Adenoid Surgery With Tube Insertion एडिनॉइड सर्जरी और ट्यूब डालने की प्रक्रिया - Dr. Rajesh Bhardwaj скачать в хорошем качестве

Adenoid Surgery With Tube Insertion एडिनॉइड सर्जरी और ट्यूब डालने की प्रक्रिया - Dr. Rajesh Bhardwaj

ADENOIDECTOMY Adenoidectomy is a surgery performed to remove enlarged Adenoid tissue (a mass of lymphoid aggregate behind the nose in the Nasopharynx). Indications for Adenoid removal (Adenoidectomy) 1. Enlarged adenoids causing nasal obstruction and leading to sleep-disturbed breathing in children 2. Enlarged adenoids cause recurrent middle ear infections, ear pain, and impaired hearing in children. 3. As part of a combined procedure which includes Myringotomy with Grommet insertion (also called Tube insertion) How is the Procedure Performed? Adenoidectomy is performed through the mouth without any external cuts or marks. The ENT surgeon uses a mouth gag and tongue depressor to open the mouth. Soft tubes are placed through the nostrils to retract the soft palate, providing access to the nasopharynx where the adenoids are located. The adenoid tissue is then carefully removed, either under direct vision or with the help of endoscopes, ensuring no tissue remains. The entire procedure takes about half to one hour depending upon the method used. After the surgery, the child is nursed in a special position and kept in the Recovery Room till completely recovered from the effects of anaesthesia. Methods of Performing Adenoidectomy 1. Regular Cold Steel Adenoid removal – using Adenoid curettes and cages. 2. Coblation assisted – using a Coblation wand which goes under the adenoid tissue and removes it using heat supplied via a dedicated console. 3. Microdebrider assisted – using special Microdebrider probes and using suction and cutting. Complications of Adenoidectomy Complications of any surgery performed under General Anaesthesia are always considered under two heads I Complications of Anaesthesia – though safe there may be some complications related to the use of Anaesthetic agents and General Anaesthesia – these are best discussed with the Anaesthetist before the surgery. They may include drug-related side effects, sedation, requirement for prolonged intubation or more. II Complications of the surgery 1. Bleeding – though there is minimal bleeding during an Adenoidectomy sometimes there may be excessive intraoperative or postoperative period. There may be bleeding 7-10 days after the procedure – this is known as secondary haemorrhage and is usually controlled with antibiotics. 2. Infection – may happen in the post-operative period though a routine prophylactic is prescribed for about 48 hours post-surgery. 3. Nasal Regurgitation- if excessive tissue is removed – this usually recovers spontaneously over some time. 4. Change of Voice – because bulky tissue is removed the voice may change (usually becomes clearer) after the surgery. If the patient is a child artist or singer you must discuss this with the surgeon and speech therapist because the voice after the surgery may be different. Post Operative Care Regular nursing Proper nutrition – usually there is minimal dietary restriction after an Adenoidectomy – chilly/ spicy/ hard food is usually better avoided for about a week. Sour things may be avoided for a few days. Medication as advised and gargles as prescribed Grommet Insertion Enlarged adenoids or chronic colds can lead to ear blockages, known as Secretory Otitis Media (SOM), causing pain, blockage, and hearing loss. To treat persistent SOM, an ENT specialist may recommend Myringotomy with Grommet insertion. During this procedure, often combined with adenoidectomy, a small hole is made in the eardrum to remove fluid and insert a tiny tube (Grommet) to ventilate and drain the middle ear. Grommets usually fall out on their own within a few months without causing discomfort. About The Doctor! Our centre is run by Dr. (Major) Rajesh Bhardwaj, who brings over 15 years of Army service into his civilian practice, ensuring that every patient is treated with discipline, care, and precision. He has an MBBS from AFMC in addition to an MS, DNB, DLO, and DHA, making him one of the most qualified and experienced ENT specialists in the region. Follow us on social media : 🌐 Website: https://entdelhi.com/ 📘 Facebook:   / medfirstentcentre   📸 Instagram:   / drbhardwajent   🐦 Twitter: https://x.com/entdelhi 📝 Blog: https://medfirstentcentre.blogspot.com/ ⚕️ Contact Form: https://bit.ly/fill_medical_form Contact Us: 📍 Location: MedFirst ENT Centre, South Delhi 📞 Phone: +91 98711 50032, +91 92055 85295 https://entdelhi.com/book-an-appointm... 📧 Email: [email protected] 🌐 Website: entdelhi.com 🕒 Timings: Monday - Saturday 🕒 9:30 AM - 12:30 PM 🕓 4:00 PM - 6:30 PM Disclaimer: Dr. Bhardwaj’s decades of experience ensure that the information provided is medically accurate, comprehensive, and easy to understand. However, this content is intended for educational purposes and should not be considered a substitute for professional medical advice. Always consult a qualified healthcare provider for any medical concerns.