The importance of explaining and performing all three of these surgeries is that they arise from interrelated causes and problems.
tonsillectomy ; It is defined as the removal of both tonsils in the mouth. Tonsil surgery is an important part of ear nose and throat surgeries. It is not an easy, simple operation as it is thought. After 3 years of age, depending on the frequency and size of infection (see chronic tonsillitis page) surgery decision can be made. In addition, adenoid formed in the nasal region often accompanies these patients. These problems also lead to the accumulation of ear fluid. (see Serous otitis)so this surgery is adenoidectomy (nasal meat intake)and ear tube application can be done at the same time.

Pre-operative process: Before the operation, the patient is evaluated in terms of general anesthesia. Pediatric patients are evaluated by a pediatrician. Bleeding, liver and kidney function tests and viral markers are planned as blood tests. In case of active infection, it is treated first.
Operation process: The duration of the operation varies depending on all these interventions. Tonsillectomy takes an average of 45 minutes, adenoidectomy takes 15 minutes, and ear tube application takes 10 minutes. When the patient sleeps and wakes up, this period reaches 90 minutes.
Tonsil surgery, removal of the tonsil from the bed in the mouth with the appropriate technique and bleeding control of the area where it is removed (with cauterization or suture) It is a type of surgery in which the operation is terminated. Adenoid surgery, on the other hand, is an operation in which the adenoids in the nasal region are removed from inside the mouth with appropriate instruments (curette extending behind the uvula and soft palate).

In ear tube application, the presence of liquid behind the eardrum is detected with a scratch on the eardrum, and if there is a relatively sticky dark liquid, which we call glue, a tube is placed on the eardrum, a part of which is behind the eardrum, and a part in front of it, and because it has a hole in the middle, it provides ventilation.

After the operation: When the patient is taken to the bed after the operation, he will not remember most things, especially since he is under the effect of anesthesia. Agitation and crying are common in children during this period. They calm down and fall asleep in about 30-45 minutes, during which the effect of anesthesia gradually decreases, but breathing should be monitored during this sleep period. When they wake up, they will be calmer when they see their relatives next to them. 2 hours after being taken to bed as oral food, feeding begins with white ice cream. Liquid drinks such as buttermilk and milk are consumed approximately in the 3rd hour. For nutrition and diet recommendations, see the relevant page.

The patient is on the 6th-8th day of surgery. checks on time (bleeding and oral feeding) can be discharged. On discharge, the patient may be prescribed antibiotics, antihistamines, pain relievers and nasal drops. After the surgery, it may be difficult for the patient to speak because of both the pain and swelling in those areas. There may be minor swellings on the tongue and lips. On the first day after the surgery, painkillers are given every 8 hours, on the second day, this can be reduced to once every 12 hours and then it is given according to the pain situation. While adult patients survive tonsil surgery more painfully, children tolerate it better. Care should be taken to comply with the use of drugs and diet. There may be early period bleeding, as well as late period, postoperative 11-13. Bleeding can be seen on days, especially with the deterioration of the diet. The patient may have difficulty swallowing saliva for the first few days and may have to spit with blood. In particular, strains that irritate the throat should be avoided.
On the 5th day after the operation, whiteness is observed in the tonsil surgery areas, this is the healing tissue. It is not inflammation. It disappears completely towards the end of the 2nd week.
It is made in a way that is warm and only washes the body. The whole body bath can be done on the 7th day after the surgery, again in a warm condition.
We can be a little more tolerant in diet and activities in patients who have undergone only adenoid surgery. We can start a normal diet 1 week later, on the 5th day of school or nursery.
Of course, in cases of more intense bleeding, the doctor should be contacted immediately and intervened in the hospital.
In patients who have an ear tube inserted, we recommend ear plugs or vaseline cotton plugs for the ear in the bathroom. In fact, although it is not easy for water to get behind the eardrum due to the pressure in the ear, we usually hear the ear plugs from the patients, especially in summer. For this, this process can be facilitated by having earplugs made by hearing aid companies according to the ear mold.
Patients who have this triple surgery are called for control in the first week. Patients with ear tubes are followed up regularly every 2-3 months. Ear tubes remain in the eardrum for 6 to 24 months and 99% it falls into the external ear canal and the doctor takes it from there. Rarely, the fall is prolonged and the problem is (like infection) The removing tubes are taken by the physician. In this case, the probability of having a hole in the eardrum increases, so it should be followed closely. The eardrum that cannot repair itself should be closed immediately at the appropriate age and time.
This group of surgeries are the most common problems and surgeries of otolaryngology. After the surgery performed with appropriate indications, satisfactory results are obtained, especially in children. Children’s sleep patterns are ensured, their appetites are regulated and their growth and development are accelerated. Because they get rid of frequent infections, their school life becomes more successful.

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