Our Summary

This study looked at a group of children and teenagers who had surgery to remove their adenoids. Some of the patients were given a drug called ketorolac during their operation, while others weren’t. The researchers wanted to see if those who received the drug had any bleeding after the operation. They found that none of the patients who received ketorolac had any bleeding, but none of the patients who didn’t receive the drug had any bleeding either. This suggests that bleeding after this type of surgery is rare, regardless of whether the patient receives ketorolac or not. However, the study didn’t include enough patients to make a definite conclusion. More research is needed to see if there’s a real link between ketorolac and bleeding after adenoid surgery.

FAQs

  1. What is ketorolac and why was it used in the study?
  2. Did the study find any link between using ketorolac during adenoidectomy and post-operative bleeding?
  3. Why is further research needed to confirm the findings of this study?

Doctor’s Tip

One helpful tip a doctor might tell a patient about adenoidectomy is to follow post-operative care instructions carefully, including avoiding strenuous activities and sticking to a soft diet to promote healing. Additionally, it’s important to stay hydrated and get plenty of rest during the recovery period. If you experience any excessive bleeding, fever, or worsening pain, be sure to contact your doctor immediately.

Suitable For

Typically, patients who are recommended adenoidectomy are those who have recurrent or chronic infections of the adenoids, which are small glands located at the back of the throat. Adenoidectomy may also be recommended for patients who have difficulty breathing or sleeping due to enlarged adenoids, or for those who have frequent ear infections or fluid buildup in the middle ear. Additionally, adenoidectomy may be recommended for patients who have persistent nasal congestion or sinus infections that do not improve with other treatments.

Timeline

Before adenoidectomy:

  1. Patient experiences symptoms such as frequent ear infections, difficulty breathing through the nose, snoring, and sleep apnea.
  2. Patient is evaluated by an ENT specialist who recommends adenoidectomy as a treatment option.
  3. Pre-operative tests may be conducted to ensure the patient is healthy enough for surgery.

After adenoidectomy:

  1. Patient undergoes surgery to remove the adenoids, which typically takes about 30 minutes.
  2. Patient may experience some pain and discomfort in the throat and may be prescribed pain medication.
  3. Patient is usually discharged the same day or the next day, depending on their recovery.
  4. Patient may need to follow a soft diet and avoid strenuous activities for a period of time.
  5. Follow-up appointments with the ENT specialist are scheduled to monitor the patient’s recovery and address any concerns.

What to Ask Your Doctor

  1. What is the reason for recommending an adenoidectomy?
  2. What are the potential risks and complications associated with the surgery?
  3. How long will the recovery process take?
  4. What type of anesthesia will be used during the procedure?
  5. Will there be any restrictions on activities or diet after the surgery?
  6. How can pain and discomfort be managed after the surgery?
  7. What follow-up appointments will be necessary after the adenoidectomy?
  8. Are there any long-term effects or potential complications to be aware of?
  9. Will there be any changes in breathing or nasal congestion after the adenoidectomy?
  10. Are there any alternative treatment options to consider before proceeding with the surgery?

Reference

Authors: Monfort R, Hill R, Sipp J. Journal: Int J Pediatr Otorhinolaryngol. 2021 Jan;140:110522. doi: 10.1016/j.ijporl.2020.110522. Epub 2020 Nov 25. PMID: 33276266