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Ideal age for an adenoid surgery of a child - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
User :   Sir... my Son, 5.5 years old snores while he sleep. He has adenoids. what is the right age to get it operated?          
Doctor :   Hi
Doctor :
User :   Hi Doctor
Doctor :   May i help you?
Doctor :   May i read your post
User :   my Son, 5.5 years old snores while he sleep. He has adenoids. what is the right age to get it operated?
Doctor :   adenoid usually decrease by 8-9 years
Doctor :   does he snore evrytime?
User :   I met an ENT surgoeon here in Hyd and he has advised immidiate procedure to remove adenoids
User :   yes most of the times he snores
Doctor :   ok
User :   especially he sleeps with his mouth open
User :   Also... we tried to observe his ears... they are slightly red ... very little ... redness inside
Doctor :   does he have regular throat pain
User :   he is also having little difficulty when he goes for swimming
User :   No he does not complain of any throat pain
Doctor :   ok
User :   as such he has not complained of anything ... it is only us who took him to a doctor
Doctor :   ok
Doctor :   so he is planning for surgery
User :   yes he advised us to get it operated soon
User :   we tried to continously ask my son to close his mouth while he is asleep but seemed like its a genuine problem... hence we thought of taking him to the ENT
Doctor :   yes
Doctor :   it can come
Doctor :   so not to blame him
User :   sure
Doctor :   did he undergo laryngoscopy examination
Doctor :   The adenoids are a mass of lymphoid tissue located behind the nasal passages. Infected adenoids may become enlarged or chronically infected, and subsequently lead to obstructed breathing, snoring/sleep apnea, sinus or ear infections, or other problem
User :   not sure ... he took two x-rays
User :   yes the doctor explained the above to me
Doctor :   ok
User :   I am not aware of the laryngoscopy examination
Doctor :   is it present both sides
Doctor :   ok
Doctor :   in most situations, the surgery is performed as an outpatient at either the hospital or the surgicenter.
User :   he did use an instrument in his ears... one of the ears got a rating of 2 and other had 4
Doctor :   ok
Doctor :   did doctor say that he has adenoid facies
User :   a small handy intrument... that had kind of 4 areas on one side and one of the areas would glow to give the reading that I mentioned above
User :   yes
User :   Adenoid facis
Doctor :   it comes for children who have adenoids for long
User :   yes my son has it for past 2.5 years may be I would say
Doctor :   ok
Doctor :   then he might need surgery
Doctor :   as it will prevent the progress of that
User :   recently we started taking him to swimming where we saw more evidence in his breathing
Doctor :   ok
User :   does adenoid facies mean infection ?
Doctor :   avoid that as infection can come now
User :   yes we stopped
Doctor :   sometimes as his eustachian tube might get blocked
User :   sending him to swimming
Doctor :   yes
Doctor :   if he si advised surgery
Doctor :   he need not go for swimming now
User :   what is the best process and place to get it done in Hyderabad?
User :   sure noted your advise on swimming
Doctor :   wait a min
Doctor :   asian ent care
Doctor :   0000
User :   oh ok ...
User :   what is the best procedure... I am not sure if there are multiple mthods of the surgery
Doctor :   adenoidectomy
Doctor :   it is very simple
Doctor :   and done as outpaitient
User :   in that can there be sophisticated methods...or all are same... something like getting operated to something like getting it done in an endoscopic method?
User :   how long does it take to heal ?
Doctor :   Most commonly, the adenoid is removed through the mouth after placing a mouth appliance to open the mouth and retract the palate. A mirror is used to see the adenoids because they are behind the nasal cavity, as shown in the image below. Through this approach, several instruments can be used.
User :   how long would it take to heal ?
Doctor :   It is best for your child to eat a light, soft, and cool diet as tolerated once they have recovered fully from the anesthetic. Avoid hot liquids for several days.
Doctor :   less than aweek
Doctor :   he will be prescribed antibiotics after surgery,
User :   how much does it cost?
Doctor :   4000-6000
Doctor :   and still less in govt hosp
Doctor :   A temporary change in voice is common following surgery, and will usually return to normal after several months.
Doctor :   A temporary change in voice is common following surgery, and will usually return to normal after several months.
Doctor :   Bleeding is rare following an adenoidectomy. They may have some very light nasal bleeding, if it is minor, pediatric Neosynephrin nose drops can be used
Doctor :   Most patients require at least 7-10 days off from work or school. After 3 weeks, exercise and swimming can usually be resumed, but no diving for two months.
User :   ok
Doctor :   so do get the surgery done
Doctor :   if advised so
Doctor :   depending on the size of adenoids
User :   is there a good surgeon you could refer?
Doctor :   wait a min
Doctor :   Dr. K.V.K. XXXXXXXX in Begumpet, Hyderabad
Doctor :   Address: #1-11-220/16
Brindavan Colony
Hyderabad -0000
Flag if incorrect
Doctor :   040-0000
User :   ok
Doctor :   Dr XXXXXXXX Singh T
Doctor :   he is also good surgeon
User :   thanks a lot
Doctor :   Thanks for consulting...
Doctor :   wish him a speedy recovery..
User :   thank you
Doctor :   bye for now...
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