Adenoids

Adenoids

Adenoids are small glands in the throat at the back of the nose. They are like watch dogs fighting germs in younger children. When child gets older they are no longer needed. Adenoids are taken out if they are doing more harm than good.When adenoids very big,child has a blocked nose, leading to mouth breathing,snoring and cessation of breathing for few seconds during sleep.The adenoids can also cause ear problems by blocking the Eustachian's tube.(tube which joins nose to ear) Removing the adenoids may also make colds(upper respiratory infections) less. adenoids get smaller as child grows older, so nose and ear problems get better with time. Surgery will make these problems get better more quickly, but it has a small risk. For some children, using a steroid nasal spray will help reduce congestion in the nose and adenoids, and may be helpful to try before deciding on surgery. Antibiotics are not helpful and only produce temporary relief from infected nasal discharge. They have side effects and may promote 'superbugs' that are resistant to antibiotics.Other operations If we are taking adenoids out because of ear problems, we may put in grommets at the same time. If your child has sore throats or stops breathing at night, we may also take their tonsils out at the same time. Surgery will be post phoned if child has a cold or sore throat as bleeding during surgery may be aggravated. Operation is done under general anesthesia. adenoids are taken out through the mouth.Bleeding is completely arrested before child is woken up. In some hospitals, adenoid surgery is done as a day case, so that the patient can go home on the same day as the operation. Some surgeons may prefer to keep children in hospital for one night. Most children need about a week off nursery or school. They should rest at home away from crowds and smoky places. Stay away from people with coughs and colds. Possible complications Adenoid surgery is very safe, but every operation has small risks. The most serious problem is bleeding, which may need a second operation to stop it. However, bleeding after adenoidectomy is very uncommon. It is very important to let us know well before the operation if anyone in the family has a bleeding problem.Clotting profiles are done before operation to asses any abnormality in blood clotting. During the operation, there is a very small chance that we may chip or knock out a tooth, especially if it is loose, capped or crowned. Please let us know if your child has any teeth like this. Some children vomits after the operation. This settles quickly. There may be a voice change after operation.(before surgery there was no air flow through the nose. When the nasal passage is cleared after surgery voice quality becomes better.) Sometimes the nose remains blocked up after the surgery, but it will clear by itself in a week or so. The child’s throat may be a little sore. Eating food will help your child’s throat to heal. Chewing gum may also help the pain. Your child may complaints of ear ache. It happens because your throat and ears have the same nerves. It is not due to an ear infection. Give paracetamol for the first few days. Do not use more. Do not give aspirin (Aspirin is not safe to give to children under the age of 16 years at any time, unless prescribed by a doctor). Bleeding can be serious.If you see any bleeding from your child’s throat or nose, you must see a doctor or go to your nearest hospital casualty department.Do not give anything by mouth as child may need a second operation to arrest bleeding.