How is chronic VA in children treated?

The article was professionally consulted by Specialist Doctor II Le Thanh Cam - Pediatrician - Pediatrics - Neonatology Department - Vinmec Danang International General Hospital. Dr. Cam has 15 years of experience working in the field of Pediatrics and used to work at the Department of Pediatrics - Danang Hospital and Danang Center for Obstetrics and Gynecology. His strength is in the diagnosis and treatment of pediatric pathologies, resuscitation, pediatric emergency.
And resident doctor Duong Van Sy - Department of Pediatrics - Neonatology - Vinmec Hai Phong International General Hospital.

VA is a lymphoid tissue located in the nasopharynx, which thrives in young children and regresses when children are over 5 years old. Chronic VA in children can leave many complications that affect the child's ability to develop intellectually and physically. Therefore, the proper treatment of chronic VA is extremely necessary.

Chronic VA is a state of VA overgrowth or fibrosis after repeated acute inflammation.
VA can be inflamed due to the following reasons:
VA caused by viruses: Adenovirus, Myxovirus, Rhinovirus... Due to bacteria such as: Staphylococcus aureus, streptococcus, Haemophilus influenzae (HI)....

Symptoms of chronic VA in children usually appear from the age of 18 months to 6-7 years old, with the following manifestations:
Systemic symptoms: Children often have fever, slow physical and mental development. intellectual for his age, less agile, poor eating, thin, blue skin. Children do not concentrate and children often learn poorly due to lack of oxygen in the brain. Nasal congestion: At first, the stuffiness is less, then it is more and gradually increases. Children often have to open their mouths to breathe and speak in a nasal voice. The nose is often inflamed, secreted, and runny. Dry cough Not sleeping well, snoring loudly and often startled. Poor hearing due to VA often causes otitis media. Baby with V.A face: Blue skin, open mouth, protruding teeth, misaligned teeth, upper lip pulled up, lower lip long, eyes wide open, innocent person. Ear, nose and throat examination: The nasal mucosa is edematous, with a lot of mucus. The pharynx has many lymphoid masses the size of a green pea, and nasal mucus flows down from the nasopharynx.

For chronic VA, the treatment should ensure the following principles: mainly consider curettage surgery for children.
VA curettage to treat chronic VA is very popular today, but the decision to curettage or not to curettage needs to be done according to indications and contraindications.

The VA curettage to treat chronic VA is indicated by the doctor in the following cases:
VA suffers from many acute and recurrent episodes of inflammation (more than 5 times per year). VA with ineffective medical treatment causes complications. VA causes close complications: otitis, respiratory tract infection, lymphadenitis. VA causes distant complications: acute arthritis, acute glomerulonephritis... VA is overblown, affecting the airways, obstructing the child's natural airway. Usually, V.A curettage is performed for children from 6 months of age and older, the most reasonable time is from 18 to 36 months of age.

VA curettage is contraindicated in the following cases:
Absolutely contraindicated when: the child has coagulation disorders, severe heart disease, progressive tuberculosis. Temporarily contraindicated when: children are suffering from acute VA, children are suffering from acute infections of the nose and throat, acute viral infections such as flu, measles, whooping cough, dengue fever...; have allergies, bronchial asthma, cleft palate; the weather is too hot or too cold, there is a local respiratory epidemic; are taking or vaccinated against epidemic (wait at least 2 weeks after taking polio vaccine, 6 months after receiving TB vaccine). VA curettage is not a difficult surgery, but there are still some complications that can occur during and after surgery. At Vinmec International General Hospital, there is a team of experienced, highly qualified otolaryngologists and standard equipment to minimize the risk of complications during curettage. VA.
As a key area of ​​Vinmec Health system, Pediatrics Department always brings satisfaction to customers and is highly appreciated by industry experts with:
Gathering a team of top doctors and nurses in Pediatrics : Including leading experts with high professional qualifications (professor, associate professor, doctorate, master), rich experience, worked in big hospitals such as Bach Mai, 108.. Doctors All doctors are well-trained, professional, conscientious, knowledgeable about young psychology. In addition to domestic pediatric specialists, the Department of Pediatrics also has the participation of foreign experts (Japan, Singapore, Australia, USA) who are always pioneers in applying the latest and most effective treatment regimens. . Comprehensive services: In the field of Pediatrics, Vinmec provides a series of continuous medical examination and treatment services from Newborn to Pediatric and Vaccine,... according to international standards to help parents take care of their baby's health from birth to childhood. from birth to adulthood Specialized techniques: Vinmec has successfully deployed many specialized techniques to make the treatment of difficult diseases in Pediatrics more effective: neurosurgery - skull surgery, stem cell transplantation. blood in cancer treatment. Professional care: In addition to understanding children's psychology, Vinmec also pays special attention to the children's play space, helping them to have fun and get used to the hospital's environment, cooperate in treatment, improve the efficiency of medical treatment.