Among the most common cases in the consultation we find parents worried because their children are oral respirators. One of the causes of this disorder is adenoid hypertrophy. Children breathe through the mouth because the nose is blocked. This type of breathing can lead to symptoms such as nasal congestion, snoring, sleep apnea, and chronic ear infections. Hypertrophy adenoid usually goes hand in hand with tonsillitis and among its symptoms we can observe irritated tonsils, white or yellow coating on the tonsils, change of voice due to swelling, sore throat, difficulty or pain when swallowing, swollen neck nodes, bad breath and fever.

If your child has these symptoms and his or her quality of life is affected , your doctor will most likely recommend that you remove the adenoids and tonsils by surgery called adenoidectomy - tonsillectomy. This surgery is recommended in children who present more than three episodes of infection per year because in addition to the symptoms mentioned above, in the long term it is desired to avoid risks of developing rheumatic fever (affecting the heart valves) and damage to the filtering cells of the kidney. This surgery is ambulatory and has an average duration of one hour.

After surgery, some patients may have hypernasal speech (excessive nasal speech) as the sound is oriented toward the nose and will normalize until the soft palate has been stretched enough to close the space left by the absence of the tonsils and adenoids. In most cases, no additional exercises are necessary to achieve this closure. However, some blowing exercises can speed up the process and ensure a faster recovery. It is very important to wait until the recovery process is complete before starting the murmur exercises. If you don't find the results you expect over the next 2 or 3 months, consult your doctor, who may recommend that you see a speech therapist.