How is a tonsillectomy and adenoidectomy performed?
During the surgery, your child will be anesthetized in the operating room. The surgeon will remove your child’s tonsils and adenoids through the mouth. There will be no cut on the skin. In most cases, after the surgery your child will go to a recovery room where he/she can be monitored closely.
What is the surgical procedure for a tonsillectomy?
Tonsillectomy (ton-sih-LEK-tuh-me) is the surgical removal of the tonsils, two oval-shaped pads of tissue at the back of the throat — one tonsil on each side. A tonsillectomy was once a common procedure to treat infection and inflammation of the tonsils (tonsillitis).
How do you perform adenoidectomy?
Description
- The surgeon places a small tool into your child’s mouth to keep it open.
- The surgeon removes the adenoid glands using a spoon-shaped tool (curette).
- Some surgeons use electricity to heat the tissue, remove it, and stop bleeding.
- Absorbent material called packing material may also be used to control bleeding.
What are the instruments used in tonsillectomy?
The equipment required for tonsillectomy depends on the technique used. “Cold” tonsillectomy is performed using a Crowe-Davis or McIvor mouth gag, Allis clamp, no. 12 scalpel, curved Metzenbaum scissors, Fisher tonsil knife/dissector, Tyding snares, adenoidectomy curettes, and a St. Clair-Thompson adenoid forceps.
How is a tonsillectomy performed on a child?
It is performed by an ears, nose, and throat surgeon in the operating room under general anesthesia. In this day and age, general anesthesia is very safe and your child will be carefully monitored during the procedure. The tonsils are removed through the mouth and there are no visible scars following surgery.
How long is a tonsillectomy and adenoidectomy?
The surgery takes about 30 minutes to 1 hour, but the recovery from anesthesia can take a few hours. Your child might be prescribed medications after the surgery. Your child might need a blood test before the surgery to see if he or she has any increased risk for bleeding.
How do you prepare a child for tonsillectomy?
4 Steps to Take When Preparing for Tonsillectomy
- Arrange care. A tonsillectomy is performed as an outpatient procedure, which means that your child will leave the hospital on the same day.
- Plan your child’s post-surgery diet.
- Stock up on pain relief.
- Follow all pre-operative instructions.
How are adenoids removed in toddlers?
Your child will be placed under general anesthesia for the procedure. During surgery, the doctor will widely open your child’s mouth with a retractor while the child is asleep, and then remove the adenoids using one of several techniques. The doctor may use an electrical device to help stop the bleeding.
How do I prepare my 4 year old for tonsillectomy?
To prepare, explain to your child that they will be asleep while the surgeon takes out their tonsils. Let your child know that they will have a sore throat when they wake up and will drink cool beverages to feel better. Your child may have questions about the procedure.
What anesthesia is used for tonsillectomy?
General anesthesia for tonsillectomy and adenoidectomy usually begins by having your child breathe anesthetic gas through a mask. In older children, an intravenous (IV) technique may be used. Children anesthetized via a mask will receive an IV line once they’re asleep.
What must be monitored preoperatively before a child has a tonsillectomy?
Preoperative coagulation testing before tonsillectomy is indispensable. Coagulation testing before a tonsillectomy should consist of a prothrombin time test (PT/INR), partial thromboplastin time, and bleeding time.
What happens when a child has tonsils and adenoids removed?
Your child may have bad breath, “stuffy nose” and drainage for 7 to 10 days after surgery. This is normal and will go away as he or she heals. Your child may have ear pain up to a week after surgery and it may be worse at night. This is normal and is coming from the tonsil area.