The adenoids are a single clump of tissue in the back of the nose (Nasopharynx). The tonsils are two clumps of tissue, on either side of the throat, embedded in a pocket at the side of the palate (roof of the mouth). The lower edge of each tonsil is beside the tongue.

The CO2 and diode lasers are presently the most widely used lasers in ENT surgery. We use the diode surgery for indication in the oral cavity and nose while the CO2laser is used for surgeries in the throat (vocal cords and for snoring).

Our “Centers of Excellence”, equipped with the most advanced technology, are unmatched in guaranteed state-of-the-art ENT care.

We offer the following services to make the child “hear the world” :
Microsurgery of the ear for Deafness, Dizziness, Discharging ear, and Facial Paralysis Computer aided Audiometric and Tympanometry
Infant Screening for early detection of deafness
B.E.R.A./O.A.E./S.S.E.P./M.A.S.T.E.R
Digital hearing aid center Cochlear-implant Centre

In general only if they are enlarged or otherwise have been causing problems themselves. The tonsils rarely, if ever, are associated with ear disease. However, if we are removing adenoids because they are enlarged or obstructed, we tend to be relatively aggressive with borderline enlarged tonsils. Too often, several months later, when we left such tonsils, they became enough of a problem to warrant removal.

• Blockage of the back of the nose, they are too big
  This is now one of the more common reasons for removal. The adenoids may be large enough to cause “mouth breathing”, snoring, or even sleepapne(blockage of breathing during sleep). This degree of enlargement may be associated with chronic fluid or infection in ears. Inability to breathe through the nose causes a reduction in smell (and therefore taste). This is most commonly seen in preschool children, but can exist as early as several months of age.
• Chronic and recurrent fluid or infections of the ears
  The adenoids may be enlarged or chronically infected to the extent that they cause ear problems� either recurrent infections or chronic fluid. The infection or blockage may affect Eustachian tube function. An adenoidectomy is often recommended for children to continue to have ear problems after the first set of tubes. We will occasionally recommend an adenoidectomy with the first set of tubes if some of the other problem exists.
• Chronic or recurrent sinus infections, or “rhino sinusitis”
  Similar to the problem with the middle ear, enlarged or infected adenoids may cause accumulation of nasal secretions or recurrence sinus infections. Many surgeons feel that an adenoidectomy is the most appropriate surgical procedure for young children with severe sinus problems.

Socially – yes. It is disruptive to family life. It makes the snorer an object of ridicule and causes other household members sleepless nights and resentfulness. Snorers become unwelcome roommates on vacations or business trips.

And medically – Yes. It disturbs the sleeping patterns of the snorer himself, so that he may not sleep restfully. Furthermore, heavy snorers tend to develop high blood pressure at a younger age than non-snorers.

The most exaggerated form of snoring is known as obstructive sleep apnea when loud snoring is interrupted by frequent episodes of totally obstructed breathing. This is serious if the episodes last over 10 seconds each and occur more than 7 times per hour. Your physician may recommend a laboratory sleep study as a way of evaluating your symptoms. Apnea patients may experience 30 to 300 obstructed events per night. And many spend as much as half their sleep time with blood oxygen levels below normal. During their obstructive episodes, the heart must pump harder to circulate the blood faster. This can cause irregular heartbeats, and after many years it leads to elevated blood pressure and heart enlargement. The immediate effect of this oxygen starvation is that the person must sleep in a lighter stage and tense his muscles enough to open his airway to get air into his lungs. Persons with obstructive sleep apnea may spend little of their nighttime hours in the deep-sleep stages that are essential for a good rest. Therefore they awaken exhausted and are sleepy much of the day. They may fall asleep while driving to work or while on the job. Long-term damage to the heart and lungs is also observed.