Ablative adenoidal hypertrophy surgery for babies

  Patient: Description of the condition (onset time, main symptoms, hospital visited, etc.): The baby was 3.5 years old and had been breathing through the mouth at night for half a month, sometimes waking up with suffocation, and vomited on the night of 2011.1126. On the 27th, CT examination at Shangzhi Hospital showed symmetric thickening of the nasopharyngeal parietal wall, clear tissue interface, symmetric narrowing of the bilateral pharyngeal fossa and pharyngeal orifice of the pharynx, clear structure of the parapharyngeal space, bilateral carotid arteries There was no abnormality in the sheath area, no abnormality in the paracranial saddle and corresponding intracranial structures, and the bone window showed no destruction of the bone at the skull base and increased density in the lumen of the left supratentorial sinus. The conclusion was: adenoid hypertrophy and left-sided sinusitis. There is no treatment, but the doctor prescribed Amoxicillin Clavulanic acid potassium granules, Nosocomplex, Rhinitis, and Vitamin C. I want to do low-temperature plasma ablation, how many days do I need to stay in hospital? How much does it cost? Thank you.  Doctor: The cost is about 9,000 and you need to be hospitalized for a week.  Patient: Hello Dr. Zhou: These two days and nights, I observe the baby, sleep is okay, basically breathe through the nose, no snoring, but the snoring is coarse, but in the morning dry lips, grinding teeth in the middle of the night, baring the mouth, but basically open the small mouth during the day. I went to see the doctor again today and he said the blockage is not very serious and can be observed for a while, but I still want to do surgery on him. It won’t heal on its own, right? I have a few more questions for you: 1. Patients with rhinitis need to be cured of rhinitis before they can do cryoablation surgery, my baby still has sinusitis on the left side, can I do this surgery?  2. Is there a high chance of recurrence with cryoablation?  3.How many days do I have to recover after 5 days of hospitalization before I can go to kindergarten normally? I’m sorry to bother you in the middle of a busy day, thank you!  Doctor: In this case, it is better to operate early. Sinusitis is usually related to adenoid hypertrophy, and most children can slowly recover from sinusitis after adenoid surgery, so there is no need to do sinus surgery (children’s sinuses are generally not well developed until they are 10 years old, so they can’t just have surgery); cryoablation has a relatively small chance of recurrence compared to traditional surgery. Usually you can go to kindergarten about a week after discharge.  Doctor: It’s best not to come to the hospital on Friday, because it’s hard to schedule surgery on the weekend, you can come on Sunday, so that you can operate on Tuesday (because you need to prepare for surgery, and I do not do surgery on Monday, outpatient clinic all day). The location is Harbin Medical University Hospital IV across from the train station. You can call me if you are not sure about anything else.  Patient: Thank you very much for the doctor’s prompt response, which was very comforting to me. To be honest, my baby’s illness made me very worried, and the choice of hospital also divided our family’s opinion, because we, people from outside the county, recognize the First and Second Hospitals of the Medical University, few people come to the Fourth Hospital, but I still looked up on the Internet, I agree more with the low-temperature plasma ablation, our local hospital doctors have never heard of it, they still recognize the traditional surgery, (because I myself have done the minimally invasive laparoscopic surgery), so In order to make my baby suffer less and to eliminate the possibility of recurrence, I decided to choose the Fourth Hospital. I feel that I made the right choice because I met a serious and responsible Dr. Zhou. Whether it’s a phone call or a consultation here, Dr. Zhou is very patient and enthusiastic, much better than our local doctors! Like our local area has many babies with similar diseases as my baby, (my son’s kindergarten has several) when I have had this surgery, I will write clearly in this forum the details of the surgery, so that these patients who still advocate traditional surgery know that the benefits of this surgery! I’ll be there this Sunday, so I’ll give you a call then, thank you!