Our Summary

This research paper discusses the removal of tonsils and adenoids, which are common surgeries performed on children in the US, with over 500,000 procedures each year. In the past, these surgeries were mostly done due to recurrent tonsillitis, but now they are more often performed to address issues related to blocked airways. These procedures can greatly enhance a child’s health and quality of life when done for the right reasons. The paper emphasizes the importance for pediatric doctors to be familiar with the latest guidelines, as they are regularly reviewed and updated based on new research. The paper summarizes why these surgeries are done, the risks involved, and the results, and also provides a short description of the surgical techniques.

FAQs

  1. Why are tonsils and adenoids removal surgeries commonly performed on children in the US?
  2. What are the latest guidelines for pediatric doctors regarding tonsils and adenoids removal surgeries?
  3. What are the risks involved in removing tonsils and adenoids, and what results can be expected after the surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about adenoidectomy is to follow post-operative care instructions closely. This may include avoiding strenuous activities, sticking to a soft diet, taking prescribed pain medication as directed, and attending follow-up appointments. Proper care after surgery can help reduce the risk of complications and promote a faster recovery.

Suitable For

Patients who are typically recommended for an adenoidectomy are those who suffer from chronic or recurrent sinus infections, ear infections, sleep apnea, difficulty breathing through the nose, and other related issues. Adenoidectomy may also be recommended for patients with complications from enlarged adenoids, such as middle ear infections or fluid in the ears. Additionally, children who have persistent nasal congestion, speech problems, or swallowing difficulties due to enlarged adenoids may also benefit from this surgery. It is important for pediatric doctors to carefully evaluate each patient’s symptoms and medical history to determine if an adenoidectomy is the best course of action.

Timeline

Before adenoidectomy:

  • A child may experience symptoms such as frequent sore throats, difficulty breathing through the nose, snoring, sleep apnea, and recurrent ear infections.
  • A pediatrician may recommend a consultation with an otolaryngologist (ENT) specialist to determine if adenoidectomy is necessary.
  • The ENT specialist will conduct a physical exam, review the child’s medical history, and may order imaging tests such as a CT scan or X-ray.
  • If adenoidectomy is deemed necessary, the surgery will be scheduled and pre-operative instructions will be given to the child and their family.

After adenoidectomy:

  • The child will undergo the surgery, which is typically performed under general anesthesia and takes about 30-45 minutes.
  • After the surgery, the child will be monitored in the recovery room before being discharged home the same day.
  • The child may experience some pain, throat discomfort, and difficulty swallowing in the days following the surgery.
  • It is important for the child to rest and stay hydrated, and to avoid strenuous activities for a period of time.
  • Follow-up appointments will be scheduled with the ENT specialist to monitor the child’s recovery and address any concerns.

Overall, adenoidectomy can greatly improve a child’s quality of life by alleviating symptoms related to blocked airways. It is important for parents to follow post-operative care instructions and communicate any concerns with their child’s healthcare providers.

What to Ask Your Doctor

  1. Why is an adenoidectomy recommended for my child?

  2. What are the potential risks and complications associated with the surgery?

  3. What is the success rate of adenoidectomy in improving breathing and reducing symptoms?

  4. How long is the recovery process and what can I expect in terms of pain and discomfort for my child?

  5. Are there any alternative treatments or therapies that could be considered instead of surgery?

  6. How often do adenoids grow back after being removed?

  7. What is the long-term impact of adenoidectomy on my child’s overall health and well-being?

  8. Are there any specific guidelines or restrictions my child should follow before or after the surgery?

  9. How experienced are you in performing adenoidectomy procedures on children?

  10. Are there any specific signs or symptoms I should watch for after the surgery that may indicate complications or the need for further medical attention?

Reference

Authors: Nguyen BK, Quraishi HA. Journal: Pediatr Clin North Am. 2022 Apr;69(2):247-259. doi: 10.1016/j.pcl.2021.12.008. PMID: 35337537