Do n’t care about sleeping, do n’t care about it.

A few days ago, a mother said that when the baby was 5 years old, he always woke up and went to the hospital to check it. The reason hesitated.

Two years later, the longer the child, the more "ugly", not only the face became longer, the teeth were uneven, the teeth, and the upper lip became thicker and upward. Parents regret that they did not let their children perform surgery earlier.

In fact, it is not uncommon to change face changes and even affect growth and development like this child. So, how is pediatric snoring, do you have to perform surgery, and when are the surgery suitable?

What is a child's snoring?

Pediatric snoring, also known as children's obstructive sleep apnea, low ventilation syndrome (children's OSAHS). The most common cause is that the gland sample or/and tonsil hypertrophy, blocking some pharyngeal respiratory tract, and making the respiratory tract in a narrow state for a long time. Only when you open your mouth to breathe can you feel smooth. Due to the suspension of the pharyngeal cavity when breathing, he snoring.

What is the effect of snoring and breathing on the face value and body?

If the child has bad breathing habits since he was a child, the face will change with age, and the face will change accordingly. The lower jaw and the tongue decrease, and the face shape becomes long. As shown below:

Open mouth breathing and snoring may cause dry oral dryness, inducing or aggravating respiratory diseases. Therefore, children with tonsils and glandular hypertrophy often accompanied rhinitis and sinusitis. The nasal secretions flow into the lower respiratory tract. Wait.

The tonsils and gland -like hypertrophy, coupled with sinusitis, will cause the child's nasal congestion to worsen, and may also cause secretion otitis media. The hearing decline may be: watching TV likes to adjust the sound to a lot; Unclear symptoms.

The most important thing is that snoring affects the quality of sleep. The child's failure to enter the state of deep sleep directly leads to a decline in growth hormone secretion. In addition, sleep snoring can easily lead to hypoxia, cause damage to the child's brain and heart, and reduce attention and memory. Intellectual development causes obstacles, which can also cause slow growth and development, not long, overly thin, and weak.

What should I do if I have a mouth breathing or snoring?

If the child has already breathed or snoring, you should first go to the otolaryngology clinic to clear the cause. If it is tonsils and gland -like hypertrophy, it is recommended to surgical resection early. It is accompanied by chronic or acute nasal respiratory diseases. Treatment of rhinitis, sinusitis for 1 to 2 months.

One month after surgery, after the wound was completely healed, the airway was completely smooth, and then went to the dental department to see the orthodontics as appropriate.

Special reminder: It is not effective to correct the teeth without lift the intra -airway obstruction; it is not effective or even dangerous to use closed stickers without removing the cause of obstruction!

Should gonad -like and tonsil be cut at the same time? Will it affect immunity?

Generally speaking, most children's snoring is that the tonsils and glandular samples are hypertrophic at the same time, causing the upper airway to narrow. In this case, it is recommended that both tonsils and glandular samples are removed to prevent the left tonsils or glandular samples proliferated (compensatory hyperplasia), so that the surgery is required again.

Removal tonsils and gland samples will not affect immunity. This is confirmed by clinical evidence -based medical follow -up.

For children with only adenoid hypertrophy, the tonsils can be retained as appropriate.

Is surgery a minimally invasive? Will the general hemp affect the child's intelligence?

Tonsillery and glandular sample resection uses low -temperature plasma ablation technology, minimally invasive, no bleeding, short surgery time, and fast postoperative recovery (see the figure below). Generally, the operation only takes less than half an hour, and the hospital can be discharged in 4 days.

Nowadays, the whole body anesthesia medication is fast and metabolized. The impact of anesthesia drugs on children is limited to the anesthesia and within 24 hours after the anesthesia. Since then, it will no longer have any impact on the body, and it will not affect intelligence.

What should I pay attention to after surgery?

Simple glandular surgery can eat semi -solid food on the night after surgery, and you can eat normally the next day. If tonsils are combined with tonsils, they can be semi -liquid after surgery. It is generally recommended to eat for two weeks.

Pay attention to after surgery: Rinse your mouth immediately after eating. The oral cleaning is not in place to cause wound infection, and even cause postoperative bleeding. It is necessary to encourage children to eat as soon as possible in order to exercise more pharyngeal muscles, make the pain disappear as soon as possible, and reduce the possibility of foreign body sensation in the future.

In summary, if the child is easy to snore or breathe, you must be alert to the possibility of gland samples and tonsil hypertrophy, and go to the otolaryngology department in time to detect and treat them early, without leaving to change and affect growth and development. Regret.

(Edit ZS. Part of the picture source network, invading deletion)

Hunan Medical Chat Special Author: Hunan People's Hospital's otolaryngology head and neck surgery Ma Lijuan

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