Questions and Answers about Adenoide and Tonsillectomy Surgery

  1.Do I have to have surgery for adenoids?
  Surgery should only be considered if medication has proven ineffective. Generally, if there is no significant improvement after two weeks of medication, or if the symptoms are not relieved by more than half after four weeks of continuous treatment, surgery is more likely to be required.
  2.Do I have to have surgery on my tonsils?
  Tonsil enlargement, or recurrent tonsillitis (fever, sore throat), all need surgery. Drugs are not effective for recurrent tonsillitis and tonsillar hypertrophy.
  3.Can adenoids surgery solve all the problems?
  The best effect of surgery is to solve nasal congestion, snoring and breath-holding during sleep. It may improve the symptoms of sinusitis such as runny nose and cough, but it needs to be combined with medication.
  4.What problems can tonsil surgery solve?
  As with adenoidectomy, removal of the tonsils can relieve the obstruction of the upper whistle tract, making snoring significantly relieved or disappear. In addition, if you have had recurrent tonsillitis before, you will not have any more attacks after surgery.
  5. Do both adenoids and tonsils have to be removed at the same time? Can one of them be left behind?
  Generally speaking, if the reason for surgery is whistling in children over 4 years old, it is best to remove all three (one adenoids and two tonsils) so that the tonsils or adenoids left behind will not grow again (compensatory hyperplasia) and require a second surgery.
  6.Wouldn’t the immune system be affected if all three of the above are removed?
  Removal of tonsils and adenoids in children over 4 years of age will not affect immunity. This is already a reliable conclusion after research, so there is no need to doubt.
  7.Tonsillectomy is said to cause pharyngitis, is there such a thing?
  The traditional surgery, mostly under local anesthesia, is painful and uncooperative for the patient, and bleeding is difficult to control. The surgeon performs the surgery under a very difficult condition, and sometimes a mucus-secreting gland at the upper pole of the tonsil is also cut off accidentally, and dryness of the pharynx or foreign body sensation may occur after the surgery. Our current method can avoid the above disadvantages (general anesthesia, good exposure and vision, easy to control bleeding, and no accidental cutting of mucus glands), so please do not worry.
  8.How dangerous is the surgery?
  For adenoid surgery and tonsil surgery itself, the biggest risk is bleeding, which occurs at a very low rate of less than 1%. However, since it is general anesthesia, the risk of anesthesia is much higher than the surgery itself, especially for children under three years old.
  9.I heard that general anesthesia can affect the child’s intelligence, is there such a thing?
  No, there is no such thing. The effect of anesthesia drugs on children is limited to the period of anesthesia and 24 hours after the end of anesthesia, after that there is no longer any effect on the body, much less on intelligence.
  10.Is there anything I should not eat?
  Except for the aforementioned tonic things, solid foods, and overly spicy and stimulating foods, everything else can be eaten.
  11.Is there any food that can promote the healing of the wound?
  There is no such thing. Ordinary food is fine.
  12.When should I have a review after the surgery?
  If there are no special circumstances, you can have a review once in half a month and once in two months after discharge. If you have other problems (allergic rhinitis or sinusitis), you will have to check again every month.