Adeno-Tonsillar Hypertrophy

Most of the paediatric population experience multiple episodes of sore throat especially while they are in the earlier years of life but in some cases, the children have multiple of sore throat, fever, tender lymph nodes which may be accompanied by mouth breathing, snoring, ear pain /discharge. This causes them to receive treatment on several occasions and other problems such as absence from school, decreased physical growth and also their neurocognitive development is hampered.

These children are frequently diagnosed having adeno-tonsillar hypertrophy which cause both obstruction as well as infection related symptoms.

Children suffering from recurrent symptoms requiring regular visits to the doctors or is having difficulty in breathing during sleeping/snoring, they are advised to undergo adenotonsillectomy or tonsillectomy or adenoidectomy depending on their clinical findings.

The surgical procedure involves removal of the tonsillar tissue and adenoid tissue which is located at the back of the nose or nasopharynx. The procedure is done endoscopically under vision with the help of coblation/ harmonic/ laser/cold steel method. The endoscopic vision allows complete removal of the tissue with precision and also without causing any damage to the surrounding structures with minimal blood loss.

However contrary to the common belief that removal of the tissue doesnot in any way adversely affect the immune status of the children. In fact, the procedure can prevent many of the complications such as endocarditis, rheumatic heart disease, sleep aponea related complications.

Paediatric otologic disorders

Children are often affected by varied symptoms related to the ear ranging from pain, to excessive crying, discharge, decreased hearing. During infancy the structure of the eustachian tube ( tube connecting the nose to the ear) can cause recurrent ear infections.

As the child grows, recurrent upper respiratory tract infections and conditions such as adenoid and tonsillar hypertrophy can cause middle ear infection which can cause discomfort, pain or even discharge from the ear.

Sometimes this requires drainage of fluid from the ear with insertion of a ventilation tube, a procedure known as myringotomy and grommet.

It is important to recognise children with ear related disorders early during the disease as this can in the long term affect the hearing and speech of the child, thus affecting the development and overall behaviour of the child.

Hearing can be affected by problems in middle ear, ear drum or tympanic membrane, or the inner ear.

Early diagnosis is important for normal development of the child.

Paediatric airway disorders

Paediatric airway is quite different from the adult airway in terms of the smaller diameter, shorter length. Therefore, there severaldisorders can affect the paediatric airway right from the birth. Conditions such as laryngomalacia, vocal cord paralysis, airway masses, clefts,subglottoc stenosis, tracheal stenosis, vascular rings, subglottic haemangiomas, tumours can affect the infant airway.

Accurate diagnosis is the and the most important step in planning the management of the disorders.

For those cases requiring surgical management we have a full range of surgical techniques available to provide the latest and the most effective treatment options for managing the conditions.

We have a vast experience in managing the airway related disorders ranging from tracheostomy , laser assisted resection of tracheal and sub glottic stenosis, repairing laryngeal clefts, dilatation of stenotic segments using balloons, stents.

We are also equipped for performing tracheoplasty including tracheal resection with end to end anastomosis.