A practice management consulting and training firm working for and with physicians since 1985. Tonsillectomy and Adenoidectomy. At Childrens Hospital of Pittsburgh of UPMC, we believe parents and guardians can contribute to the success of this surgery, and we invite you to participate. Please read the following information to learn about the surgery and how you can help. Fast Facts About Tonsillectomy and Adenoidectomy. Tonsillectomy ton sil EK toe mee and adenoidectomy ad uh noid EK toe mee or T A is a surgery to remove the small glands on each side of the throat tonsils and at the top of the throat behind the nose adenoids. T A may be done as an outpatient surgery at the Same Day Surgery Center at Childrens Hospital in Lawrenceville, at Childrens North or Childrens South surgery centers. Children who are younger than 3 years those who might not drink enough liquids and become dehydrated after surgery and those at risk for breathing problems after the surgery will stay in the hospital overnight. T A requires general anesthesia to make your child sleep during the surgery. The surgery takes about 3. Your child might be prescribed medications after the surgery. Your child might need a blood test before the surgery to see if he or she has any increased risk for bleeding. What Is a T AA tonsillectomy, commonly referred to as getting your tonsils out, is a surgery to remove the tonsils when a child has tonsillitis or frequent infections that wont go away in spite of using antibiotics. An adenoidectomy is a surgery to remove the adenoids when a child has had breathing problems or ear and sinus problems that wont go away with antibiotics. A tonsillectomy and adenoidectomy T A is done to remove both the tonsils and the adenoids when a child has both breathing and swallowing problems. Because the surgeon can reach the tonsils and adenoids simply by opening the childs mouth, there are no incisions cuts needed on the outside of the skin. Home Preparation. When general anesthesia is needed, there are important rules for eating and drinking that must be followed in the hours before the surgery. One business day before your childs surgery, a surgery nurse will call your home between 1 and 9 p. Surgery nurses do not make these phone calls on weekends or holidays. Please have paper and a pen ready to write down instructions. The nurse will ask you about your childs medical history, current medications and readiness for the T A surgery. If you have any questions, you may ask the nurse at this time. The nurse will tell you what time you should arrive at the hospital or surgery center. Allow extra time for travel and parking. Arriving late could delay your childs surgery or cause it to be postponed. The nurse will give you specific eating and drinking instructions that are based on your childs age. Below are the usual instructions, but you should follow the specific instructions given to you on the phone by the surgery nurse. For children older than 1. After midnight the night before the surgery, do not give any solid food or non clear liquids. That includes milk, formula, juices with pulp, coffee, chewing gum or candy. For infants under 1. Up to 6 hours before your scheduled arrival time, formula fed babies may be given formula. Paper+Patch+Myringoplasty.jpg' alt='Paper Patch Myringotomy' title='Paper Patch Myringotomy' />7333 3 41. Learn about noiseinduced hearing loss and its prevention. Hearing loss can be caused by iPods, loud concerts, a loud work environment. Prevention includes ear plugs. Looking for online definition of myringoplasty in the Medical Dictionary myringoplasty explanation free. What is myringoplasty Meaning of myringoplasty medical term. Search for definitions of medical equipment and devices. Up to 4 hours before your scheduled arrival time, breastfed babies may nurse. For all children Up to 2 hours before your scheduled arrival time, give only clear liquids. Clear liquids include water, Pedialyte, Kool Aid and juices you can see through, such as apple or white grape juice. In the 2 hours before your scheduled arrival time, give nothing to eat or drink. Remember For the safety of your child, it is important to follow these specific times for eating and drinking. If your child does eat or drink after the scheduled times, it will delay the surgery or cause it to be rescheduled for another day. Do not give your child any medication containing aspirin or ibuprofen for 1. Be sure to read any medication labels. Do not give your child any natural supplements or homeopathic therapy for 1. Paper Patch Myringotomy' title='Paper Patch Myringotomy' />If you must give your child any medicines in the 1. Make sure you have non aspirin childrens pain reliever Tylenol or acetaminophen and a thermometer available at home for after the surgery. Buy juices, clear soups, Popsicles, Gatorade and soft, bland foods like bread, rice, and oatmeal to have at home for after the surgery. A ParentsGuardians Role During the Surgery. The most important role of a parent or guardian is to help your child stay calm and relaxed before the surgery. The best way to help your child stay calm is for you to stay calm. Once your child is registered for the surgery, a nurse or nurse practitioner will meet with you to take your childs vital signs, weight and medical history. Your childs surgeon will meet with you to discuss the surgery and answer any questions you might have. Your child will be asked to change clothes into a hospital gown. The anesthesiologist anesthesia doctor will meet with you and your child to review your childs medical information and decide which kind of sleep medication your child should get. Frontline Solver. As the parent or legal guardian, you will be asked to sign a consent form before the anesthesia is given. If you wish, you may stay with your child until just prior to the sleep medication being given, and then you will be taken to the waiting room. Your child may bring along a comfort item such as a favorite stuffed animal or blankie to hold during the surgery. Going to sleep. If your child is very scared or upset, the doctor might give a special medication to help him or her relax. This medication is flavored and takes effect in about 1. Young children get their sleep medication through a space mask that carries air mixed with medication. Your child may choose a favorite scent to flavor the air flowing through the mask. There are no shots or needles used while your child is still awake. Older children may choose between getting their medication through the mask or directly into a vein through an intravenous IV line. While asleep. While your child is asleep, his or her heart rate, blood pressure, temperature and blood oxygen level will be checked continuously. An intravenous line IV for the sleeping medication will be placed in a vein in your childs hand. A small breathing tube will be inserted in your childs mouth and windpipe. To keep your child asleep during the surgery, he or she might be given anesthetic medication by mask, through the IV, or both. The surgery. The surgeon will open your childs mouth to remove the tonsils and adenoids. Just as may happen after a visit to the dentist, your childs jaw muscles may be tender afterward. The surgery itself will take about 3. Waking up. When the surgery is over, the medications will be stopped and your child will be moved to the recovery room. You will be called to the bedside so that you can be there as your child wakes up. It is OK to hold your child in your arms or on your lap. Your child will need to stay in the recovery room to be watched until he or she is alert and his or her vital signs are stable. The length of time your child will spend in the recovery room may be different from other patients because some children take longer than others to wake up after anesthesia. Children coming out of anesthesia have a variety of reactions. Your child might cry, be fussy or confused, feel sick to his or her stomach, or vomit.