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Will Removing Tonsils And Adenoids Stop Snoring

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What Eating Problems Can They Cause

Does Tonsil Adenoidectomy Cure Snoring in Children? Dr Paulose FRCS (ENT)

Children may be slow eaters and refuse certain foods due to the difficulty in chewing and breathing at the same time. They may have difficulty swallowing and occasional choking. In addition, they may have a poor appetite due to diminished senses of smell and taste resulting from poor airflow through the nose.

Do I Need Surgery For My Tonsils Or Adenoids

In certain situations, determined by your ENT specialist, surgery may be recommended to remove the tonsils and/or adenoids. Typically, children who have seven episodes of tonsillitis in one year, or five episodes per year for two consecutive years, or three episodes per year for three consecutive years, are considered candidates for tonsillectomy. If a patient has had multiple peritonsillar abscess, surgery may be needed to drain the abscess around the tonsil.

If the tonsils or adenoids are significant enlarged and cause sleep apnea they may be removed as well.

Frequent infections of the adenoids can affect the ears as well. Enlargement of the adenoids can block the eustachian tube. This can lead to frequent ear infections and collection of fluid in the middle ear that may cause temporary hearing loss. Removal of the adenoids may help some children with chronic ear infections accompanied by fluid in the middle ear .

In adults, the possibility of cancer or a tumor may be another reason for removing the tonsils and adenoids.

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Enlarged Tonsils Cause Snoring

Snoring can hit anyone. However, some factors can make you more vulnerable. Those include sex, age, physiological peculiarities, lifestyle, etc.

Enlarged tonsils and child snoring are very common. Why are children more inclined to enlarged tonsils? The function of those glands is to fight infections, and thats extremely important during the first years of our life. Swelling is the response to infection.

Enlarged tonsils and snoring can happen to adults as well. The noise created by snoring develops due to vibrations of the soft tissue in our throat. Any enlargement in our throat or nose blocks air channels. Narrowed space for airflow contributes to louder noise and even breathing pauses . The first solution that comes to mind is surgery.

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They Are Affecting Your Childs Sleep

Some children have larger tonsils and adenoids than others, and they sometimes interfere with breathing. This is a problem particularly at night because the body is in a reclined position. It can cause a serious health condition known as sleep apnea short periods of time when breathing stops during sleep.

If a child has severe sleep apnea, Dr. Georgopoulos says she will also perform an endoscopy prior to the tonsillectomy/adrenalectomy to do a thorough evaluation of the childs airway while they are sleeping.

Symptoms of sleep apnea in children can include snoring at least four nights out of seven, pauses in breathing followed by a catch-up breath, restless sleep, sweating, tiredness and even bed wetting, says Dr. Georgopoulos.

The effects of poor sleep also carry over into the waking hours. Children may show restless or erratic behavior, irritability and poor coping skills. Removing tonsils and adenoids to help correct airway obstruction is so effective that many patients no longer experience sleep apnea, she says.

For children 3 and older, the surgeon usually removes both tonsils and adenoids. On occasion we will address tonsils in children younger than 2, and we will do what is called an intracapsular tonsillectomy, which is partial removal of the tonsil tissues, she says.

Tagged Under : Snoring Causes Snoring Remedy

Snoring &  Disturbed Sleep in Children

Snoring Remedies

Never ask a snorers wife if she is able to sleep peacefully at night or not. There is no doubt that she is annoyed big time due to her husbands snoring habits. Married people are indeed the most badly affected ones. The irritating sounds produced by the spouse will keep the other person awake all night. This is why snoring should be immediately stopped with effective anti snoring remedies. Now, before we discuss more about the remedies, let us take a quick look at the different snoring causes.

Snoring causes

Snoring can be caused due to various factors. Our natural aging process can be a prominent cause behind snoring. This is because there will be extra accumulation of fat tissues all around the regions of the throat and neck. Muscles will also get relaxed and sag a bit. The tongue will roll to the throats rear side. These actions will make the windpipe narrower. The restricted flow of air through the windpipe will make the uvula and soft palate to vibrate. Vibrations of the soft glands are what actually create the snoring sounds.

Snoring remedies

One of the most popular and common snoring remedy is to change your sleeping position. Do you usually sleep on your back? Then it is time to sleep either on your stomach or on your sides. This is because while sleeping on the back, your jaws will move frontwards and you will have to breathe through your mouth instead of breathing naturally through the nose.

Anti Snoring Devices


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How Can They Affect A Childs Growth

Delayed growth can be caused by associated eating problems. Delayed growth can also result from disrupted sleep because growth hormone is predominantly produced during deep sleep. In addition to these growth issues, severe obstructive sleep apnea can, on rare occasions, lead to heart and lung problems.

Q: Is It Normal To Loose Weight After A Tonsillectomy

A: Weight loss is very typical in tonsillectomy. Patents should not worry about calories or nutrition for the first two weeks after surgery. The most important thing is that your child drinks plenty of liquids and stays well hydrated. This not only prevents dehydration but it helps keep the throat from drying out which. When the pain resolves your child will begin eating again and are back at the normal weight in no time.

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How Successful Is Snoring Surgery

Most surgeons feel that about 80% of patients who undergo a somnoplasty will have a significant reduction in their snoring at least a year or more and an additional percentage of patients will notice reduced levels of snoring such that their sleep partners will report that it’s level is no longer offensive.

What Happens After The Adenoidectomy

Child snoring BEFORE and AFTER tonsil and adenoid removal surgery.

Your child will wake up in the recovery area. In most cases, kids can go home the same day as the procedure. Some may need to stay overnight for observation.

The typical recovery after an adenoidectomy often involves a few days of mild pain and discomfort, which may include sore throat, runny nose, noisy breathing, or bad breath.

In less than a week after surgery, everything should return to normal and the problems caused by the adenoids should be gone. There are no stitches to worry about, and the adenoid area will heal on its own.

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Minor Problems During Recovery

After an adenoidectomy, some children have some minor health problems. However, most of these are temporary and rarely require further treatment. They can include:

  • sore throat
  • a change in voice
  • finding it hard to swallow
  • finding it hard to brush their teeth

Most of these symptoms will pass within a few weeks. Contact your GP if your child is still affected after a few weeks.

Two Studies Shed Light On The Benefits And Risks Of Tonsillectomy Adenoidectomy A Modified Tonsillectomy And Combined Surgeries In Children Diagnosed With Sleep Apnea

With Danielle Friberg, MD, PhD, and Nina Shapiro, MD

The usual surgical procedures aimed at opening the airway to improve sleep in children diagnosed with sleep apnea are typically effective, but refinements to these procedures do not always add benefit, and long-term risks can occur.

To add support to this understanding, a modified surgery to remove the tonsils and adenoids offers no additional benefit over the standard surgical procedures in children with the sleep disorder known as obstructive sleep apnea ,1 according to a study published in JAMA Otolaryngology.

Researchers compared adenotonsillectomy with a procedure called the adenopharyngoplasty, which also surgically pulls back added tissue behind the tonsils , during removal of the tonsils and adenoids.1

“The suturing of the palatal pillars during tonsillectomy is not better than a tonsillectomy alone in treating pediatric OSA,” says study leader Danielle Friberg, MD, PhD, associate professor at Karolinska Institute, Stockholm, and a lecturer at Uppsala University in Sweden. The idea was to open up the small airway even more by pulling back these pillars, but it did not make a difference in improving the apnea.

Children with sleep apnea are often referred for tonsillectomy, so what do parents need to know?

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Tagged Under : Adenoid Removal Adenoids In Kids

More About Adenoid Removal

Kids most often suffer from ear infections and the major cause of these problems are infection in the adenoids. Adenoids are similar to tonsils and they are a mass of lymphoid tissues that are mostly located at the back of the nose and above the throat. These tissues are quite soft and they play a major role in our bodys immune system. These lymphoid tissues help to fight against infections as they guard our body by preventing the entry of harmful viruses and bacteria.

Adenoids are often seen in children and they tend to shrink as children reach their teenage. Hence, these problems are most often seen in kids than in adults. On reaching adolescence, adenoids actually disappear. Adenoids in kids most often get infected and they sometimes enlarge and create breathing problems. They block the airway and make it difficult to breath. Sometimes, they even make children snore and can lead to Obstructive sleep apnea.

Even after consulting with the doctor and getting antibiotics, if children suffer from severe pain in the ear, the doctor may recommend Adenoid Removal, which is also called as adenoidectomy. This is in fact a surgery meant for Adenoid Removal. This surgery would become essential when medications fail to provide the desired results.

About surgery

Things to do on the day of the surgery

Tonsillectomy For Sleep Apnea As First

Snoring and Sleep Apnea in Children

For adults with obstructive sleep apnea, the standard treatment is positive airway pressure therapy . Surgery is reserved for patients who are unable to tolerate or benefit from positive airway pressure therapy. For children, adenoidectomy and/or tonsillectomy for sleep apnea is the standard treatment. Positive airway pressure therapy is not an ideal treatment for most children. This is due to concerns over effects on facial growth and difficulty that children may have with tolerating it through the night. It is reassuring that surgical outcomes in childrenwhile by no means perfectare relatively good, especially when the tonsils or adenoids are enlarged and when the child is not considered substantially overweight.

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What Should I Watch For After An Adenoidectomy

Parents must be watchful of bleeding from the mouth and nose where the adenoids were removed. Bleeding from these areas is not normal after surgery. Should your child have bleeding from their mouth and/or nose after adenoidectomy, he or she should be evaluated as soon as possible at Nationwide Childrens Hospital or at a local hospital.

It is normal for your child to have bad breath for about 1-2 weeks after surgery. They will have scabs form at the sites where the adenoids and tonsils were removed. These begin to dissolve or fall off five to ten days. Once all the scabs in the throat have completely fallen off, the bad breath will go away.

Your child also may complain of ear pain however this is coming from the throat, and is normal. This pain typically resolves within a week and is not a real ear infection. Your child may have low-grade fevers, typically 101.5 or less, for several days after surgery. If the fever is higher than 101.5 or does not come down with medication, it may be a sign of dehydration or infection. If this is the case, please contact your childs ENT surgeon for more guidance.

Enlarged Tonsils And Adenoids: Surgery For Enlarged Tonsils Or Adenoids

Tonsil surgery can improve or get rid of breathing and sleep problems such as snoring or breathing pauses in children. But surgery isnt always necessary.

Enlarged palatine tonsils can affect children’s sleep. It is common for children who have enlarged palatine tonsils to have enlarged adenoids too. The palatine tonsils, often simply referred to as “tonsils,” are the lumps of tissue you can see on the left and right sides at the back of your throat. Adenoids, also known as the pharyngeal tonsil, are found at the back of the nose. Children with these enlarged areas of tissue may snore all the time, mainly breathe through their mouth and even stop breathing for a few seconds at a time while sleeping . This can disturb their sleep, making them feel tired and restless during the day. It can also affect their development. If enlarged tonsils or adenoids are having this effect, surgery might be considered.

There are various surgical approaches:

  • Partial tonsillectomy : Partial removal of the enlarged palatine tonsils.
  • Total tonsillectomy: Complete removal of the palatine tonsils .

If a child is having their tonsils completely removed , they have to stay in hospital. The other operations can be done as a day procedure. But hospital stays are often recommended if the child is having surgery on their palatine tonsils and adenoids at the same time. Depending on how much care is needed after the surgery, the children stay in hospital for about 2 to 7 days.

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What Happens To My Child During A Tonsillectomy Or An Adenotonsillectomy

  • a tonsillectomy or adenotonsillectomy usually takes less than an hour
  • your child will have a general anaesthetic
  • the surgeon will do the operation through your child’s mouth
  • there are usually no stitches
  • there will be a small raw patch, like a graze, on each side of your child’s throat where the tonsils were – it will take 10 to 14 days to heal

What Would I Recommend


We are in the midst of a major change in rethinking sleep apnea surgeryfor all parties involved. The goal is developing a tailored approach to sleep apnea treatment with an approach that is often called personalized medicine. I see many young adults with markedly enlarged tonsils who are struggling with positive airway pressure therapy, including many with mild sleep apnea who are not overweight. For these patients, I think it is very reasonable to think about surgery as a first-line option instead of being on positive airway pressure for the rest of their life. These patients have a greater than 90% chance of clearing up their sleep apnea with tonsillectomy alone. Not every one of them will want to have surgery, but this should be part of the discussion because the results will be so good, based on everything we know about sleep apnea surgery outcomes.

As a sleep surgeon, I see many patients who want surgery because they simply do not like positive airway pressure therapy, even though they are doing well with it. In fact, I actually discourage many of these patients from surgery. My approach is always the same: if you are doing well with positive airway pressure therapy, keep using it. The one caveat are those patients who have a very high chance of resolution of their sleep apnea with a straightforward procedure like tonsillectomy.

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Common Causes Of Snoring In Children

Snoring happens when there is some kind of blockage making it harder for air to exit through the nose as we breathe out. A stuffy nose can often cause snoring because it is temporarily narrowing or blocking the nostrils. If your child snores regularly then it is more likely to be caused by a permanent blockage, such as large tonsils or adenoids at the back of the throat. Snoring can be a sign of sleep apnoea in children, which can also cause pauses in breathing. Sleep apnoea happens when the throat relaxes during sleep, becoming narrower, and restricting airflow. Sometimes it is a combination of these two issues that is responsible for snoring in children. However, there can also be other reasons for snoring, such as a deviated septum, enlarged turbinates or other blockages in the nose. Recurring snoring can also be a sign of allergies in some children, as these can narrow the airways in a similar way to a cold.

What Are The Signs Of Obstructive Breathing Problems During Sleep

Snoring is one sign because it results from breathing through a passageway that is too small. On the other hand, snoring alone does not require tonsil and adenoid surgery. The additional signs of worrisome obstructive sleep include:

  • mouth breathing throughout the night
  • restless and fitful sleep that results in moving all around in the bed
  • sleeping in unusual positions including tilting the head back or sleeping propped up
  • choking episodes, periods of not breathing or apparent struggling to breathe
  • waking up or sweating during the night for unknown reasons
  • age-inappropriate bed wetting

Overall, children with significant obstructive sleep problems have a restless sleep during which they appear to struggle to breathe.

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Why Does My Child Snore

Snoring occurs in roughly 10 percent of children on a nightly basis. It results from vibrations of the soft tissues in the throat when theres an intermittent obstruction or blockage of the airway.

Snoring can be benign or associated with other more serious conditions. About 1 to 3 percent of childrens snoring is related to obstructive sleep apnea or sleep-disordered breathing . Both OSA and SDB can affect your childs sleep quality and daytime behavior, and can cause restlessness. A sleep study may be recommended to check your child for either sleep-disordered breathing or obstructive sleep apnea.

Typically, a childs snoring is related to large tonsils/adenoids that cause obstruction in the throat while your child sleeps. At Nationwide Childrens Hospital, we treat thousands of children with snoring, SDB and OSA each year by performing a tonsillectomy and an adenoidectomy.

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