Laser treatment of adenoids in children

Adenoid hypertrophy in a child is a situation that can easily alarm any parent. Among all ENT pathologies, this condition is the most common in children aged three to seven years. According to conventional medicine, conservative therapy, such as physiotherapy or homeopathic remedies, is ineffective for adenoid hypertrophy.

One of the most effective methods for combating this condition is laser treatment. This procedure is much more gentle than traditional adenotomy, a surgical procedure to remove the nasopharyngeal tonsil. Sometimes, tonsillectomy (removal of the palatine tonsils) is performed in conjunction with this procedure, making the procedure even more traumatic.

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What are adenoids?

The human body is equipped with six tonsils, located primarily in the nasopharynx. The main purpose of these organs is to protect the body by capturing potentially dangerous microorganisms. Because the tonsils are rich in immune cells, they are immediately activated when foreign agents such as viruses and bacteria enter the body.

The third set of tonsils, located just behind the soft palate above the nasal passage, deserves special attention. These organs act like a filter, passing air through the body during breathing. Under unfavorable circumstances, such as an upper respiratory infection or an allergic reaction, the tissue of the third set of tonsils begins to enlarge excessively, reaching abnormal dimensions. This pathological enlargement is medically known as adenoids.

The likelihood of developing adenoids decreases significantly with age. As people age, the third set of tonsils naturally decrease in size, sometimes leading to complete degeneration. However, the risk of developing adenoids remains even in middle-aged patients.

What are adenoids?
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Causes of the disease in children

Chronic inflammatory processes in the upper respiratory tract, including bronchial problems, tonsillitis, and throat irritation, often trigger enlargement of the nasopharyngeal tonsils. A number of infectious diseases typical of childhood can trigger active tissue growth, such as:

  • Acute respiratory infections
  • Influenza viruses
  • Measles
  • Chickenpox and other childhood infectious pathologies

The development of adenoids is often accompanied by an exacerbation of acute inflammation of the palatine tonsils, known as tonsillitis. In addition to frequent infections and inflammatory processes, heredity plays a significant role: a predisposition to this condition is often genetically transmitted.

Doctors consider problematic pregnancies, aggravated by various complications, to be additional risk factors: a history of acute viral infections in the expectant mother, and the use of antibiotics and medications with adverse effects. These factors include difficult deliveries, fetal injuries during childbirth, and chronic illnesses in both the mother and the infant.

Furthermore, environmental factors, the development of allergic reactions, and a weakened immune system, especially in young children, play a negative role. All of these factors can trigger excessive lymphoid tissue growth and lead to the clinical picture of nasopharyngeal tonsil hypertrophy.

Symptoms of adenoid inflammation

It is crucial for parents to recognize the following signs of tonsil enlargement:

  • Impaired nasal breathing – manifested by mouth breathing and snoring at night
  • Periodic cessation of breathing during sleep (sleep apnea)
  • A constant feeling of nasal congestion, persistent rhinitis
  • Coughing fits
  • Deterioration in sound perception
  • Increased incidence of ear infections (otitis)
  • Nasal voice development
  • Difficulty concentrating, decreased school performance, and general fatigue due to oxygen deprivation of the brain

Without adequate treatment, further progression of the condition can lead to severe facial deformity (lengthening and stretching), changes in the structure of the jaw and teeth, chest curvature, digestive problems, and gastrointestinal disorders.

The appearance of accompanying symptoms, such as fever and painful swelling of the lymph nodes, indicates the development of severe tonsillitis (adenoiditis).

Adenoid grades

Medical practice distinguishes three main stages of adenoid hyperplasia:

  • Stage I. At the initial stage of development, the tonsil tissue is slightly enlarged and has minimal impact on the child's well-being. Difficulty breathing occurs only during sleep.
  • Stage II. Further progression of the process leads to persistent breathing difficulties, day and night. The tissue blocks approximately a third of the airway, preventing normal airflow.
  • Stage III. Hypertrophy reaches its maximum, with the tissue covering most of the nasal passages, making normal nasal breathing difficult. The voice becomes distinctly nasally, the level of audibility decreases, and the child is forced to regularly ask for repetition.

The severity of adenoids is determined by the extent of sinus obstruction, the level of discomfort, and the impact on the child's overall physical and intellectual well-being.

Dangerous complications for the child

Enlargement of the pharyngeal tonsil can lead to a number of serious health consequences, including:

  • Decreased ability to perceive sounds, hearing impairment
  • Allergic reactions
  • Decreased performance, difficulty memorizing material, constant fatigue
  • Development of pronunciation defects and speech distortion
  • Frequent recurrence of acute ear infections
  • Regular colds
  • Problems with bladder control, manifested by nocturnal enuresis

Children with this condition differ significantly from healthy peers: they experience difficulty sleeping, are prone to increased anxiety and irritability, and are often in depressed emotional state. Therefore, at the first sign of tonsil enlargement, be sure to consult a qualified otolaryngologist (ENT doctor).

The essence and purpose of laser therapy

Laser treatment of adenoids is an innovative technique based on the use of light beams of a specific wavelength. This technology aims to eliminate swelling and inflammation of the tissue, thereby facilitating airflow through the nasal passages.

Laser therapy helps reduce the frequency of recurrent infections and prevents further tissue enlargement. A key advantage of this method is its contactless and completely safe nature, making it suitable for patients of all ages.

General information

Indications for laser therapy

If signs of adenoids are detected, specialists usually recommend surgery to remove the affected tonsils. The final decision is made by the parents in conjunction with the doctors, but there are clearly defined indications for which surgical intervention is inevitable:

  • Decreased hearing loss due to enlarged lymphoid tissue
  • Development of noticeable changes in the structure of the sternum and facial bones
  • Chronic obstruction of the nasal airways
  • Recurring episodes of acute respiratory infections
  • Speech articulation disorder
  • Lack of positive results from traditional therapeutic treatments

Identification of these abnormalities necessitates prompt laser intervention, which helps minimize the risk of developing persistent complications.

Advantages of laser therapy

Using laser therapy for adenotomy offers many advantages over traditional surgical approaches, including:

  • Local anesthesia can be used exclusively by administering a solution intranasally.
  • Minimal trauma, promoting accelerated tissue recovery.
  • Virtually zero risk of bleeding and adverse effects due to the precision of the laser.
  • High precision, avoiding damage to adjacent healthy areas.
  • The procedure is virtually painless.

All procedures are performed on an outpatient basis, allowing the child to leave the clinic shortly after completion of treatment. Most young patients tolerate the procedure without any significant difficulties.

Contraindications

Despite its effectiveness, laser therapy has certain limitations that preclude its use in a number of situations. Contraindications include:

  • Fever
  • Active phases of colds or viral diseases
  • Hematopoietic system disorders
  • Cardiovascular disorders
  • Tumors of various origins
  • Tuberculosis infections and other similar conditions

Before the procedure, consult a doctor and undergo a full medical examination – this approach will help identify possible contraindications.

Preparation for the procedure

Laser adenoid removal is performed only after a thorough, comprehensive assessment of the patient's health. A mandatory preparatory step is a consultation with specialized doctors:

  • Pediatric ENT surgeon
  • Pediatrician
  • Neurologist
  • Allergist-immunologist

Additionally, laboratory blood and urine tests, a CT scan or X-ray, and endoscopic visualization of the ENT organs are required. If inflammation is detected in the nasopharyngeal region, preliminary debridement is performed.

If neurological symptoms are diagnosed, children are given general anesthesia instead of local anesthesia. On the eve of the scheduled procedure, the child is not allowed to eat in the evening, and on the day of the procedure, they are not allowed to drink in the morning. If necessary, the specialist may recommend mild sedative therapy for the child.

Procedure

The laser treatment is performed in a clinic and lasts about a quarter of an hour. The child is comfortably positioned, and the doctor then gently places a special nozzle into the patient's nose. The radiation targets problematic areas of the mucous membrane, effectively removing excess tissue and reducing inflammation. The entire procedure is completely painless and requires no anesthetic. For best results, two or three consecutive sessions are sometimes recommended.

Recovery period

The recovery process after laser adenoidectomy lasts approximately two weeks, and for a comfortable recovery, it is important to follow these simple tips:

  • Limit physical activity for up to three weeks
  • Avoid baths for the first three days, then warm showers are allowed, but overheating is strictly prohibited for at least another month.
  • Postpone walks for seven days.
  • Eat semi-liquid foods at first, avoid hot and cold foods for ten days.
  • Use special vasoconstrictor drops prescribed by your doctor for the first five days.
  • Perform simple breathing exercises.
  • Parents should protect their child from contact with sources of infection and allergens as much as possible.

Increased temperature Above 38°C requires taking an antipyretic that does not contain acetylsalicylic acid.

Results

The laser approach is accessible to patients of all ages and allows for:

  • Eliminate congestion and restore natural tissue proportions
  • Reduce the number of pathogenic microorganisms
  • Significantly reduce pain sensitivity
  • Provide an anti-inflammatory effect

The most significant positive results are achieved by seeking medical attention in the early stages of the disease, but even in situations with pronounced changes, laser treatment shows positive results.

Prices for laser adenoid treatment for children in Moscow

The cost of laser adenoid treatment for children depends on many factors, such as the clinic's level, the type of equipment used, the complexity of the case, the doctor's experience and qualifications, and the number of procedures required.

You can find out the exact cost of the procedure at the K+31 clinic (Moscow), which uses the latest, safe equipment, during an in-person consultation with the doctor. You can find out the approximate cost by calling +7 (495) 324-55-91 or by consulting the price list, which is available for download on our website.

FAQ

Will laser treatment help get rid of a chronic runny nose?

It often helps, as a runny nose is often caused by enlarged adenoids. After the tissue is removed, the problem disappears.

Is it true that adenoids will grow back after laser treatment?

No, the laser works precisely and precisely, removing unwanted tissue permanently.

Can this procedure be performed on very young children?

Yes, lasers are used even on babies. The main thing is that the child can endure the procedure calmly, without making any sudden movements.

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A. Maria Igorevna
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19.09.2025
A. Maria Igorevna
Irina Aleksandrovna is a wonderful doctor, a true professional! Thank you very much! My daughter has grade 3 adenoid hypertrophy, only 10% were open. It was hard to see her tears and hear: "Mom, I want to breathe through my nose...". Some people dreamed of a doll, a car, etc., but my daughter dreamed of breathing through her nose, but she couldn't. Thanks to the correct treatment, the adenoids significantly decreased in 4 months and my daughter began to breathe freely through her nose! In addition, my daughter was very afraid of doctors and each visit was a test for us, but Irina Aleksandrovna found an approach to her and our meetings were always easy. Thank you very much again! We are very glad that we got to such a doctor! This is your calling!
11.09.2025
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I would like to express my deep gratitude to Svetlana Vladimirovna Andrianova. We have been going to her with our children for 2 years now and we don’t even want to switch to another pediatrician. She helped cure bronchitis, tonsillitis and other illnesses. She has a very competent approach to children, studies everything thoroughly and prescribes only good treatment. She always treats children in a friendly manner, smiles and is responsive. The children go to her with pleasure, without hysterics, and they also listen to all recommendations.
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28.07.2025
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Many years ago I treated my daughter with Tatyana Vasilyevna. A wonderful person, an excellent specialist! We have a little grandson. I would take him to her. But unfortunately, we live far from Moscow... how can I contact her personally?
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Petina Olga Anatolievna

I am very grateful to Irina Aleksandrovna for her help in treating my baby. She had acute purulent otitis media, the child is 7 months old. I called Irina Aleksandrovna to my home for examinations, in addition to pediatricians. She was very careful with the child, caring and, most importantly, professional. I think that changing the antibiotic, which Irina Aleksandrovna recommended, helped us achieve the result. Now we also know how to rinse the baby's nose, I was very afraid to do this before, but now I do it with ease. Thank you very much! We are very lucky to have met you!
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M. Tatyana Alexandrovna
Я осталась довольна приемом у Елены Евгеньевны. Она легко нашла общий язык с моей 3-летней дочкой. Мы обратились с вопросами по электроэнцефалограмме, так как предыдущие результаты были расшифрованы неправильно. Доктор сама тщательно разобрала все данные и объяснила все доступно, даже медицинские термины. Она назначила лечение и дала рекомендации. Несмотря на диагноз эпилепсии, поставленный предыдущим врачом, Елена Евгеньевна его не подтвердила. Врач настроила меня на позитивный лад, и мы остались довольны приемом.
18.02.2025
Арина С.

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Razina Elena Evgenievna

Обращались с дочкой несколько раз, и для нас Елена Евгеньевна — лучший детский невролог. Она очень легко находит общий язык с ребенком, с удовольствием и профессионально проводит диагностику, при этом успокаивает и поддерживает родителей. Мы всей семьей очень любим этого врача! Желаем Елене Евгеньевне крепкого здоровья и много благодарных пациентов!
08.02.2025
Эмилия Г.

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Razina Elena Evgenievna

На приеме у Елены Евгеньевны мне всегда нравится её подход и внимание к детям. Когда я обращалась с младшим ребёнком (1 год) и старшим (6 лет), оба чувствовали себя комфортно и расслабленно. Врач тщательно наблюдает за поведением детей, оценивает физическое состояние, всегда предлагает эффективное лечение, в основном без лишних медикаментов, предпочитая массаж или другие рекомендации. Мне нравится, что она не назначает лишнего и всегда даёт выбор. Елена Евгеньевна — лёгкая, доброжелательная и внимательная. Она всегда уделяет нам достаточно времени (30-40 минут) и отвечает на все вопросы. В будущем, при необходимости, обязательно обратимся снова.
25.01.2025
Алиса К.

About doctor:

Razina Elena Evgenievna

Я обратилась к Разиной Елене Евгеньевне по рекомендации знакомых, чтобы проконсультироваться по поводу проблемы у моего почти двухлетнего ребенка. Несмотря на небольшое опоздание, доктор проявила терпение и приняла нас через 15 минут. Врач легко нашла контакт с ребенком, он не испугался и не плакал. Елена Евгеньевна очень внимательно осмотрела малыша, направила нас на анализы, и мы планируем вернуться после получения результатов. Прием длился около 40 минут, все было подробно объяснено. Я осталась довольна и буду рекомендовать ее друзьям и близким.
24.01.2025
Мила С.
Были на приеме у невролога Ремезовой Т. В. по поводу развития нашего малыша. Татьяна Васильевна внимательно выслушала все наши вопросы и дала четкий план действий для дальнейшего обследования. Очень грамотный и внимательный специалист.
23.01.2025
Кристина К.
I have the most positive impressions of Milana Dazmirovna. The specialist knows her job and prescribes treatment competently. In addition, she is very friendly and attentive to the child.
25.12.2024
Olga Nikolaevna S.
Мы были на приеме у Елены Евгеньевны с дочкой, ей 3 года. У нас были вопросы по поводу расшифровки электроэнцефалограммы, и врач сама тщательно все изучила, не полагаясь на предыдущие заключения. Она специализируется на ЭЭГ и эпилептологии, что нам было важно. Елена Евгеньевна очень дружелюбно и с улыбкой встретила нас, легко нашла общий язык с ребенком. Доктор объясняла все понятным языком, даже сложные термины, и дала нам четкие рекомендации. Предыдущий врач поставил диагноз эпилепсия, но Елена Евгеньевна это не подтвердила. Мы остались очень довольны приемом и уверены, что обратились к профессионалу!
22.12.2024
Эмма М.
Разина Елена Евгеньевна — очень хороший доктор. Приняла меня тепло и спокойно, была вежлива и аккуратна в выражениях. Она располагает к себе, и я чувствую, что могу доверить ей своё здоровье. Доктор поставила точный диагноз и назначила эффективное лечение. Очень рада, что попала к такому опытному и знающему специалисту. Большое спасибо!
02.12.2024
Алёна С.
My son is being observed by Madina Kubanovna. A very attentive and qualified doctor. Each appointment is a thorough examination, explains everything, advises/recommends, all appointments only after a full examination. We like it very much.
28.09.2024
Krylova Oksana Nikolaevna
Many thanks to Irina Valerievna. A very competent doctor. She listened carefully, prescribed treatment, thanks to which the child quickly recovered. She was always in touch.
12.09.2024
Vlaskina Maria Alexandrovna
We would like to thank Dr. Leyla Tagirovna for her help and selection of night lenses. Professional, prompt, high-quality! Vision stopped deteriorating, positive dynamics emerged. A competent specialist, an approach to the child was quickly found. A friendly atmosphere in the office. We continue the treatment. Thank you very much!
20.08.2024
Alexandra
Excellent doctor, professional in his field, attentive to patients. We observe 2 children with Leila Tagirovna, children happily run to the doctor's appointment, which is very important for parents. As a result of the prescribed treatment, we see progress.
15.08.2024
Oganyants Kristina Valentinovna
Many thanks to Elena Evgenievna. I received a consultation and referrals for examinations, based on the results of which I will definitely return to her again.
12.08.2024
Anonymously

About doctor:

Razina Elena Evgenievna

Thank you very much to Dr. Omar for the parental happiness that the doctor gave us!... Where and to whom we took Maxim... We had hysterics, both our Maxim and we were under enormous stress. In other clinics, doctors sang songs to him, danced and showed him all kinds of cartoons, everything was useless. They only told us to do general anesthesia..... And now we get to Dr. Omar.... MAGIC!!!.... Maksimka leaves the doctor with her teeth cured and makes an appointment to meet again as soon as possible!.... So we cured all our teeth with a smile and great gratitude. Every week he asks to meet with the doctor, just to see if new holes have appeared there..... DOCTOR FROM GOD!!!.... I wish there were more such doctors, not only for children, but also for adults. With great respect and love, your regular clients clinics (Zaitsev sisters, Tatiana and Elena)
05.08.2024
Zaitseva Tatyana

About doctor:

Bagaev Omar Makhachevich

Kirill Alexandrovich is an excellent doctor! He explains everything clearly, tells everything, treats patients wonderfully, treats the parents’ worries with understanding, gave us excellent treatment! There should be more doctors like this! Thank you for our daughter’s healthy legs :)
03.08.2024
Inessa
Our favorite doctor!!! Every appointment is a joy not only for the child, but also for me! A professional approach to any issue, nothing superfluous, no unnecessary appointments “to treat for the sake of treating.” Natalya Sergeevna, very kind and positive!!!
21.06.2024
Averina Victoria Vasilievna
The clinic has very friendly staff. We contacted Leila Tagirovna with the deterioration of the child’s vision. She is a highly qualified specialist with experience. We are grateful to Leila Tagirovna!
21.06.2024
Khommadova Gulnar
We have been correcting our son's vision since childhood. Today, for the first time in 16 years, we understand what a full examination by an ophthalmologist means. The doctor, Leila Tagirovna, conducted extensive research, worked through and explained the treatment regimen, and gave a detailed conclusion. She was attentive to both the child and the parents. Thanks a lot!
18.06.2024
Tatiana
This is not the first year that my daughter has been wearing contact lenses, unfortunately, the last time Bush was completely unsuccessful, and when we got to Leila Tanirovna, there was no limit to her joy. At the first appointment, she told me what and how, I learned all the subtleties that Victoria has. For the next appointment, we picked out what we needed and received recommendations. I really liked the drops and liquids that the doctor recommended. Overall we are very pleased. We showed up two weeks later, now we are preparing for the next visit
02.04.2024
Krasnoshchekova Yulia Sergeevna
Untreated acute sinusitis turned into chronic. And every time I postponed appointments with the doctor, I tried to treat myself with home methods. As a result, my husband almost took me by the hand to an experienced specialist for treatment. Olga Vladimirovna is open and pleasant. We had two receptions in total, but that was enough for positive dynamics. Based on the results of my tests, the doctor prescribed treatment and nasal rinsing. I also performed punctures of the maxillary sinuses. And now I breathe freely, there is no congestion.
15.02.2024
Anna
I liked it very much, I will recommend it to all my friends and relatives for the warm attitude towards children and for their professionalism. Everything is fast, clear and precise, he knows his job and does it 100%, answers all questions. I performed surgery on my 7 year old daughter. Everything was successful, without complications. Discharged the next day. I would like to express my deep gratitude and wish you further success.
05.02.2024
Antonina
Sensitive, competent professional. He approaches his work very responsibly. He looked at the polyps and ordered an additional examination. As a result, surgical intervention was recommended and had to be removed. After removal, I also see him.
04.02.2024
Ivan
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Почему К+31?
К + 31 — full-cycle multidisciplinary medical centers, including the possibility of providing medical services of European quality level.
К + 31 — are leading doctors and diagnostics using high-tech equipment from world manufacturers (Karl Storz, Olympus, Siemens, Toshiba, Bausch&Lomb, Technolas, Zeiss, Topcon).
К + 31 — is ethical. The staff of K+31 clinics maintain open relationships with patients and partners. An individual approach to each patient is the basis of our service standards.
К + 31 — is modernity. On call 24/7: call center operators will answer your questions at any time and book you an appointment with doctors. Contact us by phone, through the feedback form on the website and WhatsApp.

Licenses

Our clinics

K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

+7 499 999-31-31

Subway
1
11
Prospect Vernadsky Station
By a car
Lobachevsky, we pass the first barrier (security post of the City Clinical Hospital No. 31), turn right at the second barrier (security post K+31)
Parking pass
Opening hours
Mon-Fri: 08:00 – 21:00
Saturday: 09:00 – 19:00
Sunday: 09:00 – 18:00
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