The adenoid tissue is located at the back of your nose and is a part of your immune system which helps fight infection and protects your body from bacteria and viruses. It starts to grow from birth and reaches maximum size at age three to five years. By late teens it is barely visible because it is not an essential part of the body's immune system any more.
Why adenoids become swollen?
Adenoids may become swollen or enlarged due to:
- Infection with bacteria or a virus. Although the infection will eventually clear up, the adenoids may remain enlarged.
- Allergen (substances that trigger an allergic reaction) can sometimes irritate the adenoids, making them swell up.
- A problem at birth. Your child may have developed enlarged adenoids in the womb, so may have been there from birth.
What is an adenoidectomy?
An adenoidectomy is a minor procedure to remove the adenoid and it will not put your child at greater risk of developing infection. The body's immune system is perfectly able to cope with bacteria and viruses without the adenoid tissue.
How are the adenoids removed?
Adenoidectomies are normally carried out 15-30 minutes under general anesthesia, so your child will be asleep during the procedure and will not feel any pain.Your child will usually only need to stay in hospital for a couple hours. The adenoidectomy performed by the newest technology is either by "microdebrider, curette or laser".
When is adenoidectomy necessary?
Enlarged adenoid for most children will only cause mild discomfort and will not require any specific treatment. However, for some children, swollen or enlarged adenoids can cause severe discomfort and start to interfere with their daily life by blocking nasal airway, maintaining recurrent infections and causing hearing loss.
- Breathing problems
The nasal blockage could be that severe to disturb your child’s everyday life, interfering with feeding, increasing the risk for tooth decays or cavity due to severe mouth breathing. In addition to these, your child is susceptible to catch more nasal infection. The disturbed overnight sleeping will eventually lead towards a negative setback to your child’s development.
- Glue ear
The enlarged adenoid is also able to press on the entrance of the Eustachian tubes, which function is to connect the ear to the back of the nose to maintain air pressure and help drain away any fluid that builds up in the middle ear. When these tubes are blocked, fluids buildups which will change overtime and thicken. Like glue causing sounds coming into the ear to be muffled. If your child cannot hear sounds clearly, it may affect their learning, development and social interaction. It is therefore important that glue ear is diagnosed and treated as soon as possible.
Risks of an adenoidectomy
An adenoidectomy is a low-risk procedure that rarely causes any complications. It is a relatively common operation that is quick and easy to carry out. The possible problems are outlined below.
Bleeding: In a very small number of cases, the ENT surgeon may need more time to stop the bleeding with special tampon which will be placed for the nose overnight. This kind of heavy bleeding is very rare.
Infection: All surgery carries the risk of infection. The tissue in the area where the adenoids were removed may become infected and showing as a purulent smelly nasal discharge from the nose.
Tonsillotomy (Partial Tonsillectomy)
What is the difference between Tonsillotomy vs Tonsillectomy?
How tonsillotomy is performed?
How long will it take and stay in the hospital?
When can you return to school?
Recovering after your surgery
- Very hot baths and showers!
- Aspirin before or after operation
- Moderate and heavy physical activity, including sport for ten days - Bending down to pick things up, especially heavy weights.
Tonsillectomy - tonsillar tissue removal
The tonsils are small lumps of tissue located at the back of the throat as part of the immune system, which helps fight infection and protects the body from bacteria and viruses. If you have recurring bouts of tonsillitis or it is severe enough to interfere with your everyday life, your surgeon may suggest removing your tonsils. This is done in an operation known as a tonsillectomy. Tonsillectomy is one of the most common major operations carried out on a daily bases.
What is Tonsillectomy?
A tonsillectomy is an operation to remove the tonsillary glands. Removing the tonsils will not put your body at greater risk of developing infection. The body's immune system is perfectly able to cope with bacteria and viruses without the tonsils.
How tonsillectomy is performed?
The procedure is done under a general anesthesia, which means that you will be asleep during the procedure. Your mouth will be held open so that your surgeon can see your tonsils, and no cuts will be made in your skin. Your surgeon will use special instruments to remove your tonsils before closing the wound with dissolvable stitches.
How long will it take and how long do you stay in the hospital?
The procedure is carried out 30-45 minutes and you will usually need to stay in hospital for only one night.
The pain usually gets worse during the first week after the operation and gradually improves during the second week. We recommend a combination of simple analgesia. Earache is a common side effect after tonsillectomy and is no cause for concern.
When can you return to school?
After your tonsils had been removed you will need to rest for at least 10 days and will normally not be able to return to work until the third week. Try to keep yourself away from smoky environments and from people with coughs or colds. It is advisable NOT to exercise until four weeks after your surgery.
Recovery after your tonsillectomy
Following a tonsillectomy, you may feel groggy and sleepy as a result of the anesthesia. You will normally need several hours in a hospital ward after the operation to make sure you are recovering normally. Most patients will find that their throat feels slightly sore after the procedure, which can be nicely managed with regular painkillers. After the tonsils have been removed, the throat appears white. The new lining of the throat forms under the white coating. As the throat heals, the white coating gradually disappears. This takes about two weeks. It is important to clean your teeth regularly as this helps fight infection in the mouth.
Eating and drinking
After the operation, as soon as you are fully awake, you will receive ice lollypop and then you have to start drinking liquids two to three hours after the operation. You can usually take your first meal on the evening after surgery. You will probably find swallowing difficult but it is important to eat solid foods as this will help the throat to heal more quickly. Drink plenty of fluids.
- You may want to take painkiller about an hour before you eat as this may make it easier to eat and swallow the food.
- It is also very important to drink plenty of fluids.
- Avoid very hot baths and showers as this may lead to hemorrhage. Take these cold.
- If you are taking Aspirin you should discuss this with your surgeon as you may need to avoid taking aspirin for a few days prior and after the operation. Aspirin can potentially increase the risk of bleeding.
Risks of Tonsillectomy
Many thousands of tonsillectomies are performed every year without any problems. The possible problems are outlined below:
Occasionally, you may have some bleeding. Serious bleeding is rare and can occur up to 10 days post-operatively. A little fresh blood in your hanky is no cause for concern but if it starts dripping actively, you should:
- Sit down in a chair and relax. (Do not lie down)
- Place an ice-pack (or a bag of frozen peas etc) over your forehead.
- Try sucking an ice-cube.
If these measures do not stop the bleeding and it continues unabated without any sign of slowing down after 15 minutes, you should go to your closest Accident and Emergency (Casualty) department. Avoid all moderate and heavy physical activity, including sport for ten days after the operation. Avoid bending down to pick things up, especially heavy weights.
If your child's voice has changed, become hoarse, whispery or rough, it is advised to see Dr Levente to avoid any long term irreversible damage on your child's vocal box. During the consultation and after a thorough history has been taken, your child vocal cord will be visualized using a small flexible scope. The motion of your child's vocal cords will be recorded and analyzed. Vocal cords that are not properly or are overused can swell up, develop nodules or other pathological deformation.
These can be managed in the early stage without surgical intervention. If surgery is necessary, Dr. Levente using specialized instruments is able to cure your problem and help you return back to your everyday life as soon as possible.
After the procedure, on the same day your child can leave the hospital.
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