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Polyps in 1 year old child

Polyps in 1 year old child

Question:

- Is it good to remove the polyps of a baby of 1 year and two months? What are the consequences?

Answer:

Adenoid vegetation called "polyps"represents chronic hypertrophy (increase in volume) of the pharyngeal tonsil, quite common in children.

Adenoid vegetation called "polyps"represents chronic hypertrophy (increase in volume) of the pharyngeal tonsil, quite common in children.
adenoidectomy (removal of polyps) is a relatively simple intervention, which can be performed even at this age, but this intervention is not necessary in all children with polyps, but only in those children who cause respiratory disorders or infectious complications.
Thus, the indications of adenoidectomy are represented by:

  • persistent nasal obstruction (nose blocked almost all the time) with oral breathing, nasal voice
  • adenoid facies (small nose, open mouth, retracted upper lip, inert lower lip, pale face with lost and expressionless eyes)
  • permanent snoring, nighttime or even daytime
  • recurrent otitis media (repeated ear infections) with hearing disorders
  • chronic sinusitis and rhinopharyngitis
    specifying that these disorders are not allergic in nature and that there is clinical and / or radiological confirmation of tonsil hypertrophy.
    Contraindications of adenoidectomy they are represented by anatomical abnormalities of the vit-pharyngeal organs (of the neck): short palate, vico-palatine cleft, bifida lueta. It is also not performed during acute infections or in the presence of anemia or uncured and / or uncompensated blood disorders.
    It is good to know that it is possible that surgery not to solve the problem forever, because in some cases (more often at young ages) adenoid vegetation recovers. On the other hand, the polyps being immunologically active organs, their removal could decrease the organism's resistance to the disease.
    Therefore, it is good that the decision to perform this intervention is not made at the parents' wishes but after a consultation between an ENT specialist and the pediatric doctor who knows the child's medical history.
    Alina Pop-Began
    - Resident physician -
    -Anesthesia and intensive care-

    Specialist details