Chronic tonsillitis and adenoid hypertrophy are among the most common ENT conditions in children. If left untreated in time, they can cause a range of health consequences affecting breathing, hearing, speech and even craniofacial development.
Chronic tonsillitis and adenoid hypertrophy are among the most common ENT conditions in children. If left untreated in time, they can cause a range of health consequences affecting breathing, hearing, speech and even craniofacial development.
Enlarged adenoids can obstruct airflow through the nose. As a result, the child breathes through the mouth both day and night, causing snoring and sometimes sleep apnoea.
Additionally, the enlarged tissue can compress the Eustachian tube openings, leading to their obstruction. Insufficient ventilation of the middle ear results in otitis media with effusion, which often develops without pain — the main symptom being reduced hearing. This can in turn cause speech development delays: a child who hears poorly has difficulty pronouncing sounds correctly.
MD, PHD EMILIA KARCHIER, OTOLARYNGOLOGIST, LUX MED CAROLINA HOSPITAL
Adenoid hypertrophy also affects bite development: persistently open lips do not contact the teeth correctly, disrupting normal dental arch formation.
In the past, adenoid removal was performed without visual control — tissue was excised using a special knife, essentially by feel. This approach carried a risk of leaving residual adenoid tissue, leading to regrowth in as many as 30% of children.
Modern ENT surgery has access to endoscopic adenoid removal. With a camera, the surgeon maintains full visual control of the operative field throughout, avoiding delicate structures such as the Eustachian tube openings and coagulating any bleeding vessels as they appear. Precise removal of all lymphoid tissue minimises the risk of regrowth — currently only a few per cent of cases.
MD, PHD EMILIA KARCHIER
One of the most advanced instruments used in these procedures is the plasma coblator. Its tip can be bent freely to adapt to the anatomy of the young patient. The coblator generates low-temperature plasma (approx. 68°C), which causes cell dissolution while simultaneously suctioning the removed tissue.
The key benefits include:
The combination of endoscopy and coblation enables complete yet atraumatic removal of enlarged adenoids. The operative field remains dry, blood loss is minimal and the child returns to normal activity quickly.
MD, PHD EMILIA KARCHIER
This solution combines effectiveness, safety and comfort — for both the patient and the surgical team.
Modern methods — including endoscopy and plasma coblation — have completely transformed the standard of care for adenoid hypertrophy. They allow us to effectively eliminate the problem, avoid regrowth and minimise patient discomfort.
MD, PHD EMILIA KARCHIER
