Tonsil and adenoid removal
Adenotonsillectomy
Adenotonsillectomy is the surgical removal of the tonsils and adenoids, most commonly performed in children with snoring or obstructive sleep apnoea. Children who snore every night are not getting appropriate quality sleep and adenotonsillectomy is recommended. After the operation it is very important that your child drinks enough fluid as dehydration is a real risk. The main risk of this procedure is post-operative bleeding, and it is important to stay within one hour of a hospital during recovery.
About This Procedure
- Indicated for children with nightly snoring or signs of obstructive sleep apnoea
- Bringing a video of your child sleeping to the appointment can assist assessment
- Post-operative hydration is essential — child must go to the toilet at least 3 times per day
- Pain relief: Panadol and Nurofen (ibuprofen). Do NOT use Painstop or codeine
- White coating at the back of the throat is normal — not infection; antibiotics not required post-op
- Aim for at least 5 icy poles per day during recovery
- General rule: one week off school or daycare
- Stay within one hour of a hospital in case of post-operative bleeding
Recovery
- 1Immediately post-op
Pain usually not too bad as local anaesthetic is still active (wears off ~10 hours). Start eating and drinking now. Give regular Panadol and Nurofen.
- 2Day 1
Usually the worst day of pain. Give regular pain relief. Encourage fluids and icy poles. The throat will look white — this is normal. Sore ears are also normal.
- 3Days 2–3
Pain usually better than day 1. Give regular pain medication regardless of pain level. Keep fluids up. Child may feel like they have tonsillitis — this is also normal.
- 4Days 4–7
Give pain relief only as required. Soft foods preferred. Continue fluids.
- 5Days 8–10
Pain may increase for approximately 24 hours as scabs loosen — this is normal and temporary. Give regular pain relief during this period.
Possible Risks & Complications
- Post-operative bleeding — minor amounts around day 7 are common. If bleeding is heavy or continues for more than a few minutes, go immediately to the nearest Emergency Department (rare to require return to theatre).
- Dehydration — the most common preventable complication; maintain adequate fluid intake throughout recovery.
Your surgeon will discuss all risks specific to your case at your consultation.
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Ready to discuss Adenotonsillectomy?
Our ENT specialists will assess your individual situation and recommend the right approach. A GP referral is needed for Medicare rebates.