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- Ear-nose-throat surgery
- Gynecologic surgery
- Gastroscopy and colonoscopy under anesthesia
Adenoid removal surgery
An adenoid is lymphatic tissue located in the nasopharynx (the junction of the nasal cavity and pharynx). The nasopharynx is located behind the soft palate and therefore the adenoid is not visible during a regular mouth examination.
When is adenoid removal necessary?
Your doctor may recommend surgical removal of an adenoid if your child has any of the following symptoms:
- persistent mouth breathing
- snoring caused by an adenoid
- a nasal voice
- recurrent ear infections
- a misaligned bite caused by an adenoid
Adenoid removal surgery
The surgery is usually performed under general anaesthesia in the outpatient surgery department. In children, adenoids are removed through the mouth. The parent can stay with the child in the operating room until the child falls asleep. In the operating room, the parent must wear a protective jacket and hat, which will be provided before entering the operating room.
When a child wakes up from general anaesthesia, they may be restless and confused. In addition, your child may experience nausea or dizziness after surgery. In most cases, the child recovers from anaesthesia within 24 hours.
- The patient remains for postoperative observation for around 3-6 hours, after which they can go home.
- If the child does not want to eat, offer them their favourite foods. For the first 3-4 days, the child should eat lukewarm (room temperature) and soft foods to prevent bleeding. If your child’s appetite increases, encourage them to eat more solid foods. Avoid carbonated drinks.
- Your child may experience fatigue and weakness for 3-5 days. The child should rest for the first 48 hours after the surgery. The child’s physical activity can be increased gradually, as their strength recovers. Avoid crowded places.
- Snoring and nasal congestion due to swelling in the nose, pharynx and throat. The swelling goes away within a week. Nasal sniffing can be started carefully the next morning; one side of the nose at a time. Heavy sniffing can cause bleeding.
- A rise in body temperature of up to 37.5 °C is normal. Adequate fluid intake is important for recovery.
- If the fever is higher than 38.0 °C or the child has a sore throat, administer paracetamol (available over the counter). Certain non-steroidal anti-inflammatory drugs (aspirin, ibuprofen, diclofenac) should be avoided as they promote bleeding.
- The child can go to kindergarten or school a week after the surgery. There is an increased risk of contracting viral diseases.
The following are prohibited for two weeks after surgery:
- Hot procedures (sauna, bath, sunbathing) that may promote bleeding. Teeth brushing and showering are allowed.
- Longer car and bus trips and air travel.
Please note! If the child develops bleeding from the nose or mouth, go to the emergency department of Tallinn Children’s Hospital immediately.