Tonsil And Adenoid Removal Surgery

When is tonsil and adenoid removal surgery needed ?

If you had 7 tonsil infections over the past year or you had more than 5 infections in 2 years or you had more than 3 infections 3 years in a row all of which were accompanied with high fever, if abcess developed during the infection, if you have tonsils so large as to cause pauses in breathing during your sleep (called apnea) and snoring, surgery would be necessary,

What are adenoids? Do they always require surgery?

Adenoids are physiologically normal lymphoid tissue located behind the nasal cavity. Like all other lymphoid tissues, they swell due to infections and allergies and ultimately shrink again. If this condition repeats too frequently and gets chronic, the tissue cannot regress and blocks the respiratory tract.

When do adenoids become concerning?

If your child is constantly breathing through his mouth, sleeps with his mouth open, snores, has pauses of breath during sleep, has frequent middle ear infections, has continuous nasal and post-nasal drip, enlarged adenoids must be checked for.

Do genetic factors play a role in enlarged adenoids?

Children with allergic metabolisms more frequently have enlarged adenoids. The genetic inheritance of allergic reactions is possible therefore we might conclude that genetics play some role in enlarged adenoids.

Do enlarged adenoids lead to disrupted development of facial features?

The period when enlarged adenoids are diagnosed or rather give symptoms is childhood when bone growth accelerates. Trouble in breathing may over time lead to the regression of the upper chin and separation of teeth, which is called typical adenoid face.

Do enlarged adenoids affect a child’s development?

The growth hormone is secreted during the stage of deep sleep. Since children with enlarged adenoids cannot fully go through the stages of deep sleep, their growth may be affected indirectly.

Can tonsil and enlarged adenoid surgery be performed concurrently?

Yes, there is no harm if indicated appropriate.

What is the earliest age for an adenoid removal surgery to be performed?

With age three being the lower limit, it can be performed at an earlier age under some circumstances. The patient may be admitted for 1 day and discharged the next day.

What are the risks of adenoid surgery?

There are risks involved as in every surgery, since it is performed under general anesthesia. There is risk of bleeding after surgery, however it can be managed with diligent after care.

Is there any relationship between enlarged adenoids and middle ear infection?

The connection (eustachian tube) between the middle ear and nasal passage deforms due to excessive enlargement of the adenoids leading to infection in the middle ear.

How is ear tube insertion performed?

In middle ear infections resistant to medical treatment, ventilation tubes are microscopically inserted in the ear drum. The tubes are not visible from outside. There are no incisions on the exterior of the ear. The tubes may remain in place ranging from 2 weeks to 2 years. Usually ear tube insertion procedure is performed concurrently with adenoid removal surgery.

How should post-operative care be after adenoid removal and ear tube insertion surgery?

Right after the surgery, the diet should include liquid, soft, lukewarm food and if tube has been inserted to the ear, you should avoid having any water leak into the ear.

Untreated ear infections may have adverse consequences ranging from facial paralysis to brain abcess. The parents should be alert for warning signs like decline in school performance, loss of concentration, imbalance, unresponsiveness when called out, watching TV on high volume, restlessness, fever, frequent ear rubbing and consult an ENT specialist in due time.