,,adenoids ,,what ,,they ,,are ,,how ,,to ,,recognize ,,them ,,what ,,to ,,do ,,for ,,them ,,keep ,,well ,,series ,no4 #b ,,treasury ,,department ,,united ,,states ,,public ,,health ,,service #aiai ,,government ,,printing ,,office ,for other instructive ,health ,leaflets write to the-- ,,united ,,states ,,public ,,health ,,service ,,washington1 ,d4 ,c4 ,,adenoids ,nature intends that we should breathe through the nose and has so arranged matters that the air is strained1 warmed1 and moistened as it passes through the nose4 ,this is very important4 ,unfortunately about #aj per cent of all children have adenoids which interfere with free breathing through the nose4 ,so many serious results follow this condition that parents should learn something about adenoids and their treatment4 ,,what ,,are ,,adenoids8 ,illustration ,inasmuch as adenoids are tucked away up behind the palate1 and are therefore out of sight1 it may be well to study the picture shown above4 ,the air passes into the lungs as shown by the arrows4 ,at the place marked ,a ,t nature has provided a kind of moist cushion which helps to filter impurities out of the air4 ,this cushion is formed of what doctors call adenoid tissue and is similar to that which makes up the tonsils4 ,when this adenoid tissue grows abnormally large it forms what are known as adenoids4 ,from the position of these adenoids as shown on the diagram it will readily be seen how easily they interfere with proper nasal breathing4 ,illustration ,,what ,,adenoids ,,do4 ,one of the first results of the growth of adenoids is mouth breathing4 ,when this condition develops1 the air breathed in reaches the throat and lungs in an unpurified condition4 ,moreover1 it is not sufficiently warmed or moistened4 ,in a short time1 therefore1 such children begin to suffer from repeated colds1 and show the signs of a beginning of nasal catarrh4 ,unless proper treatment is now undertaken the condition soon gets worse1 and the child's nasal breathing becomes more and more obstructed4 ,children who suffer from adenoids are usually pale1 often narrow-chested1 and altogether are not as strong and robust as are normal children4 ,but this is by no means all of the harm done by adenoids4 ,they affect the voice1 disfigure the facial expression1 interfere with hearing1 give rise to night terrors1 open the way for serious invasions by disease germs1 and1 through the development of chronic nasal catarrh1 may lead to loss of the sense of smell4 ,the alteration of the facial expression is often so great that the child looks stupid and sometimes even half-imbecile4 ,one of the chief disfigurements caused by adenoids is that of the jaws and teeth4 ,this is well shown in the picture4 ,illustration3 ,stupid ,expression ,associated with ,adenoids ,it will be noticed that the teeth of the upper jaw stick out and are not covered by the lip as they should be4 ,in these cases the roof of the mouth1 that is1 the palate1 is narrow and highly arched1 and the two jaws do not come together as they do in normal persons4 ,this condition is called malocclusion4 ,usually1 too1 the teeth of the upper jaw are irregular and crowded4 7,see pictures1 p4 #f47 ,the malformation of the teeth thus produced by adenoids may lead in turn to other serious conditions1 among them the chronic disease known as pyorrhea1 various forms of root infection1 and chronic indigestion4 ,illustration ,,how ,,to ,,recognize ,,the ,,condition4 ,the presence of adenoids should be suspected if the child habitually sleeps with open mouth1 snores a great deal1 or has frequent strangling coughing spells4 ,sleeping with open mouth is one of the first signs and should therefore lead at once to a careful examination by a physician4 ,sometimes difficulty in hearing is one of the early symptoms4 ,therefore1 in all cases of ear trouble an examination should be made for adenoids4 ,illustration ,,what ,,to ,,do4 ,whenever adenoids are large enough to give rise to any of the symptoms already described1 they should be removed4 ,this is especially the case in children under #aj years of age1 for it is probable that the condition will grow worse4 ,the operation is a simple one and not dangerous4 ,it should be performed under anesthesia4 ,relief is immediate and the health and strength of the child usually improves rapidly afterwards4 ,it is wrong to delay having the operation done1 for the presence of adenoids not only endangers the child's health1 but a few months' delay may cause considerable malformation of the jaws1 palate1 nose1 and face4 ,illustration ,study the above photographs of the same patient before and after treatment for adenoids4 ,they show what can be done by proper treatment4 ,illustration