{"id":877,"date":"2019-09-03T13:33:16","date_gmt":"2019-09-03T10:33:16","guid":{"rendered":"https:\/\/www.ent-cyprus.com\/?page_id=877"},"modified":"2024-04-23T09:01:07","modified_gmt":"2024-04-23T06:01:07","slug":"tonsillectomy-adenoidectomy","status":"publish","type":"page","link":"https:\/\/www.ent-cyprus.com\/en\/pharynx-neck\/tonsillectomy-adenoidectomy\/","title":{"rendered":"Tonsillectomy\/Adenoidectomy"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1bcql-7a4d84f7aa0928af20039d44fdddf327\">\n.avia-section.av-1bcql-7a4d84f7aa0928af20039d44fdddf327{\nbackground-repeat:no-repeat;\nbackground-image:url(https:\/\/www.ent-cyprus.com\/wp-content\/uploads\/2019\/08\/diataraxes-geusis-osfrisis.jpg);\nbackground-position:0% 0%;\nbackground-attachment:scroll;\n}\n.avia-section.av-1bcql-7a4d84f7aa0928af20039d44fdddf327 .av-section-color-overlay{\nopacity:0.5;\nbackground-color:#000000;\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-1bcql-7a4d84f7aa0928af20039d44fdddf327 main_color avia-section-default avia-no-border-styling  avia-builder-el-0  el_before_av_section  avia-builder-el-first  avia-full-stretch avia-bg-style-scroll av-section-color-overlay-active av-minimum-height av-minimum-height-50 av-height-50  container_wrap fullsize'  data-section-bg-repeat='stretch' data-av_minimum_height_pc='50' data-av_min_height_opt='50'><div class=\"av-section-color-overlay-wrap\"><div class=\"av-section-color-overlay\"><\/div><div class='container av-section-cont-open' ><main  role=\"main\" itemprop=\"mainContentOfPage\"  class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-877'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-e5nds-7c9a805685dcc1a68168560efff1247a\">\n.flex_column.av-e5nds-7c9a805685dcc1a68168560efff1247a{\nborder-radius:0px 0px 0px 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modern-quote modern-centered  avia-builder-el-3  avia-builder-el-no-sibling  av-inherit-size'><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >Tonsillectomy\/Adenoidectomy<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-7frtk-afd8bad04110d28962e42d372458fb1b\">\n.flex_column.av-7frtk-afd8bad04110d28962e42d372458fb1b{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-7frtk-afd8bad04110d28962e42d372458fb1b av_one_fourth  avia-builder-el-4  el_after_av_one_half  avia-builder-el-last  flex_column_div av-zero-column-padding  '     ><\/div>\n\n<\/div><\/div><\/main><!-- close content main element --><\/div><\/div><\/div><div id='av_section_2'  class='avia-section av-h1uwt-090cbf92ae427230c161ccdf0e1ad66d main_color avia-section-default avia-no-border-styling  avia-builder-el-5  el_after_av_section  el_before_av_section  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-877'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-10i6t-87ec39ad009ea093255545a30b2ab6e6\">\n.flex_column.av-10i6t-87ec39ad009ea093255545a30b2ab6e6{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-10i6t-87ec39ad009ea093255545a30b2ab6e6 av_one_full  avia-builder-el-6  avia-builder-el-no-sibling  first flex_column_div av-zero-column-padding  '     ><p><section  class='av_textblock_section av-jy9n5o0b-2017261c8a60997aebae3ea535828d44 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>What are tonsils?<\/strong><\/p>\n<p>Tonsils are lumps of lymphoid tissue in the back of the throat. Lymphoid tissue traps germs and produce antibodies to fight infections.<\/p>\n<p><strong>Does our body need them?<\/strong><\/p>\n<p>No. The body can fight infection without tonsils. That certainly does not mean they should be removed unnecessarily.<\/p>\n<p><strong>Why remove them?<\/strong><\/p>\n<p>To stop the frequent infections (tonsillitis) that can cause various problems. Some children have huge tonsils that obstruct their breathing at night. Severe episodes of tonsillitis can cause an abscess in the throat. This is pus behind the tonsils and needs immediate admission to hospital for treatment. There are other reasons that sometimes necessitate the removal of tonsils. A doctor will explain to you why you need to have an operation.<\/p>\n<p><strong>How is the surgery performed?<\/strong><\/p>\n<p>You come to the hospital at the time determined for admission as an inpatient. The surgery is done under general anesthesia. We use special tools to keep your mouth open and remove the tonsils through your mouth, it takes about 30 minutes. You wake up in the recovery room adjacent to the operating theatre.<\/p>\n<p><strong>How long will I be in hospital?<\/strong><\/p>\n<p>You will go home the same day or the next if you can eat and drink and feel well enough.<\/p>\n<p><strong>Can there be problems?<\/strong><\/p>\n<p>Tonsillectomy surgery is very safe. However, every operation has a small risk. The most common problem is bleeding. It happens in about one in a hundred cases and is usually treated in the office. Very rarely you may need to go back for surgery. Also during surgery there is very slight chance of getting injured a tooth. Sometimes children\u2019s voices change a little for a short time.<\/p>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-jy9n5o0b-fdfb83d67738b8451a5db25dee6a2735 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>SURGERY PREPARATION<\/strong><\/p>\n<p><strong>For children:<\/strong>\u00a0Talk to your child about the surgery in words he\/she will understand.\u00a0 \u03a4ell them a story such as\u00a0Good-bye Tonsils!\u00a0.<\/p>\n<p><strong>For adult patients:<\/strong>\u00a0Make plans to take 1 \u00bd to 2 full weeks off from school or work.\u00a0 You may feel like going back sooner than that, but just plan for the worst case scenario.<\/p>\n<p><strong>Note:<\/strong>\u00a0<strong>Don\u2019t take ibuprofen or aspirin for 2 weeks before and 2 weeks after the day of surgery.<\/strong>\u00a0 Ibuprofen \u00a0increases the risk of bleeding during and after surgery.<\/p>\n<p><strong>THE SURGERY<\/strong><\/p>\n<p>A tonsillectomy and adenoidectomy are often done at the same time and are commonly referred to as \u201cT&amp;A\u201d.\u00a0 T&amp;A is an outpatient surgical procedure that takes between 30 to 45 minutes and is performed under general anesthesia .\u00a0 A metal retractor called mouth gag is used to hold the mouth open to perform the procedure. The tonsils are grasped and removed from the surrounding muscle and tissue by using a coblation radiofrequensy or cold instruments . After the tonsils and\/or adenoids have been removed, any bleeding is controlled .The anesthesiologist will wake you up and transfer you to recovery. The recovery nurses and anesthesiologist will monitor you until you\u2019re ready to go to your room. Normally, young patients will remain at the hospital for about 10 to 12 hours after surgery for observation.<\/p>\n<p>For the adenoids, the soft palate is retracted and a mirror or camera is used to look into the back of the nose where the adenoids are located.\u00a0 The adenoids are remove with cold instruments or shaver.\u00a0 Adenoidectomy recovery is 2 -3 days.<\/p>\n<p><strong>Follow-up<\/strong>:<\/p>\n<p>I will see you 6-7 days after surgery.<\/p>\n<p><strong>RECOVERY FROM A T&amp;A:<\/strong><\/p>\n<p><strong>Recovery time<\/strong>: most children require 10 \u2013 15 days to recover some may recover more quickly; others can take up to 3 weeks for a full recovery .\u00a0 Let them go back to school after 15 days.\u00a0<strong>Also no travel within 14 days of surgery.<\/strong><\/p>\n<p><strong>Drinking\/Eating:<\/strong>\u00a0You\/your child MUST drink plenty of fluids- this is the most important thing you can do for you\/your child\u2019s recovery!!\u00a0 Some don\u2019t like to drink milk products because it does increase the thickness of your mucus- but I\u2019m not going to argue with you if you want a glass of milk with every meal.\u00a0 For kids, try juice, soft drinks (non-caffeinated), popsicles and Jell-O for the first couple of meals- if they\u2019re eating this well and want something more substantial, go for it!\u00a0 Also try pudding, yogurt, ice-cream, mac &amp; cheese, and luke warm soup.<\/p>\n<p>Try to avoid high acid content food (citrus) and spicy food. The sooner you\/your child eats and chews, the quicker the recovery.<\/p>\n<p><strong>Fever<\/strong>: A low-grade fever is common for several days after surgery.\u00a0 Fever is often related to dehydration \u2013 so drink more fluids if fever is present.\u00a0 Contact me if the fever is greater than 38,5\u00b0C<\/p>\n<p><strong>Activity<\/strong>:\u00a0 Activity may be increased slowly, with a return to school after normal eating and drinking resumes, pain medication ceases, and your child sleeps through the night.\u00a0 Travel away from home is not recommended for two weeks following surgery.<\/p>\n<p><strong>Breathing<\/strong>:\u00a0 You may notice your child still snores or mouth breathes after surgery.\u00a0 The snoring should subside \u00a0around 5-7 days after surgery.<\/p>\n<p><strong>Scabs<\/strong>:\u00a0 Scabs will form where the tonsils and adenoids were removed.\u00a0 These scabs are thick, white, and cause bad breath for 10-14 days after surgery.\u00a0 This is not an infection!<\/p>\n<p><strong>Bleeding<\/strong>:\u00a0 With the exception of small specks of blood from the nose or in the saliva, bright red blood should NEVER be seen.\u00a0 If such bleeding occurs, contact me immediately or take your child to the emergency room.\u00a0 The most common time to bleed is 10 \u2013 14 days post-op.<\/p>\n<p><strong>Pain<\/strong>:\u00a0 Nearly all children undergoing a tonsillectomy\/adenoidectomy will have mild to severe pain in the throat after surgery.\u00a0 Some may complain of an earache (this is \u201creferred\u201d pain from the throat that is felt in the ears) and a few may have complaints of pain in the jaw or neck.\u00a0<strong>The pain is usually worst on post-op day 5, so beware!<\/strong><\/p>\n<p><strong>Medications after surgery<\/strong>:\u00a0 For children, I will prescribe pain medication such as Paracetamol . For adults, I usually give Paracetomol with codeine. Take your pain medicine\/give pain medicine to your child on a scheduled (every 4 or 6 hour) basis for the first 6-7 days.\u00a0 Stay ahead of the pain, don\u2019t wait until there\u2019s pain to take the medicine; you\u2019ll be miserable and may get dehydrated.\u00a0 Antibiotics are given to help with the bad breath.\u00a0 Steroids may be given to help with the swelling and\/or pain.<\/p>\n<p><strong>When to Call the Doctor<\/strong><\/p>\n<ul>\n<li>If you have any bleeding.<\/li>\n<li>If you have persistent pain not relieved by the medication.<\/li>\n<li>Elevated temperature over 38,5\u00b0C orally.<\/li>\n<li>If you have nausea\/vomiting more than 4 hours after you leave the hospital.<\/li>\n<\/ul>\n<\/div><\/section><\/p><\/div><\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av_section_3'  class='avia-section av-ef23p-06abbd7837f495895247da3cad3ebcc2 main_color avia-section-default avia-no-border-styling  avia-builder-el-9  el_after_av_section  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av-jxkbwowy-96363fcbd5aa0868ac222af115cc901c hr-custom  avia-builder-el-12  el_after_av_heading  el_before_av_masonry_entries  avia-builder-el-last  hr-center hr-icon-no'><span class='hr-inner inner-border-av-border-thin'><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-jsx05xp2-3c66d26265db6b79a07003ceeffbf1e1\">\n#top .av-masonry.av-jsx05xp2-3c66d26265db6b79a07003ceeffbf1e1{\nbackground-color:#ffffff;\n}\n<\/style>\n<div id='av-masonry-1' class='av-masonry av-jsx05xp2-3c66d26265db6b79a07003ceeffbf1e1 noHover av-fixed-size av-large-gap av-hover-overlay-grayscale av-masonry-animation- av-masonry-col-3 av-caption-always av-caption-style-overlay av-masonry-entries ' data-post_id=\"877\"><div class=\"av-masonry-container isotope av-js-disabled\"><div class='av-masonry-entry isotope-item av-masonry-item-no-image '><\/div><a href=\"https:\/\/www.ent-cyprus.com\/en\/salivary-glands\/\"  id='av-masonry-1-item-818' data-av-masonry-item='818' class='av-masonry-entry isotope-item post-818 post type-post status-publish format-standard has-post-thumbnail hentry category-pharynx tag-neck  av-masonry-item-with-image av-grid-img' title=\"disfagia\"   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='av-inner-masonry-sizer'><\/div><figure class='av-inner-masonry main_color'><div class=\"av-masonry-outerimage-container\"><div class='av-masonry-image-container' style=\"background-image: url(https:\/\/www.ent-cyprus.com\/wp-content\/uploads\/2019\/08\/disfagia-705x470.jpg);\"  title=\"disfagia\" ><\/div><\/div><figcaption class='av-inner-masonry-content site-background'><div class='av-inner-masonry-content-pos'><div class='av-inner-masonry-content-pos-content'><div class='avia-arrow'><\/div><h3 class='av-masonry-entry-title entry-title '  itemprop=\"headline\" >Salivary Glands<\/h3><span class='av-masonry-date meta-color updated'>September 2, 2019<\/span><span class=\"av-masonry-text-sep text-sep-author\">\/<\/span><span class='av-masonry-author meta-color author'><span class='fn'>by Ruxbo<\/span><\/span><\/div><\/div><\/figcaption><\/figure><\/a><!--end av-masonry entry--><a href=\"https:\/\/www.ent-cyprus.com\/en\/adenoids-and-tonsils\/\"  id='av-masonry-1-item-806' data-av-masonry-item='806' class='av-masonry-entry isotope-item post-806 post type-post status-publish format-standard has-post-thumbnail hentry category-pharynx tag-pharynx  av-masonry-item-with-image av-grid-img' title=\"Problem with snoring\"   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='av-inner-masonry-sizer'><\/div><figure class='av-inner-masonry main_color'><div class=\"av-masonry-outerimage-container\"><div class='av-masonry-image-container' style=\"background-image: url(https:\/\/www.ent-cyprus.com\/wp-content\/uploads\/2019\/08\/adenoeideis-ekvlastiseis_kreatakia_amigdales-705x470.jpg);\"  title=\"Problem with snoring\" ><\/div><\/div><figcaption class='av-inner-masonry-content site-background'><div class='av-inner-masonry-content-pos'><div class='av-inner-masonry-content-pos-content'><div class='avia-arrow'><\/div><h3 class='av-masonry-entry-title entry-title '  itemprop=\"headline\" >Adenoids and Tonsils<\/h3><span class='av-masonry-date meta-color updated'>September 2, 2019<\/span><span class=\"av-masonry-text-sep text-sep-author\">\/<\/span><span class='av-masonry-author meta-color author'><span class='fn'>by Ruxbo<\/span><\/span><\/div><\/div><\/figcaption><\/figure><\/a><!--end av-masonry entry--><a href=\"https:\/\/www.ent-cyprus.com\/en\/snoring\/\"  id='av-masonry-1-item-800' data-av-masonry-item='800' class='av-masonry-entry isotope-item post-800 post type-post status-publish format-standard has-post-thumbnail hentry category-pharynx tag-pharynx  av-masonry-item-with-image av-grid-img' title=\"roxalito\"   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='av-inner-masonry-sizer'><\/div><figure class='av-inner-masonry main_color'><div class=\"av-masonry-outerimage-container\"><div class='av-masonry-image-container' style=\"background-image: url(https:\/\/www.ent-cyprus.com\/wp-content\/uploads\/2019\/08\/roxalito-705x470.jpg);\"  title=\"roxalito\" ><\/div><\/div><figcaption class='av-inner-masonry-content site-background'><div class='av-inner-masonry-content-pos'><div class='av-inner-masonry-content-pos-content'><div class='avia-arrow'><\/div><h3 class='av-masonry-entry-title entry-title '  itemprop=\"headline\" >Snoring<\/h3><span class='av-masonry-date meta-color updated'>September 2, 2019<\/span><span class=\"av-masonry-text-sep text-sep-author\">\/<\/span><span class='av-masonry-author meta-color author'><span class='fn'>by Ruxbo<\/span><\/span><\/div><\/div><\/figcaption><\/figure><\/a><!--end av-masonry 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