WHEN TO PERFORM AN ADENOTONSILLECTOMY?
An adenotonsillectomy is the removal of tonsils and adenoids in the same surgical procedure and it is performed under general anesthesia.
Indications for an adenoamygdalectomy:
- 3 or more tonsil infections or adenoids per year;
- Tonsillar enlargement causing occlusal or changes adversely affecting the orofacial growth, documented by an orthodontist;
- Hypertrophy causing upper airway obstruction, severe dysphagia, sleep disorders or cardiovascular complications;
- Peritonsillar abscess unresponsive to medical treatment and drainage;
- Bad taste or breath due to chronic tonsillitis that is unresponsive to medical treatment;
- Suspected neoplasia in unilateral enlarged tonsils;
- Suppurative otitis media with effusion or recurrent..
- From the medical evaluation, the indication is individualized and depends on the persistence of symptoms such as mouth breathing, snoring, obstructive sleep apnea, recurrent otitis, disturbances in the flow of food, among others, when related to the increased volume of adenoid.
- Some contraindications are related to general anesthesia, or if the patient has a serious disease in which the risks to anesthesia are great. The procedure also tend to be avoided in very young children, in the presence of airway infection, respiratory diseases uncontrolled problems with certain sites, for example, disorders of the soft palate and cleft palate. Remember the inherent limitations of patients with neuromuscular diseases and blood coagulation disorders.