POSTOPERATIVE INFORMATION FOR TONSILLECTOMY IN ADULTS

  • Adenotonsillectomy requires an overnight stay. 2 weeks will be required off work or study. Travelling, heavy physical activity, or exercise should be avoided for 3 weeks.

  • There is significant pain in most adult patients, lasting for up to 2 weeks.

  • Unlike most surgery, where pain is greatest in the early postoperative period, the peak of pain after tonsillectomy is often at a significant delay.

  • Characteristically the peak of pain will occur between day 5 and day 10 after surgery. Referred ear pain is quite common at the peak of symptoms.

  • It is usual for the tonsillectomy wound to become swollen, with a yellow sloughy appearance.

PAIN RELIEF

  • Even with optimal pain relief, it can still be a struggle. We recommend the following regime

    • REGULAR PARACETAMOL- 1g 4X day

    • REGULAR NON STEROIDAL ANTIINFLAMMATORY eg Nurofen 200mg 3X day

    • ENDONE 5mg up to 6X day, as required by symptoms

  • In the event of sensitivities or allergies to medications, there are other alternatives available.

  • Opiate medication such as Endone can contribute to constipation. It may be worth discussing a laxative with your pharmacist if there is difficulty opening your bowels.

  • If pain relief is not sufficient, please contact us at any time for further advice, as there is almost always something further that can be done.

  • If pain is unmanageable, to the point where oral intake is impossible, admission to hospital will be necessary.

ANTIBIOTICS

  • A script for antibiotics is usually given.

BLEEDING

  • In the event that bleeding occurs from the mouth or throat that does not immediately stop, present to your nearest emergency department.

  • There is a chance that further surgery may be required to stop the bleeding.

POSTOPERATIVE VISIT:

  • This will usually be 2-3 weeks after the operation

POSTOPERATIVE INSTRUCTIONS FOR ADENOTONSILLECTOMY IN CHILDREN

 

HOSPITAL STAY AND RECOVERY

  • Adenotonsillectomy requires an overnight stay.

  • Recovery requires 2 weeks away from school, kindergarten or daycare.

  • Travel, or heavy physical exercise should be avoided for 3 weeks after the operation.

  • This is usually a painful procedure, with pain lasting up to 2 weeks. Often the peak of pain is delayed, occurring at a 5-10 days.

  • It is usual for the tonsillectomy wound to to become white/ yellow and sloughy, and there may be associated bad breath.

PAIN RELIEF

  • Regular paracetamol, requiring up to the maximal daily dose calculated by your child’s weight.

  • Regular Nurofen, requiring up to the maximal daily dose calculated by your child’s weight.

    • Nurofen had traditionally been avoided because of theoretical risks of bleeding.

    • The recent concensus of paediatricians and ENT surgeons is that Nurofen is an appropriate first line pain medication in children after tonsillectomy

  • Oxycodone syrup is given frequently during the postoperative hospital stay.

    • Oxycodone is not usually necessary for ongoing pain mananagement following discharge from hospital.

    • It remains a useful safety net if your child has more pain than average.

 

  • If pain control is not adequate with the supplied medications, please call our office for further advice as there is often more that can be done as an outpatient.

  • In  the event that severe pain is an issue after hours, or if oral intake cannot be maintained,please present with your child to the nearest emergency department.

  • There is a chance that admission, and intravenous rehydration may be necessary.

ANTIBIOTICS

  • A script for antibiotics is usually given

BLEEDING

  • Please present to the nearest emergency department if there is any sustained bleeding from your child’s mouth, nose or throat.

POSTOPERATIVE REVIEW

  • The postoperative visit will be 2-3 weeks after surgery.

  • Please contact our office if you have concerns prior to this.