Two masses of tissue that are similar to the lymph nodes or “glands” found in the neck, groin, and armpits. Tonsils are the two masses on the back of the throat. Adenoids are high in the throat behind the nose and the roof of the mouth (soft palate) and are not visible through the mouth without special instruments.
The most common problems affecting the tonsils and adenoids are recurrent infections (throat or ear) and significant enlargement or obstruction that causes breathing, swallowing, and sleep problems.
Abscesses around the tonsils, chronic tonsillitis, and infections of small pockets within the tonsils that produce foul-smelling, cheese-like formations can also affect the tonsils and adenoids, making them sore and swollen. Tumors are rare, but can grow on the tonsils.
You should see your pediatric ENT in Miami when you or your child suffer the common symptoms of infected or enlarged tonsils or adenoids.
Your Miami ear nose throat doctor will ask about problems of the ear, nose, and throat and examine the head and neck. He or she will use a small mirror or a flexible lighted instrument to see these areas.Your physician will ask about problems of the ear, nose, and throat and examine the head and neck. He or she will use a small mirror or a flexible lighted instrument to see these areas.
Other methods used to check tonsils and adenoids are:
Bacterial infections of the tonsils, especially those caused by streptococcus, are first treated with antibiotics. Sometimes, removal of the tonsils and/or adenoids may be recommended if there are recurrent infections despite antibiotic therapy, and/or difficulty breathing due to enlarged tonsils and/or adenoids. Such obstruction to breathing causes snoring and disturbed sleep that leads to daytime sleepiness in adults and behavioral problems in children.
Chronic infection can affect other areas such as the eustachian tube – the passage between the back of the nose and the inside of the ear. This can lead to frequent ear infections and potential hearing loss. Recent studies indicate adenoidectomy may be a beneficial treatment for some children with chronic earaches accompanied by fluid in the middle ear (otitis media with effusion). Seeing your Miami pediatric ENT is a wise idea, as they are highly trained and familiar with this type of disease in children.
In adults, the possibility of cancer or a tumor may be another reason for removing the tonsils and adenoids. In some patients, especially those with infectious mononucleosis, severe enlargement may obstruct the airway. For those patients, treatment with steroids (e.g., cortisone) is sometimes helpful.
Adults and children
For at least two weeks before any surgery, the patient should refrain from taking aspirin or other medications containing aspirin. (WARNING: Children should never be given aspirin because of the risk of developing Reye’s syndrome).
When the patient arrives at the hospital or surgery center, the anesthesiologist or nursing staff may meet with the patient and family to review the patient’s history. The patient will then be taken to the operating room and given an anesthetic. Intravenous fluids are usually given during and after surgery.
After the operation, the patient will be taken to the recovery area. Recovery room staff will observe the patient until discharged. Every patient is unique, and recovery time may vary.
Your Miami pediatric ENT specialist will provide you with the details of preoperative and postoperative care and answer any questions you may have.
There are several postoperative symptoms that may arise. These include, but are not limited to, swallowing problems, vomiting, fever, throat pain, and ear pain. Occasionally, bleeding may occur after surgery. If the patient has any bleeding, your surgeon should be notified immediately.
Any questions or concerns you have should be discussed openly with your surgeon.
Tonsillitis is an infection in one or both tonsils. One sign is swelling of the tonsils. Other signs or symptoms are:
If your or your child’s adenoids are enlarged, it may be hard to breathe through the nose. Other signs of constant enlargement are:
If you're experiencing ear, nose and throat symptoms, contact SFENTA today. Our board-certified ENTs will help you determine the underlying cause of your problems and deliver the effective, rapid treatment you need.
- Most insurance plans accepted -
South Florida ENT Associates (SFENTA) is committed to ensuring the safety and well-being of our patients, clinicians, and employees, particularly among the recent concern and outbreak of the COVID-19 virus. We are continuing to respond to the latest guidance from the Centers for Disease Control and Prevention (CDC) and Department of Public Health from each state, which are closely monitoring the outbreak of the COVID-19.
Across our network, SFENTA is implementing safety precautions to help limit the spread of COVID-19 and ensure the health of our patients, employees, and visitors. These preventive measures include:
As a current patient, if you are experiencing flu-like symptoms (i.e., cough, fever, shortness of breath, sore throat), please call your care center location and ask to speak to a staff member who can guide you with more information and treatment suggestions.
We ask that you DO NOT come into the office for any pre-scheduled appointments if you are experiencing any flu-like symptoms.
In addition, if you are not experiencing flu-like symptoms, but have traveled outside of the country in the last 14 days, contact a member of our triage staff to determine whether you should come into one of our care centers.
It is our goal to keep all of our patients healthy , reduce the spread of infection, and to make sure you have accurate information. We will continue to keep this site updated as more information becomes available.
Please note that the overall immediate health risk from the coronavirus is still considered low. People in areas where ongoing community spread of the virus has been reported are at elevated, though still relatively low, risk of exposure.
However, healthcare workers caring for patients with the COVID-19 and others in close contact with infected persons are at a greater risk of exposure. Travelers returning from affected international locations where community spread is occurring are also at elevated risk of exposure.
The CDC believes the virus may appear between 2-14 days after exposure. There is no vaccine and treatment is supportive. The virus is spread person to person mainly by respiratory droplets when an infected person coughs or sneezes. This is similar to other respiratory pathogens like influenza.
Together, South Florida ENT Associates will continue monitoring and preparing to meet the current challenge in order to ensure our staff and patients receive the same quality of care they deserve. We are committed to ensuring the safety and well-being of our patients, clinicians, and employees
The CDC believes the virus symptoms may appear between 2-14 days after exposure. There is no vaccine and treatment is supportive. The virus is spread person to person mainly by respiratory droplets when an infected person coughs or sneezes. This is similar to other respiratory pathogens like influenza.
For more information, visit: Centers for Disease Control and Prevention, Official Information on COVID-19