Tonsil Problems

In children, upper respiratory tract obstruction due to enlargement of tonsils and recurrent tonsillitis are the most common problems. Tonsil enlargement is usually seen together with adenoid enlargement. If medical follow-up is required in the treatment, surgery can be applied.

How Long Does Tonsil Surgery Take?

Tonsil surgery is a simple operation that takes about half an hour and the patient can be discharged on the same day.

From What Age Is Tonsil Surgery Performed?

If it causes serious obstruction, it can be done as of 2 years of age.

Tonsil Surgery does not have any season.

ADENOID

Adenoid enlargement manifests itself with symptoms such as frequent sinusitis by obstructing the upper respiratory tract in children, chronic cough, snoring due to not being able to breathe easily at night, sleeping with an open mouth, sweating on the neck and frequent turning. In fact, every child has some adenoids, but if it grows excessively, it fills the nasal area and causes airway obstruction. Treatment is usually surgery.

How Long Does Adenoid Surgery Take?

Adenoid surgery is a simple operation that takes about half an hour and the patient can be discharged on the same day.

From What Age Is Adenoid Surgery Performed?

If it causes serious obstruction, it can be done as of 2 years of age.

Adenoid Surgery does not have any season.

Middle Ear Inflammation

It is a condition that manifests itself with ear pain, ear discharge, fever, which is usually seen in childhood. Oral antibiotics and antipyretic drugs are used in its treatment. Since it can lead to complications if left untreated, it should be considered important and a physician should definitely see the child.

Inserting a Tube into the Ear

Fluid collection in the middle ear may occur in approximately one-third of children after viral upper respiratory tract infections. This is the result of dysfunction of the Eustachian tube and functional obstruction. In most children, this accumulated fluid is discharged through the Eustachian tube within 15 days to 1 month and the middle ear function improves. In patients where fluid accumulation continues, changes begin to occur in the mucous membrane covering the middle ear and the membrane itself over time. The liquid changes its character and takes on a jelly-like consistency. This leads to hearing loss.

The child may begin to turn up the volume of the television or repeat what the parents have said. If such a situation has arisen, it would be correct to suspect hearing loss and consult a physician.

In which cases is the tube inserted?

The tube is applied in pressure problems that cause fluid accumulation in the middle ear and collapse of the eardrum. Such a situation is usually due to adenoid or allergic causes. However, it is also used in cases of frequent recurrence of bacterial otitis media, bleeding in the middle ear and eardrum collapse due to other reasons. It is usually necessary in children, but tube insertion is also common in adults.

How to Insert a Tube to Children?

Both local anesthesia and general anesthesia can be used for tube insertion. However, general anesthesia is often used in children. Working with a microscope, the external ear canal is entered and the eardrum is scratched. This process is called paracentesis. The fluid in the middle ear is drawn out from the scratched area in the eardrum. With special tools, the tube is inserted into the scratched area on the membrane, with one end in the outer ear and the other in the middle ear. There is no visible change in the patient’s ear.

Does the tube always stay in place?

No, the eardrum tube ejects after a while. Rarely, the tube cannot be expelled and the doctor may need to pull it out. The shape of the inserted tube also affects the residence time of the tube in the membrane. Tubes called T-tube and Paparella stay in place longer.

Tube Insertion Is The Final Solution?

Tube insertion usually corrects the problem in the middle ear, but if the cause of the pressure problem in the middle ear continues after the tube is removed, the same disease may recur. Therefore, adenoids, allergies or other causes should also be treated appropriately. Sometimes there are patients who need to have a tube inserted several times and still cannot get a definitive solution.

What are the Drawbacks of Tube Insertion?

Tube placement in the ear is usually a problem-free operation. However, sometimes some problems may occur. In addition to the risk of anesthesia, there may be complications such as rupture of the eardrum and leakage of the tube into the middle ear during surgery. After the surgery, ear discharge, calcification in the eardrum and a permanent hole may occur where the tube is inserted. Ear discharge is indicative of inflammation and usually clears up easily with antibiotics.

What Should Be Considered After the Surgery?

Tube insertion is not an operation that puts the patient in trouble after the operation. The most important issue that the patient will pay attention to is to prevent water from entering the ear. This can be harmful as it causes inflammation. Apart from this, the patient can continue his normal life. The patient who has a tube in his ear should visit his doctor at regular intervals. For this, the patient is usually seen once in 3 months.

KOLESTEATOM

It usually occurs after middle ear aeration problems experienced in childhood. The outer ear canal skin and eardrum collapse towards the middle ear, gaining a different character and becoming an inflammation-producing tissue. This tissue progresses by eating the middle ear ossicles and the ossicles located in the mastoid region behind the ear. It can progress to the inner ear, causing hearing loss and vertigo problems. Apart from this, if it progresses to the adjacent brain tissue, it can lead to serious life-threatening complications such as meningitis and brain abscess.

The treatment consists of surgically removing this inflamed tissue completely and, in appropriate cases, restoring hearing by repairing the ossicles.

Sometimes this condition may occur congenitally, and in some cases, it may occur due to external ear infections and traumas.

COCHLEAR IMPLANTS

They are devices that enable hearing to be reconstructed by placing electrodes directly in the inner ear in patients with severe hearing loss and who cannot benefit from hearing aids. It can be worn in patients with congenital hearing loss until the age of 4, and in patients who have subsequently lost their hearing and learned to speak later, without age restriction. Thanks to this technology, it is possible for individuals who will be born deaf and dumb to learn to speak and live like healthy individuals without hearing loss in society.

Whether a child is a suitable candidate for a cochlear implant is determined after tests and audiological evaluations by expert audiologists.

Evaluation of Hearing in Children

Evaluation of hearing and determination of hearing loss, if any, are of great importance, especially in infancy and childhood, for children to acquire language (speaking) and cognitive skills in the future.

Hearing is evaluated differently in infants and children.

Behavioral Observation Audiometry

It is generally used in infants (0-4 months). The baby’s hearing thresholds are determined by the audiologist by looking at the baby’s behavioral responses (blinking, head turning, hand and foot movements, crying and sucking reflex) by sending pure tone stimuli, speech stimuli and various noises to the baby in the Free Space.

Visual Reinforcement Audiometry

It is generally applied in infants and children (5-24 months). Free Space or headphones are used. The child is seated so that he can see both sides. There are light boxes and moving toys on the right and left. During the test, an audiologist should play with the child and keep the child’s attention. Then, hearing thresholds are determined by monitoring the child’s reaction with the sounds sent to visual stimuli.

Game Audiometry

It is generally used in children (24 months and later). The test is administered in Free Space or with headphones. A headset is put on the child and blocks or toys are placed in front of him. The child is conditioned to listen to the lego whenever a sound is heard and to throw the lego into the box after hearing the sound. In this way, the hearing thresholds of the child are determined.

TYMPANOMETRY

Tympanometry in our clinic; It is a test that detects the presence of fluid in the middle ear or movement disorders in the ossicular system by measuring the middle ear pressure, and also helps to detect middle ear air-pressure and Eustachian tube problems. It is frequently used in ear problems in children.

Acoustic Reflex Test

Regulatory cells in the inner ear are tests that give us detailed and objective information about the function of the auditory nerve and facial nerve. It is also used in the objective evaluation of hearing in children and infants.