Can a pharyngeal tonsil (adenoid) be removed in a child that is often ill, has hearing loss and that suffers from a submucosal cleft?
In case of cleft palate and enlarged adenoid the treatment cannot be started by removing the adenoid. In this case what is to be done first is re-establishing the normal structure of the palate. The adenoid might become useful in speech therapy.
Frequent ear infections are connected more with the functional defect of the palate, because the same muscles that close the palate open the auditory tube. That is why the middle ear gets clogged. Then it becomes a vicious circle, because the adenoids have to become enlarged in this kind of defect, and at the same time enlarged adenoid means repeating infections. The rule is easy – first we remove the cause and then the effects of the disease.