In children, removal of the tonsils and adenoids (adenotonsillectomy) is often performed at the same time. This operation is performed under general anaesthesia and requires a one-night stay in hospital. The operation is performed through the mouth so there are no incisions on the skin.
The Australian Society of Ear, Nose and Throat Surgeons and the Paediatric Division of the Australasian College of Physicians have jointly published a position paper on the indications for tonsil surgery. These include:
This operation is performed under general anaesthesia. The adenoid sits at the back of the nose and is difficult to assess in the clinic. At the time of the operation it can be felt behind the palate and if enlarged is removed using a special instrument. The tonsils are then removed. Cautery is used to stop any bleeding and sutures may also be used.
This procedure requires a one-night stay in hospital. This enables me to monitor for any bleeding in the first 24 hours after the operation. Also it lets us work out how much pain relief may be required. It is important to have a good understanding of when and how to give pain relief after this surgery and the nursing staff can assist with this. Maintaining a relatively normal diet is very important after tonsillectomy. This starts in the hospital and I only discharge children if they’ve been able to eat a good amount of breakfast the day after surgery.
Regular pain relief with paracetamol as well as stronger pain relief if required is critical to managing you child at home after the operation. You should give pain relief 30 minutes prior to meals and encourage normal eating and drinking as much as possible. This is a good time to cook their favourite meals!
Secondly, you should look out for any bleeding. If your child coughs up more than a tablespoon of fresh blood then should either call me or proceed to your nearest hospital emergency department.
For detailed post-operative instructions click here.
Usually I see you back around 4-6 weeks after the operation
We are currently in unchartered waters with the COVID-19 pandemic. At ENTSA we are, as always, committed to the health and wellbeing of our staff and our patients. Ear, nose and throat examinations and surgery however are considered extremely high risk for virus transmission and so we are making changes in our practice.
The current recommendations from the Australian Society of Otolaryngology Head and Neck Surgery (ASOHNS) are:
As a result of this, our practice is changing. We are still here to care for new and existing patients. We have established a Telehealth system to enable continuity of care for existing patients and a ‘non-contact’ option for new patients to access an initial assessment and commencement of treatment.
Please call us to discuss Telehealth options on: (08) 7200 2539
We will still see some patients in the office however this will be limited to protect the health of you and our staff.
If you attend, we ask you to comply with the following: