In recent years, there have been many tonsillar adenoid surgeries for children, and parents are more concerned about the age of their children and the surgical method. First of all, if your child has serious tonsillar adenoid hypertrophy, snoring and open-mouth breathing at night while sleeping flat, then you should have surgery as soon as possible, without thinking too much about the age. It is possible to operate at the age of two or three, and even some children with heavy symptoms should be operated at the age of one. We often see parents who bring their teenage children to the surgery clinic, thinking that the children are more able to tolerate the surgery when they are older. In fact, this is a misconception of parents, as we all know, excessive hypertrophy of tonsils adenoids can cause the so-called “adenoid face” (more ugly, you can look it up online), and long-term open-mouth breathing can lead to high arches of the child’s hard palate, maxillary sinus overdevelopment leads to nasal cavity narrowing, the consequences of this is the child as an adult The nasal space is very small and the child can’t breathe well, even if the nasal surgery is difficult to correct, which is painful for life. In addition, poor ventilation of the nasal cavity is also prone to sinusitis. Another problem that should not be overlooked is that children’s long-term breathing problems and lack of oxygen will also affect their intelligence and often struggle to learn, affecting their academic performance. Li Xuezhong, Department of Otolaryngology, Qilu Hospital, Shandong University Let’s talk about the surgical method. The tonsils are done through the mouth; the adenoids have the following paths: through the nose or through the mouth, each with its own advantages and disadvantages, depending on the surgeon’s habits. For example, transnasal: it is more direct and easy to remove the adenoids, and the excessive deviation of the nasal septum can be dealt with at the same time (but the scope of removal should not be too large), but the nasal cavity should be astringent before the operation with paraprenaline cotton tablets, and attention should be paid to the protection of the nasal mucosa during the operation, and hemostatic gauze should be placed in the nasal cavity after the operation to prevent nasal adhesions. The posterior end can be placed on the adenoid wound to stop bleeding. For the transoral procedure, a metal mouthpiece should be used to open and widen the mouth, and a silicone suction tube should be inserted into each side of the nasal cavity and pulled out through the mouth and tied tightly for surgical operation. Let’s look at the specific surgical excisional instruments: a cutting suction device (also called a power system), an electric knife and plasma are generally used. The former can be operated via the nose or the mouth, while plasma ablation can only be performed via the mouth (the tip of the knife is too thick to be operated via the nose). After removal of the adenoids in the former, a high-temperature electric knife is usually required to stop the bleeding, and if the tonsils need to be removed at the same time, the electric knife is used to remove them at the same time. At present, plasma is used more often to remove tonsil adenoids. Plasma has the following advantages: low temperature, about 70 degrees, less damage to the surrounding normal tissues; basically no bleeding. As for the recovery and effect after the surgery, after the observation of patients after the surgery, I feel that both should be similar. Plasma for low temperature, the pain and discomfort after surgery may be lighter, and then a few days after surgery children breathe a foul smell do not be afraid, is the formation of post-operative white film due to a period of white film off after a good. Of course something good, the price is more expensive, with plasma need to spend about four thousand dollars more, imported for the United States, the tip is disposable. So parents can choose according to their economic conditions.