Adenoids and Tonsils in India

Adenoids and tonsils are primary lymphoid organs in children responsible for immunity through antigen presentation. In common words, these organs/tissues are present in all children from birth and are part of the generation of the adequate immune response through the childhood years. Though tonsils are present in oropharynx or throat and can be seen or assessed through simple throat examination, adenoids are present in the nasopharynx or deep behind the nasal cavity (nose), and are hidden from ordinary examination and visualization.

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Adenoid and tonsil:

• These lymphoid organs commonly get hypertrophied/enlarged from 2 to 6 years of age as a response to various upper respiratory infections and allergies.
• Acute infection and enlargement of these organs (Acute tonsillitis/acute adenoiditis) are characterized by acute onset pain in the throat, fever, difficulty swallowing, nasal obstruction, nasal discharge or postnasal drip. Such infections or illnesses are managed by short term antibiotic courses with symptomatic drugs for allergy control, pain/fever control and observation.
• Chronic tonsillitis/adenoiditis, however, is an infection or inflammation of these organs lasting by definition, more than 12 weeks, though commonly months and years altogether.
• Chronic inflammation leads to long-standing hypertrophy/enlargement of these organs or recurrent/persistent inflammation thus causing a myriad of clinical issues:
• Recurrent /persistent nasal obstruction (adenoid hypertrophy) which is more pronounced in children in lying down position or while sleeping, thus causing mouth breathing in sleep or while being awake as well in severe cases. Such long-standing nasal obstruction or mouth breathing in children can lead to issues such as nighttime bed-wetting, obesity, raised blood pressure, facial mis-growth and reduced exercise performance.
• Persistent/ frequently recurrent nasal discharge, postnasal drip causing frequent throat clearing, chronic or long-standing sinusitis (inflammation of nose and sinuses) thus causing headaches.
• Frequent or long-standing ear infections (Otitis media with or without effusion) leading to frequent earaches in children. Consequent middle ear effusion often leads to hearing loss in children which often goes undetected in early stages being confused by caregivers as a distraction or lack of attentiveness.
• Chronic inflammation of tonsils leads to restricted space in pharynx, thus causing snoring, disturbed sleep, and difficulty in swallowing due to sheer size of enlarged tonsils restricting the movement of food through pharynx/throat.
• The presence of long-standing infection in adenoids and tonsils leads to a year-long reservoir of bacterial infections due to biofilms leading to frequent nasal, sinus, throat and ear infections. Such infections often need multiple antibiotic courses and possible hospital admissions in the presence of refractory infections or complications.

Surgery:

Surgical removal of adenoids is termed as adenoidectomy whereas removal of tonsils is termed as tonsillectomy. Adenoidectomy is performed when adenoid enlargement causes persistent/long-standing nocturnal or daytime nasal obstruction and mouth breathing. It can be associated in children with persistent nasal discharge with or without symptoms of recurrent or chronic sinusitis. Tonsillectomy is performed for recurrent tonsillitis or severe enlargement of tonsillitis causing disordered sleep or swallowing.

• As adenoids and tonsils are primary lymphoid organs, surgical removal of these at a very early age can have potential adverse effects on immunity and is a matter of research and debate. However, the presence of recurrent upper respiratory infections and issues of long-term nasal obstruction, disordered sleep and ear
• infections in growing children in the era of widespread and concerning antibiotic resistance need to be discussed with pediatricians and ENT surgeons.

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BLK-Max Hospital

Number of beds: 700
ICU Beds:               175
Airport Distance: 13 Km

About Hospital:

• BLK Super Speciality Hospital was established by Dr. B.L. Kapur  in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
  
• BLK Super Speciality Hospital was established by Dr. B.L. Kapur  in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
• BLK has a unique combination of the best in class technology, put to use by the best names in the professional circles to ensure world-class health care to all patients.

Max Hospital Saket

Number of beds:   500
ICU Beds:                 267
Airport Distance: 13 KM

About Hospital:

• Max Super Speciality Hospital at Saket is one of the topmost healthcare service
• Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
• With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.

Indraprastha Apollo Hospital

No. of beds: 900
ICU Beds:     262
Airport:        20kms

Brief About:

• Indraprastha Apollo Hospital is a flagship hospital of India’s foremost healthcare groups,the Apollo Group. It is a highly renowned multi-speciality facility that offers tertiary and quaternary care services to domestic and international patients.
• The 900 bedded hospital is outfitted with the most modern technology for diagnostics as well as therapeutic purposes.
• A team of highly trained medical professionals work under all the 52 specialities at the hospital.

Artemis Hospital Gurgaon

Number of beds:  600
ICU Beds:                185
Airport Distance: 19 Km

Brief About:

• Artemis Hospital, established in 2007, spread across 9 acres, is a 600plus bed; state-of-the-art multi-speciality hospital located in Gurgaon, India.
• Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon.
• Designed as one of the most advanced hospitals in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, a comprehensive mix of inpatient and outpatient services.

Medanta The Medicity Hospital

Number of beds:  1250
ICU Beds:                300
Airport Distance: 18 KMs

Brief About:

• Medanta – The Medicity is amongst India’s largest and most renowned multi-super speciality healthcare centre with 1250 beds, 29 super speciality units and more than 800 accomplished doctors.
• Supported by state-of-art infrastructure, all the departments in the hospital are fully equipped with cutting-edge technology, modular Operation Theatre and modernized monitoring systems in ICUs.
• The panel of doctors from Medanta, headed by A.S.Soin performed the first successful intestinal transplant in India.

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Fortis Memorial Research Institute

Number of beds:    1000
ICU Beds:                  298
Airport Distance:  17 KMs

Brief About:

• Fortis Memorial Research Institute was established in 2001.
• It is an outstanding multi-speciality quaternary care hospital,having the top-notch infrastructure, advanced equipment, highly qualified and experienced medical professionals and super sub-specialists.
• Fortis Hosptial Gurgaon is an advanced centre of excellence in Robotic Surgery, Neurosciences, Oncology, Renal Sciences, BMT, Organ Transplants, Orthopaedics, Cardiac Sciences and Obstetrics & Gynaecology.

Sanar International Hospital

Number of beds:   130
ICU Beds:                  35
Airport Distance:  20 Km

About Hospital:

• Sanar International Hospital was established in 2018.
• Sanar International Hospital founded by Mr. Naresh Kapoor.
• Sanar International Hospital offers comprehensive advanced surgical care in specialties like Cancer, Heart, Blood and Marrow Transplant, Lung, Liver, and Neurosciences along with other major departments with advanced state-of-the-art facilities.

W Pratiksha Hospital

Number of beds: 110
ICU Beds:                 31
Airport Distance: 19 KMs

About Hospital:

• Established in 1995, W Pratiksha Hospital is a 110+ bedded flagship hospital of the Pratiksha group.
• W Pratiksha Hospital in Gurgaon, the flagship hospital of Pratiksha Group is a one-of-its-kind facility in Gurgaon that brings to you 30 years of experience.
• The hospital has treated more than 25,000 people In 2018.
  

Accord Superspeciality Hospital

Number of beds:   380+
ICU Beds:                  41
Airport Distance:  46 Km

About Hospital:

• The story of Accord began with the thought of leveraging the new age technology with the healthcare infrastructure to serve the patients, rightly, effectively, and timely.
• Accord Superspeciality Hospital (A Unit Of SCL Healthcare Pvt. Ltd) is India’s first smart hospital and one of the first of its kind in the world.
• Accord Superspeciality Hospital aims at providing technologically advanced healthcare services to international patients who are looking out for medical tourism in India.

Aakash Health Care Delhi

Number of beds:  230
ICU Beds:                70
Airport Distance: 10 Km

About Hospital:

• Aakash Healthcare Super Speciality Hospital is a tertiary care facility, with 15 Dialysis, and 70 Critical care beds for treating the most complex cases in the National Capital Region (NCR) of Delhi, Dwarka.
  
• The hospital is equipped with state of the art infrastructure, latest technology, competent clinicians and compassionate staff.
  
• Aakash Healthcare Super Specialty Hospital is known for its leading care in Orthopaedic and Joint replacement surgery.
  

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