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Why Is A Tonsillectomy In A Child Less Likely To Involve Complications Than For An Adult?

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Posted on Thu, 21 Feb 2013
Question: Why is a tonsillectomy in a child less likely to involve complications than for an adult?
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Answered by Dr. Michelle Gibson James (1 hour later)
Hi, thanks for using healthcare magic

In general an adult is considered for tonsillectomy if they have 3 or more severe infections per year.
The most common complications are bleeding, pain, local trauma, air way obstruction, pulmonary edema, vomiting, infection.

Adults tend to have co morbid illnesses which may increase the risks of complications due to the conditions themselves and the medications required to treat them., Increasing age as well is often described as a risk factor for any surgical procedure. One study indicated that smoking may increase the risk of bleeding.
In addition adults are thought to increase higher level of pain than children, the exact reasons for this are unclear but may be related to a longer history of subjective experience of pain, other medical illnesses, the immune system affecting the rate of healing.
The use of steroids and antibiotics are thought to decrease the risk of complications.

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Michelle Gibson James (36 hours later)
What if any are the risks for children to have a tonillectomy?
doctor
Answered by Dr. Michelle Gibson James (56 minutes later)
Hi

The risks for adults and children are basically the same, it is just that , in some cases adults experience more significant problems.
The major risk is bleeding, though it does not usually occur, it is the most concerning risk. Bleeding is considered a risk up to 2 weeks post surgery.
The other risks are nausea and vomiting, infection, dehydration (from not wanting to use fluids) and pain.

The surgeon may suggest medication to reduce the risk.

Feel free to ask any other questions
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Why Is A Tonsillectomy In A Child Less Likely To Involve Complications Than For An Adult?

Hi, thanks for using healthcare magic

In general an adult is considered for tonsillectomy if they have 3 or more severe infections per year.
The most common complications are bleeding, pain, local trauma, air way obstruction, pulmonary edema, vomiting, infection.

Adults tend to have co morbid illnesses which may increase the risks of complications due to the conditions themselves and the medications required to treat them., Increasing age as well is often described as a risk factor for any surgical procedure. One study indicated that smoking may increase the risk of bleeding.
In addition adults are thought to increase higher level of pain than children, the exact reasons for this are unclear but may be related to a longer history of subjective experience of pain, other medical illnesses, the immune system affecting the rate of healing.
The use of steroids and antibiotics are thought to decrease the risk of complications.

I hope this helps, feel free to ask any other questions