Postoperative Tonsillectomy
WHAT IS THE RECOVERY LIKE AFTER TONSILLECTOMY?
- There can be significant pain requiring regular pain killers up to the 2 week mark.
- Pain is usually more severe in the adult age-group, than in kids.
- The pain often gets worse between day 5 to day 10, before starting to settle.
KIDS’ PAIN CONTROL AFTER TONSILLECTOMY
- Regular Paracetamol (following dosage for weight from bottle)
- Regular Nurofen (following dosage for weight from bottle)
- Occasionally stronger pain relief such as Oxycodone may be required.
Pain medication may be required regularly for up to 2 weeks
ADULTS’ PAIN CONTROL AFTER TONSILLECTOMY
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Panadol 1g 4 X day regularly
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Nurofen 200mg 3X day
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Endone 5-10 mg as required, 4th hourly
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It is likely to be a significant struggle for up to 2 weeks postoperatively
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With all these medicines, constipation is quite common.
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It is often worth speaking to the pharmacist about a gentle laxative to help with this problem (Sorbilax, Duphalac)
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If pain control is not working, please call for advice as there is almost always something that can be done to help as an outpatient
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In the most severe cases, readmission to hospital for further pain relief may be required
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HOW LONG IS NEEDED OFF WORK, SCHOOL, KINDERGARTEN OR DAYCARE AFTER TONSILLECTOMY?
- 2 weeks off is routinely required
- 3 weeks is required before return to full physical activity
- Gentle exercise can recommence at 2 weeks, and gradually increase towards normal
HOW LONG IS IT BEFORE IT IS OK TO FLY AFTER TONSILLECTOMY?
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Flying, or travel to remote areas should be avoided for 4 weeks after surgery.
CAN THE TONSILS GROW BACK AFTER SURGERY?
- With modern tonsillectomy techniques (such as Coblation/ dissection used by Dr Smith) regrowth of the tonsil is almost never seen.
- Regrowth used to be relatively common with old-fashioned tonsillectomy techniques, where only part of the tonsil was removed.
- Occasionally, a tiny amount of residual tonsil, or some lymph tissue on the back of the tongue can cause infections requiring further treatment.
WHAT ARE THE RESULTS AFTER TONSILLECTOMY?
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Tonsillectomy is curative in almost all cases for recurrent tonsillitis.
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Very rarely a small amount of residual tonsil can grow back and cause problems down the track.
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Tonsillectomy is one of the most successful modern operations.
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Despite the difficult recovery, patients are almost always delighted with the long term results.