Hypertrophy of the nasopharyngeal tonsils — Treatment of diseases of the Ear Nose and Throat

Hypertrophy of the nasopharyngeal tonsils

The amygdala is a formation, consisting of lymphatic connections in the region of the throat. They perform important functions in the body, but at the same time most susceptible to viral or infectious attack. The largest lymphatic connection is located in the pharyngeal part, the second name which the nasopharyngeal tonsil. Its inflammation and the pathological process most often occurs at the age of three. The risk of this cavity continues to fourteen years.

During the development of the human body, pharyngeal tonsil reduced in size. In adults, its inflammation does not occur. Such negative processes in the field of nasopharyngeal tonsil is called adenoid vegetariani. Their treatment should start at first signs of disease.

The characteristic hypertrophy of tonsils

Adenoid vegetations are in the rear part of the nasopharynx and inflammation characterized by abundant mucous secretions from the nasal cavity. The adenoids can be localized along the entire lateral wall of the sinus, pharyngeal openings and also attached to the vault of the nasopharynx.

Nasopharyngeal tonsils have a different shape and size.

They attach to the nasopharynx a wide base and may resemble a rooster’s comb.

In the middle of such formations are divided into several lobules pink hue.

To the touch these tumors have a loose structure and have a connecting partitions, between which are lymphocytes.

The clinical picture varies depending on the degree of inflammation. In the early stages, patients suffer from disorders of nasal breathing, various mucosal secretions, dysfunction of the Eustachian tube. In the absence of treatment, as degree of increase of the nasopharyngeal tonsil in patients often consist of otitis media, sinusitis and other inflammation in the system ENT-organs.

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Small children affected by inflammation of the nasopharyngeal tonsils highly capricious, long time can not sleep, refuse to eat, become apathetic. In addition, there is a snoring, impaired phonation, voice changing. Such indications also apply to children and adults.

With long-term development of the disease patients notice the change in facial structure, and constantly open mouth, swelling of the nose and face in General. With the progression of the disease appears smoothed creases around your lips and nose, the jaw becomes narrower, there occurs a pathological process in the oral cavity. Often broken bite.

A major impact is the development of nasopharyngeal tonsils the respiratory system. In the absence of timely treatment, patients can experience poor circulation, memory impairment, hearing loss.

Headache appears more often. This is due to poor circulation in the brain.

The patient can’t breathe through the nose. Mouth breathing does not deliver the required amount of oxygen, which causes oxygen hunger and the violation of natural ventilation.

These signs provoke the onset of severe fatigue / tiredness, loss of efficiency and a General reduction in well-being.

Children suffering from hypertrophy of the pharyngeal tonsil, appears rickets is anemia, often headache.

The lack of oxygen and breathing through the mouth causes drying of the oral mucosa. This process entails the pharyngitis, sore throat and other processes in the lower respiratory tract. The lack of ventilation in the nasal cavity causes various pathological processes in the auditory tube. Thus, there is infection of the middle ear and forms an acute otitis media, which entails a hearing loss.

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The degree of hypertrophy

There are several forms of hypertrophy of nasopharyngeal tonsil:

  • in the first stage, the adenoids close one-third opener;
  • on the subsequent degree of observed greater hypertrophy of the tonsils;
  • the third degree occurs when closes all joany.

It is believed that the most dangerous phase occurs when hypertrophy of nasopharyngeal tonsil, 2 and 3 degrees. At this time, requires urgent removal of the formations.

When it is necessary to remove the adenoids

There are several indications for removal of the nasopharyngeal tonsils. Frequent complaints of pain in the head, violation of nasal breathing, ongoing nasal congestion, partial or complete hearing loss it is necessary to conduct diagnosis.

In the process of examination, the doctor makes a change in facial structure that occurs due to the constantly open mouth and disturbances of the middle ear. These symptoms allow us to determine the formation of adenoids.

During diagnosis the doctor will determine the location of the adenoids, their size and volume. If discomfort on palpation of the object, the large size of tumors and severe deterioration of health of the patient assigned to the emergency surgery.

But the treatment depends on the form of inflammation and its clinical picture. Hypertrophy of the nasopharyngeal tonsil in the early stages do not require surgical intervention, so as to eliminate only enough medication.

With the development of second or third degree is assigned diagnosis. At these stages, even a slight enlargement of adenoids require surgical intervention.


The standard treatment, valid at the first stage of inflammation, includes a variety of local drugs, as well as lavage and physiotherapy. Surgical treatment is carried out under the strict supervision of the doctors, strictly in the hospital.

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There are several sizes of inflammation. The progress of the operation largely depends on the location and volume of disease, therefore, pre-patient visiting with the help of modern technology.