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Should Adenoids And Ear Surgery Be Done After 14 Days?
Dr. my son 3.5yrs having an adenoid & tonsils due to this his ears have been infected, impedance test done for ears. now the doctor (Max health care, saket, new delhi) saying take medicine for 14 days if the adenoid got shrink he can continue the medicine else he has to go for surgery. once the adenoid decrease the size, the filled in ear liquid would be come out then he doesn t need the surgery for ear also. Another doctor said take medicine for 2 months after they will advise whether he has to do the surgery or continue medicine I would request you to kindly advise me should i do the surgery for adenoid and ear after 14 days or r should i wait for another 2 months. also kindly suggest me if i wait another 2 months it will problem on his ear
Tue, 23 Mar 2021
Hi,
Your son is just 3.5 years old hence it is important to try the medical management first. The management for enlarged adenoids with tonsils causing secondary ear problems like glue ear, Eustachian tube dysfunction should be treated by a combination of an antibiotic, anti-inflammatory medicines along with topical that is intranasal as well as oral decongestants.
Antibiotic may be changes after 7 to 10 days of use and continued with another if required. Short courses of oral steroids like Deflazacort as per the weight helps a lot for regression of adenoids. Local treatment of ear if required can be given and even use of Grommets may be needed for middle ear ventilation. Continue the medicines for 3 weeks and have review by clinical evaluation, nasal endoscopy, X-ray or MRI for adenoids and nasal airway passage.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. T. Chandrakant, General Surgeon
Your son is just 3.5 years old hence it is important to try the medical management first. The management for enlarged adenoids with tonsils causing secondary ear problems like glue ear, Eustachian tube dysfunction should be treated by a combination of an antibiotic, anti-inflammatory medicines along with topical that is intranasal as well as oral decongestants.
Antibiotic may be changes after 7 to 10 days of use and continued with another if required. Short courses of oral steroids like Deflazacort as per the weight helps a lot for regression of adenoids. Local treatment of ear if required can be given and even use of Grommets may be needed for middle ear ventilation. Continue the medicines for 3 weeks and have review by clinical evaluation, nasal endoscopy, X-ray or MRI for adenoids and nasal airway passage.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. T. Chandrakant, General Surgeon
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