularly, it causes oxygen deficiency and can lead to problems with nerves.

After this, the child becomes tired, cannot concentrate on anything, begins to study poorly and does not get enough sleep.

There is now a procedure in medicine that determines the risk of snoring on an individual basis. Polysomnography, as the procedure in question is called, determines the quality of the body’s functioning during sleep and assesses the presence of oxygen in the blood. When a child holds his breath, he winces and begins to breathe deeply.

Why does pathology occur?

If a child often suffers from colds, then the adenoids, which are considered part of the baby’s body’s defense system, begin to grow greatly. The same thing happens with the lymph nodes and tonsils.

This is explained by the fact that the body is trying to improve the quality of its performance and fight infection even better.

But it is worth considering that the child’s body is not yet strong and this reaction often leads to regular inflammation in the nasopharynx.

  If your child snores and coughs at night, what should you do?

During life, breathing problems are not very noticeable, because the muscles of a small person are constantly tense. At night, they completely relax, and additional space appears for the adenoids.

At the same time, the inhaling pharynx vibrates and then a characteristic sound comes out of it - snoring.

How to get rid of the problem

Based on the fact that snoring can be safely called a consequence of some malfunction in the body, its treatment consists of ridding the child of inflammation. To combat the problem in children, rinsing, physiotherapy and health promotion are used. It often happens that recovery does not come soon after this.

Rinsing is needed to help decongestant and anti-inflammatory medications that are used to lubricate the nose and adenoids. To speed up treatment, you should resort to using decoctions of various herbs, which are introduced into the nasal cavity using a syringe.

The mouth must be opened at this time, otherwise there is a danger that the baby will choke.

If we talk about physiotherapeutic procedures, these include quartz treatment and laser treatment.

In cases where medications do not bring the desired effect, experts may recommend surgery - a method of removing the adenoids.

But before this, again, the inflammation should be completely cured so that the doctor can remove the entire infected area. Sometimes you may encounter the fact that even after complete excision of the adenoids, they grow again.

This happens quite quickly - within a year.

Why does a baby snore after adenoid removal?

Most often, the adenoids do not grow alone; the palatine tonsils also grow with them. The doctor will be able to visually examine this phenomenon through the throat of a small patient. This process may trigger the need for surgical intervention. If a doctor recommends a procedure for removing adenoids in children, then incomplete cutting of the tonsils is also appropriate - bringing them to the desired size.

  Various causes of snoring in people

If they grow after the tissue is cut out, then snoring may appear again. More precisely, a child who has undergone surgery again snores at night. It is recommended to carefully study all the patient’s tests, conduct a visual examination again, compare all the existing complaints, and only then figure out why the snoring persists.

In addition to the presence of adenoids, children snore due to nasal congestion, drainage of secretions on the back of the septum, thickening of the uvula and enlargement of the tonsils.

If the adenoids have been removed, and snoring still bothers your child, this may indicate the following factors:

• Doctors did not completely cut out the overgrown tissue.
• Too large tonsils and snoring interfere with breathing.
• The child is simply used to breathing through his mouth.
• There was a violation of the regime after the operation.

The first two cases require another operation after the first: bloodless freezing of the adenoid and cutting out all excess with a laser.

Surgical intervention here is completely painless and does not cause much trouble for children.

When parents delay treatment for a long time, snoring progresses, and the child does not want to breathe through the nose, doctors advise performing exercises that restore normal breathing through the nose and stop its fluctuations.

Means for stopping snoring

The positive effect of treatment in children is visible a month after the operation, but the child immediately notices that it is easier for him to breathe. In addition to the restoration of breathing after removal of the adenoid, patients note the return of hearing if the adenoid has caused complications in the ears. If there is no effect, then the cause of snoring was not tissue growth. An examination by a competent specialist will help find the cause of this phenomenon.

With a sharp progression of rhonopathy, a child who is already 12 years old and who snores after surgery is prescribed the use of anti-snoring magnetic clips.

This remedy is ideal in the fight against runny nose and teeth grinding during sleep. It also works well against snoring.

  Reasons for a girl's snoring

Source: https://hrapless.ru/priznaki-i-simptomy/posle-udaleniya-adenoidov-rebenok-hrapit.html

Inflamed adenoids and snoring in a child: treatment and prevention

Inflamed adenoids and snoring in a child almost 100 percent of the time accompany each other. Therefore, if a baby snores in his sleep, and during the day his mouth is constantly open, there is a high probability that the child has adenoiditis.

Adenoids are useful and harmful

Healthy adenoids protect the baby. They are the first to defend it, preventing the penetration of harmful viruses. It is the lymphoid tissue of the adenoids that produces lymphocytes that neutralize microbes and viruses.

Adenoids are small collections of lymph nodes in the neck that are found only in children.

During illness, the adenoids are enlarged: trying to produce the largest number of lymphocytes, they grow on their own.

But it happens that a child with a weakened immune system, when he goes to school or kindergarten, begins to get sick too often and for a long time. Diseases of the nasopharynx, passing one into another, disable the adenoids.

And then they cease to be the body’s defense, becoming the cause of many infectious diseases.

Snoring is a consequence and one of the symptoms of adenoiditis.

Is it dangerous in itself? Yes, because snoring impairs the quality of sleep, and good sleep at night directly affects the child’s mental and physical activity during the day.

While restless sleep can lead to rapid fatigue during the day, a feeling of constant anxiety or, conversely, lethargy, and in some cases - to nervous breakdowns.

If a child snores, this is a reason to immediately show him to an otolaryngologist.

But there's no reason to worry just yet. After all, if the cause of snoring is adenoiditis, then surgical intervention will not be needed. Medicine has extensive experience in the conservative treatment of this disease.

Prevention and treatment

If this is adenoiditis, then the doctor’s prescriptions may be as follows:

• rinsing the nasopharynx;
• physiotherapeutic procedures;
• instillation with agents including topical corticosteroids.

The latter relieve swelling and inflammation and have an antiallergic effect.

Nasal rinsing is a hygienic procedure, as a result of which dirt, dust, bacteria and mucus are washed out using a special solution.

Help your baby by performing general strengthening procedures at home. General and local exercises (to strengthen the laryngeal muscles), diet, timely ventilation and cleaning - all this will benefit the child. By the way, in order to strengthen the muscles of the larynx, sing together more often. This should not be done during the acute phase of the disease.

More physical activity outdoors! Children love to play outside with their peers - take advantage of this. Before a walk, do not forget to lubricate the child’s nose with oxolinic ointment.

Follow a daily routine. If the child is of preschool or primary school age, daytime sleep is mandatory for him. Carry out soft hardening procedures. One of these procedures could be dousing your feet alternately with cool water and water at room temperature. Sea salt added to the bath will also gradually harden the child. Protect your baby from tobacco smoke.

If conservative therapy does not help, and the adenoids become the cause of too frequent acute respiratory diseases, surgery may be indicated.

With traditional adenotomy, hospitalization does not last long - 2-3 days, the operation itself lasts up to 5 minutes.

But the preparatory period can become very long: in the preoperative 4 weeks, the child should not suffer from ARVI. This adenotomy is performed under local anesthesia.

Today, endoscopic adenotomy is also practiced. It is performed under general anesthesia. Its undoubted advantage is that it is psychologically easier for the child to endure this operation. However, his stay in the hospital during the postoperative period will last at least a week.

Even after removing chronically inflamed adenoids, it is necessary to find the cause of their growth and eliminate it. This problem should be addressed by 4 doctors at once: a pediatrician, an otolaryngologist, an infectious disease immunologist and an allergist.

Source: https://hrapinfo.ru/lechenie/vospalennye-adenoidy-rebenka.html