Adenotomy [Adenotomia; Adeno(Ides) + Greek. Tome Incision, Dissection]

**Adenotomy** is the operation of removing adenoids from the nasal cavity in case of hypertrophy (increase in their size) or difficulty breathing. The operation is called exactly that, although in some countries a less euphonious and more appropriate Latin name is used, but has not yet taken root in English - *adenoidectomy.*

Adenotomy is, as a rule, a planned operation prescribed for frequent or prolonged runny nose, malaise, periodic headaches, snoring or extreme difficulty in nasal breathing, hoarseness, slow tooth growth, etc. The only absolute indication for removal of adenoids is purulent inflammation in the nasopharynx with unchanged vapors of the upper respiratory tract (with rhinitis or pharyngitis).

Due to several possible complications, for medical reasons the operation is not performed if the child has not yet learned to breathe fully through the nose or suffers from hypertension during and after the operation, complications may arise.

Adenotomy is a surgical procedure that is performed to remove the adenoids. Adenoids, also known as pharyngeal or nasal tonsils, are lymphoid tissue located at the back of the nasopharynx. These tissues play an important role in the body's immune system, helping to fight infections and disease. However, sometimes the adenoids can become enlarged and cause various problems, especially in children.

Adenotomy is usually performed in cases where enlarged adenoids lead to the following symptoms and problems:

1. Difficulty breathing: Enlarged adenoids can obstruct the normal passage of air through the nasopharynx, causing difficulty breathing through the nose. This can lead to snoring, chronic nasal congestion, and frequent runny nose.

2. Speech problems: Enlarged adenoids can put pressure on surrounding structures, including the vocal cords, which can lead to changes in the sound of speech or problems making certain sounds.

3. Frequent, recurrent infections: Enlarged adenoids can harbor bacteria and viruses, contributing to the development of recurring upper respiratory tract infections such as rhinitis, sinusitis and ear infections.

4. Increased sleepiness and fatigue: Difficulty breathing and continuous awakening due to breathing problems at night can lead to daytime sleepiness and worsening general health.

The adenotomy procedure is usually performed in children aged 1 to 7 years under general anesthesia. The surgeon makes a small incision in the back of the nasopharynx and uses a special instrument to remove the enlarged adenoids. After surgery, the patient is advised to rest and avoid physical activity for several days. Typically, recovery time after adenotomy is about a week.

Adenotomy is a relatively safe procedure, but like any surgical procedure, it may come with certain risks and complications, such as bleeding, infection, or reactions to the anesthesia. Therefore, it is important to conduct a preliminary consultation with a qualified surgeon and discuss the indications, contraindications and possible risks and benefits of the Adenotomy procedure.

In conclusion, adenotomy is an effective procedure for removing enlarged adenoids, which can significantly improve the quality of life of patients, especially children. However, the decision to proceed with surgery should be made after careful discussion with a qualified medical professional, taking into account the individual characteristics of each patient.