Our Summary

This research paper investigates the side effects of a common pediatric procedure known as electrocautery adenoidectomy (ECA). This procedure is often used to remove the adenoids (glands located in the roof of the mouth) and is preferred over other methods due to less bleeding, shorter operation time, and greater perceived success. However, the researchers noted that no one had previously studied the occurrences of two post-surgery symptoms: pain and bad breath (halitosis).

The researchers carried out a study in South Australia, observing 19 children who underwent ECA surgery and tracking their pain and bad breath levels for seven days post-surgery. The parents of the children were asked to rate these levels using a visual scale.

The results showed that both pain and bad breath peaked three days after surgery, but generally resolved after seven days. The researchers concluded that these symptoms can be managed effectively with simple pain relief and do not require antibiotics.

FAQs

  1. What is an electrocautery adenoidectomy (ECA) procedure?
  2. What were the key findings of the research on post-surgery symptoms of ECA?
  3. Do the post-surgery symptoms of pain and bad breath require antibiotics for management?

Doctor’s Tip

A helpful tip a doctor might tell a patient about adenoidectomy is to expect some pain and bad breath in the days following the surgery, but that these symptoms are temporary and can be managed with pain relief medication. It is important to follow post-operative care instructions provided by the doctor to ensure a smooth recovery process. Additionally, maintaining good oral hygiene can help reduce bad breath during the healing period. If the pain or bad breath persists or worsens, it is important to contact the doctor for further guidance.

Suitable For

Adenoidectomy is typically recommended for patients who have chronic or recurrent infections of the adenoids, which can lead to symptoms such as nasal congestion, difficulty breathing, and snoring. Adenoidectomy may also be recommended for patients who have persistent ear infections, sinus infections, or sleep apnea that is not responding to other treatments. Additionally, adenoidectomy may be recommended for patients who have adenoid hypertrophy, which is when the adenoids are enlarged and blocking the airway.

Overall, adenoidectomy is a common procedure that is recommended for patients who are experiencing a range of symptoms related to adenoid issues. It is important for patients to discuss their symptoms with a healthcare provider to determine if adenoidectomy is the best course of treatment for their individual situation.

Timeline

Before the adenoidectomy:

  • Patient experiences symptoms such as nasal congestion, difficulty breathing, snoring, sleep apnea, frequent ear infections, and speech or swallowing difficulties.
  • Consultation with an ENT specialist to discuss the need for adenoidectomy and any potential risks or complications.
  • Pre-operative testing such as blood work and imaging studies may be conducted.
  • Patient is given instructions on fasting before surgery and any medications to avoid.

After the adenoidectomy:

  • Patient undergoes the adenoidectomy surgery, which typically takes about 30-45 minutes.
  • Patient is monitored in the recovery room before being discharged home the same day.
  • Patient may experience sore throat, difficulty swallowing, and mild bleeding for the first few days post-surgery.
  • Pain and bad breath may peak around three days after surgery but generally resolve within a week.
  • Patient may be prescribed pain medication and advised on post-operative care such as gargling with salt water and avoiding strenuous activities.
  • Follow-up appointments with the ENT specialist may be scheduled to monitor healing and address any concerns.

What to Ask Your Doctor

Some questions a patient should ask their doctor about adenoidectomy include:

  1. What are the potential risks and complications associated with adenoidectomy?
  2. What is the expected recovery time after the surgery?
  3. How will pain and discomfort be managed post-surgery?
  4. What are the signs of infection or other complications that I should watch for?
  5. How soon can I resume normal activities, such as school or exercise?
  6. Will there be any dietary restrictions following the surgery?
  7. How often will follow-up appointments be needed to monitor my progress?
  8. Are there any long-term effects or considerations to be aware of after adenoidectomy?
  9. Are there any alternative treatment options to consider before proceeding with surgery?
  10. What is the success rate of adenoidectomy in improving symptoms or conditions that led to the recommendation for surgery?

Reference

Authors: Soumya S, Vissapragada R, Le J, Ooi EH. Journal: Medicina (Kaunas). 2019 Jun 25;55(6):312. doi: 10.3390/medicina55060312. PMID: 31242702