What is the timing of adenoids and tonsils surgery? What are the options?

  Patients: breath-holding exercise and sleep at night more breathless very uncomfortable to eat anti-inflammatory drugs on the good not a few days and bad, the doctor recommended surgery without surgery can be cured.  For children, general anesthesia, surgery bleeding are risky, come to see, I hope to use a little medicine to avoid surgery.  (1) Everyone has tonsils and adenoids. The tonsils are located in the mouth, and the adenoids are located at the back end of the nasal cavity, where the lines between the two ears cross inward.  (2) Because they are located at the beginning of the respiratory and digestive tracts, the tonsils and adenoids are important immune organs. Most people have a history of enlarged tonsils and adenoids, which are often overlooked because they are asymptomatic and because they mostly atrophy on their own after the age of 7.  (3) Enlarged tonsils and adenoids lead to nasal blockage, sinusitis, otitis media, snoring in sleep, breath-holding, and adenoidal facies in some affected children.  (4) Not all enlarged tonsils and adenoids need to be treated surgically, but the doctor will decide based on a comprehensive analysis of the condition. Some children are treated with medication at an early stage to avoid surgery.  (5) Surgery is divided into local and general anesthesia, both of which carry risks, and intraoperative and postoperative bleeding often leads to serious complications.  (6) Nowadays, the surgical methods are: tonectomy (squeeze cut method + scraping), stripping method (with knife and trap), endoscopic power system surgery and plasma surgery. The first two are classical surgeries, and the last two are technologies developed in recent years, each with its own advantages and disadvantages.  (7) Under normal physiological condition, the adenoids develop to the maximum at the age of 6-7 years, and children who receive adenoids surgery too early are very prone to recurrence after surgery. Traditionally, the age limit for surgery is 5 years (unless there are special circumstances, such as moderate to severe snoring, breath-holding with apnea).  (8) If the tonsils are frequently inflamed, each time with high fever, more than five times a year, removal is recommended to avoid future arthritis and heart disease. However, there are children who are weak from childhood and whose parents take care of them so that they do not become inflamed when they grow up and avoid surgery.  (9) For doctors, tonsil and adenoids surgery is a minor surgery. For anesthesiologists, most of the general anesthesia used nowadays is major anesthesia, and since children are small, intubation and drug control are very important. For the family, the surgery is a big matter for the child’s future.  (10) Advocate early detection of problems and drug intervention. Surgery and anesthesia have risks, doctors and parents need to be careful!