The adenoids are a single clump of lymphatic tissue in the back wall of the throat (pharynx), between the nose and the mouth, that are create defenses against infection in early infancy. It contains white blood cells of the immune system. In early childhood the adenoids are probably useful in developing immunity against infections; however, later on, it is unlikely that they play any significant role in maintaining health. They usually shrink until they disappear.
Since we generally consider antibody production to be a good thing, many studies have been performed to clarify the importance of the adenoids. There seems to be no adverse effects on the immune status of patients who have had them removed. The adenoids get larger between birth and four years of age; then they become progressively smaller. By adulthood they disappear altogether.
However, suffering from any of the above problems for years may be too high of a price to pay for waiting.  In particular, snoring, and mouth breathing may result in permanent adverse changes in facial or dental development, in addition to the adverse effects on growth and learning caused by failure to thrive and chronic poor sleeping.

 
  The adenoids cannot be seen by looking in the mouth directly, but can be seen with a laryngoscope or using a flexible endoscope through the nose.
The best study to evaluate the adenoids is the X-Ray (side view of the throat).
If a total blockage of the throat is seen in the X-ray in a child that snores permanently and has a combination of some of the signs and symptoms of enlarged adenoids (sleep apnea, failure to thrive, mouth breathing, chronic running nose, ear or sinus infections) the adenoids must be surgically removed (adenoidectomy).
 
  Rx1: Normal x-ray. There is a free flow of air from the nose to the lungs

Rx2:
Enlarged adenoids, that obstruct the flow of air from the nose to the lungs.
 
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