TONSILLECTOMY AND ADENOIDECTOMY
The primary treatment for children with obstructive sleep apnoea or sleep disordered breathing is surgical removal of the tonsils and adenoids. This is referred to as tonsillectomy and adenoidectomy. We know from our scientific data, that this operation will alleviate OSA/SDB in the large majority of children (approximately 90%). In those where it does not rectify the problem, there is often something else affecting the airway – and this can be further investigated.
We can discuss Tonsillectomy and Adenoidectomy for your child in detail at our consultation.
- The operation is done under General Anaesthetic (your child is completely asleep under the watchful eye of our skilled Anaesthetists for the duration of the operation)
- The operation itself takes around 30 mins, but from the time you leave your child with us in the operating room until the time you can see your child in recovery is approximately 1 hour.
- It involves a one-night stay in hospital (one parent or carer can stay the night)
- There is no restriction on what they can eat and drink after the operation – they will tend to want to stick to softer, colder things (ice cream, jelly) – but if they feel like normal food… go for it!
- Getting the operation done is the easy bit – the recovery is the hard part….
- It is sore. Unfortunately it is a painful operation, but the kids generally do pretty well (nothing like the pain of tonsillectomy in adults). We will discuss our pain relief regime and what to expect.
- There is small chance of bleeding afterwards. We will discuss what to do if this happens.
- They will need 2 weeks off school/day-care with someone caring for them at all times. During this period we ask you stay within 30 mins of a major hospital that has ENT Surgery cover.
My child has previously had Tonsillectomy and Adenoidectomy
but is still experiencing features of OSA/SDB
In the rare instances where Tonsillectomy and Adenoidectomy fails to fix the OSA/SDB – other causes must be considered. In addition to a sleep study, performing Drug Induced Sleep Endoscopy (DISE) can be incredibly useful (see above).
Using DISE, if we can identify an area of collapse warranting treatment – we will discuss this with you at length, and formulate a management plan. If you have any concerns regarding your little one(s) and OSA/SDB – please contact us to schedule an appointment.