Our Summary

Children with cleft palates often have more ear infections and hearing problems than those without cleft conditions. One possible treatment for these ear issues is a surgery known as adenoidectomy, but there hasn’t been much research about its effectiveness for this group of kids. In fact, the most recent studies we could find were from the 1960s and 70s, and while they showed promising results, medical technology has advanced significantly since then. We need more up-to-date research, especially for certain groups of children who might benefit from this surgery more than others.

FAQs

  1. What is an adenoidectomy and how can it potentially help children with cleft palates?
  2. Why is there a need for more up-to-date research on the effectiveness of adenoidectomy for children with cleft conditions?
  3. How has the advancement in medical technology potentially improved the results of adenoidectomy since the studies in the 1960s and 70s?

Doctor’s Tip

One helpful tip a doctor might tell a patient about adenoidectomy is to follow post-operative care instructions closely to ensure a smooth recovery. This may include taking prescribed pain medication, resting, avoiding strenuous activities, and attending follow-up appointments with your healthcare provider. It’s also important to stay hydrated and eat soft foods to prevent irritation to the surgical site. If you have any concerns or notice any unusual symptoms after the surgery, be sure to contact your doctor right away.

Suitable For

Typically, patients who are recommended for adenoidectomy include children who have:

  1. Chronic ear infections: Children who have frequent ear infections that do not respond to other treatments may benefit from adenoidectomy.

  2. Chronic sinus infections: Adenoidectomy may be recommended for children who have chronic sinus infections that are not improving with other treatments.

  3. Obstructive sleep apnea: Adenoidectomy may be recommended for children with obstructive sleep apnea, a condition in which the airway becomes partially or completely blocked during sleep.

  4. Nasal congestion: Children who have persistent nasal congestion or difficulty breathing through their nose may be recommended for adenoidectomy.

  5. Recurrent tonsillitis: Adenoidectomy may be recommended for children who have recurrent tonsillitis along with enlarged adenoids.

It is important to consult with a healthcare provider to determine if adenoidectomy is the best course of treatment for a specific patient.

Timeline

Before adenoidectomy:

  1. Consultation with an ear, nose, and throat specialist to assess the child’s symptoms and determine if adenoidectomy is necessary.
  2. Pre-operative testing and preparation.
  3. Surgery to remove the adenoids, typically performed under general anesthesia.
  4. Recovery period in the hospital or at home, depending on the child’s age and overall health.

After adenoidectomy:

  1. Post-operative follow-up appointments with the surgeon to monitor healing and address any concerns.
  2. Gradual improvement in symptoms such as ear infections, hearing problems, and nasal congestion.
  3. Possible short-term side effects such as throat pain, difficulty swallowing, and bad breath.
  4. Long-term benefits of improved ear health and reduced risk of future infections.
  5. Continued monitoring of the child’s ear and sinus health to ensure the surgery was successful.

What to Ask Your Doctor

  1. What are the potential benefits of adenoidectomy for my child with a cleft palate?
  2. Are there any potential risks or complications associated with adenoidectomy in children with cleft palates?
  3. How will adenoidectomy impact my child’s ability to eat, breathe, and speak after the surgery?
  4. What is the success rate of adenoidectomy in improving ear infections and hearing problems in children with cleft palates?
  5. Are there any alternative treatment options that may be more suitable for my child’s specific condition?
  6. How long is the recovery period after adenoidectomy, and what can I expect during this time?
  7. Will my child need any additional follow-up care or therapies after the surgery?
  8. Are there any long-term effects or considerations I should be aware of after my child undergoes adenoidectomy?
  9. What is the experience and expertise of the surgical team in performing adenoidectomy on children with cleft palates?
  10. Can you provide me with any additional resources or information about adenoidectomy in children with cleft palates?

Reference

Authors: Rosso C, Bulfamante AM, Pipolo C, Fuccillo E, Maccari A, Lozza P, Scotti A, Pisani A, Castellani L, De Donato G, Tavilla MC, Portaleone SM, Felisati G, Saibene AM. Journal: Eur Arch Otorhinolaryngol. 2022 Mar;279(3):1175-1180. doi: 10.1007/s00405-021-07035-6. Epub 2021 Aug 28. PMID: 34453572