Op. Dr. Bekir Can Gümüşlü
Online
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30 - 45 Minutes
Permanent (Lifetime)
3 - 5 days
General Anaesthesia
Adenoid and tonsil operations are among the most frequently performed surgeries in childhood. These tissues, which are part of the immune system, can sometimes lose their protective properties due to frequent infections and turn into a focus of infection for the body.
Furthermore, they can prevent the child from breathing due to excessive growth (hypertrophy). In his Istanbul clinic, Op. Dr. Bekir Can Gümüşlü performs these operations for both child and adult patients using the latest Thermal Welding method. Intervention at the right time positively affects the child’s growth and development, facial shape, sleep quality, and even school success.
The adenoid is a grape-like lymph tissue located behind the nose. When it enlarges, it leads to the following problems:
Mouth Breathing and Snoring: Since the nose is blocked, the child constantly breathes through the mouth.
Adenoid Face: In children who perform mouth breathing for a long time, the upper jaw narrows, teeth protrude forward, the face elongates, and the palate becomes hollowed. Early intervention is essential to prevent this permanent skeletal deformity.
Fluid Accumulation in the Ear: The adenoid can block the Eustachian tube, leading to fluid accumulation in the middle ear and hearing loss.
Growth Retardation: Growth hormone cannot be secreted sufficiently in children who experience breath-holding during sleep (apnea).
Not every large tonsil is removed. Op. Dr. Bekir Can Gümüşlü makes the decision for surgery based on international criteria:
Experiencing febrile tonsil infections 7 times in the last 1 year, 5 times per year in the last 2 years, or 3 times per year in the last 3 years.
Tonsils enlarging enough to make swallowing difficult or lead to breath-holding during sleep (Sleep Apnea / Kissing Tonsils).
Abscess formation on the tonsil.
In old methods, tonsils were cut with a scalpel, and the risk of post-operative bleeding was high. Op. Dr. Bekir Can Gümüşlü utilizes modern Thermal Welding technology. In this method, tissues are separated using heat energy while vessels are sealed simultaneously.
Minimal Bleeding: There is almost no bleeding during the procedure.
Less Pain: Since tissue damage is minimal, post-operative pain is lower compared to classical methods.
Rapid Recovery: Children are generally discharged on the same day and start normal nutrition within a short period.
No, this is a very common misconception. Apart from the tonsils and adenoids, there are hundreds of lymph nodes in the throat and neck that perform a defensive function. On the contrary, removing the tonsils, which are a source of chronic infection, reduces the burden on the body.
In urgent cases (apnoea, severe obstruction), it can be performed from the age of 2. However, it is generally preferred for children aged 3 and above. There is no upper age limit; it can also be performed on adults.
Even if the adenoid tissue is completely removed, regrowth may rarely occur in surgeries performed at a very young age (under 3 years old) or in children with severe allergies. However, with modern techniques, this risk is very low when complete removal is achieved.
Particularly during the first week following tonsil surgery, soft and cold foods such as purées, soups and ice cream should be consumed. Hard, hot, acidic and spicy foods should be avoided for 10-14 days.
It is feasible, but in hot weather, the risk of bleeding may theoretically increase slightly due to dilation of the blood vessels, and the patient may experience discomfort due to dehydration/the recovery process. Therefore, cooler seasons are generally preferred, but in emergencies (such as apnoea), it can be safely administered in summer.
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