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Indications: Your child has been brought to the hospital to undergo adenotonsillectomy due to one of the following common reasons. Your child had repeated attacks of throat pain, may have had breathing problems including mouth breathing and snoring, had ear problems such as glue ear and might be often missing school for any of the above problems. The ENT surgeon thus decided to perform a surgery to remove the lymphoid tissues called tonsils and adenoids which were repeatedly infected and enlarged and caused the above problems.
Treatments: Your child has undergone adenotonsillectomy. This procedure was performed under general anesthesia and involved removal through of both the tonsils and another tissue called adenoids. The surgical removal was performed through mouth and hence did not involve any outside incisions or sutures. The bleeding has been controlled by placing sutures on the bed of tonsils and by applying pressure pack during surgery in the bed of adenoids. There is no need to remove any suture post operatively.
Although the most common technique for adenotonsillectomy is the conventional cold dissection method there are other methods used by some surgeons including, coblation, electrocautery, endoscopic and laser adenotonisllectomy. ...more
Self care instructions: Do's and don'ts after Adenotonsillectomy: Frequent swallowing attempts including eating cold foods such as ice cream and drinking plenty of fluids is important. This will help heal the throat, decrease the pain and reduce the risk of bleeding and infection. Pain killers advised by the doctor have to be given regularly as advised to relieve the pain. Apart from throat pain, there could be ear pain also, which will be relieved by taking pain relief medications.
DO NOT let your child play outdoor sports or send the child to school for at least 10 days post surgery. Do not give any hard food and hot diet for the first 7 days.
Your child should keep away from people with cough or cold for 2 weeks post surgery. Your child should not aggressively blow his/her nose and clear his throat post surgery for 7 days.
Do not take your kid out of town without the permission of the doctor for two weeks post surgery.
Your child may do routine work including reading, walking etc.
Common things to expect at home:
Your child may refuse to eat due to pain. Pain relief is better if the child swallows cold food and fluids along with taking pain killers. Encourage your child to eat.
Side Effects/Risk Factors: There is a slight risk of bleeding. Bleeding could be due to wearing off of the anaesthesia, a suture coming off or due to infection in the operated site. Please call the surgeon's office without fail if you notice any bleeding. Usually, bleeding can be controlled with minor interventions; occasionally admission may be required to stop bleeding including repeat surgery and ligation of major arteries. Infection can also occur. Injuries to surrounding structures are another uncommon risk factors. Death due to anaesthetic or surgical complications is a rare event.
Typical follow-up schedule: Most children recover from adenotonsillectomy and return to school and resume normal activities within one to two weeks of leaving the hospital. We want to check your child's progress after you leave the hospital. Please visit us after one week post surgery. During the follow-up visit, we shall examine your child, make changes to your medicines (if needed), do any necessary tests, and check overall recovery. We advise you to prepare all the questions you may have about activities, medicines, or to talk about any other issues that concern you.
Medical Instructions: It is EXTREMELY IMPORTANT that your child takes the prescribed medication. The pain killers and antibiotics prescribed have to be taken as advised. Regular throat gargling with the prescribed solution has to be done. Your child's throat may look white, but that is a normal condition while the throat heals. You MUST ensure your child takes medicines every day. DO NOT miss even a SINGLE antibiotic. In any circumstances if someone (even may be a doctor) advises you to stop these medications, you MUST call us first.
Generally, post-surgery, your child will experience pain and nausea (vomiting sensation) preventing him/her to like food. Your child should start on a liquid diet - such as home made non citrus fruit juice such as apple (avoid orange/lemon/grape). Your child should eat plain ice creams (such as Vanilla) without nuts.
Nausea is a common complaint that could be caused due to medications. Take the prescribed medicines on full stomach. Consult your doctor if nausea persists.
Introduce other liquid diets and soft foods from day 2 including milk, milkshakes, idli, dosa, eggs etc.