Tonsil and adenoid operations

Tonsil and adenoid operations are one of the most frequent operations performed in children. It is done in adults as nececssary also. 

Nasopharynx is a name given to the space at the back of the nose. Adenoid tissue which has same tissue characteristics with tonsils is present at nasopharynx. If adenoid tissue is big or nasopharynx is narrow then nasal obstruction occurs. Sometimes like chronic tonsillitis adenoid tissue can be hire microbes in it. 

Eustachian tube is a tube like organ that presents between middle ear and nasopharynx. If adenoid tissue is big enough it can block this tube. It can cause obstruction with frequent infections either. This condition causes fluid collection in the middle ear with or without frequent middle ear infections. 

Under these circumstances adenoid operations can be done. If necessary both adenoid and tonsils are taken out together. 

Operations are done under general anesthesia and through the mouth. 

Preparation for operation
What to bring with us? 

Please wear comfortable clothes. For children a toy that he/she enjoys will help. Most patients return to home at the same day. Even low probability to stay at hospital bring your tooth brush and some other things you can need with you. 

Leave your valuable belongings at home. 

Bring your personal drugs if you have. 

Arrange your transport. One adult should take care the child therefore one more person is necessary for driving or transport. 

Avoid aspirin. Do not use aspirin or like drugs causing bleeding at least ten days before and after the operation. 

Operation day
What will be done at the operation room is explained to child in general manner. Also mostly sedative drugs are used preoperatively.
Anesthesia: It is a branch of medicine that arranges patients to have operation without feeling any pain. Do not afraid of anesthesia. It is not fainting rather controlled sleeping and waking up by the anesthesiologist. During the surgery the specialist will beside you checking your respiration, heart beats, blood tension and other vital signs. 

Necessary tests will be performed before surgery. Patients undergoing general anesthesia should have an empty stomach, therefore you should not eat or drink at least 6 hours before surgery. If stop smoking five days ago, you will be more comfortable after the operation. 

Anesthesia wil be according to your needs, heavy or light anesthesia means nothing. 

Patients just after anesthesia are sleepy even they can answer your questions, do not worry. 

After operation:
Patient stays at the rooom after the operation until doctors decide according to the situation of the patient. Patient is discharged at the same day or the day after surgery. 

First two weeks after operation
Diet: There may be a little stomach upset after the operation. First 24 hours after the operation we advice you to get liquid. Hot and hard beverages are forbidden for one week. All liquids can be taken besides ice cream in the first day. Children may refuse to drink anything because of sore throat whlie swallowing. This is very importatnt. We sholud encourage them to take as much as fluid and analgesics. If not body will be lack of fluid and fever wii be seen. 

Pain: Analgesics will be prescribed by your doctor. Again do not forget not to take aspirin. Pain can be felt at ear mostly 3-5 days after operation, do not worry. 

Avoid heavy physical activities. They may increase the blood pressure and cause bleeding. 

Bleeding: Scant amount of blood can come with sputum or nasal discharge. This si normal, if blood comes continuously, more than normal and if the patient vomits blood then you should inform the doctor. First vomitting after the operation is normal do not worry about this. 

Bad breath odor can be seen, this is normal, do not hesitate to brush your teeth from the first day. 

Room temperature: Cool and moist weather is best for healing. 

Healing period: After 7 days most patients feel comfortable. Full recovery can prolong as long as 14 days. 

Do not forget, healing is a process not an event.

My persistent symptoms 31 May, 2013 - 12:14

I am writing to you from St. John's, Newfoundland (Canada). I have a sinus problem started in Nov 2008 upon working for more than a month in a gas plant. I did not have sinus problems prior to this date.

At that time, I may have been exposed to airborne asbestos and other irritants. In the place where I lived at that time, the Winter is so harsh. Temperature during Winter is normally at least 25 Cecilius below zero.

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