Tonsillectomy and Adenoidectomy
gummy bears, fruit roll ups, gum
What you tell parents that they should start the day after having tonsils and/or adenoids removed to help relax the jaw muscle, decrease jaw stiffness, help with referred ear and neck pain and help with tonsil and adenoid scab formation.
Channel connecting the tympanic cavity and the nasal part of the pharynx through which air reaches the middle ear.
What is the Eustachian tube?
The cochlea is what part of the ear?
What is the inner ear?
Cholesteatoma (epidermal pocket or cyst like sac filled with keratin debris), chronic drainage from the ear canal, conductive hearing loss, defects in the tympanic membrane, and trauma.
What are indicators for needing tympanoplasty surgery?
This nerve can be damaged in endoscopic sinus surgery.
What is the cranial nerve II (optic)?
Cool mist vaporizer, saline nasal spray, ice to neck
What are some comfort measures for child after T/A surgery?
Antibiotics are unresponsive to patient's acute otitis media. A bulging tympanic membrane (eardrum) and multiple episodes of acute otitis media along with chronic otitis media.
What is an indication/need for BMT's?
This will stimulate the auditory nerve and send sound from the ear to the brain in individuals who are deaf (most commonly due to damaged hair cells in the cochlea).
What is the cochlear implant?
Post auricular (behind the ear) and transcanal endoscopic (through the ear).
What are the two approaches used to expose the structures of the middle ear for tympanoplasty surgery?
Nasal polyps, chronic sinusitis, mucocele, tumor masses.
What are indications for functional endoscopic sinus surgery?
The part of the throat that connects with the nasal cavity and provides a passageway for air.
What is the nasopharynx?
While in the OR, the anesthesiologist will most likely administer an IM injection of these two different pain medications while having ear tubes placed. One will work quickly to help with immediate post operative pain and one will help with any pain experienced once the other medication has worn off. It's an amazing cocktail for these patients in controlling their pain.
What is fentanyl and ketorolac?
Johnny's external component will be connected, activated and programmed after the incision is healed (1-4 weeks). This will allow for what to happen.
What is allows the Cochlear implant to convert signals to sounds?
Repair of the tympanic membrane (myringoplasty) or reconstruction of the small bones of the middle ear (ossicles).
What are two types of tympanoplasty surgery?
A disease entity that causes nasal polyps and often requires needing a FESS.
What is cystic fibrosis?
1. Your 10 year old patient Billy, according to his parents, "Snores while sleeping and seems to hold his breath."
2. He has an elevated BMI.
3. His sleep study results alerted the surgeon that Billy needs to have his tonsils and adenoids removed and should stay overnight afterward, and this is not typical for his age.
What is an indicators that your patient has severe obstructive sleep apnea?
This part of the ear transmits vibration to the inner ear, conducting sound to the inner ear.
What is the middle ear (hammer, anvil and the stirrup)?
Post-operatively, a patient that has cochlear implant surgery should have the head of the bed elevated to what degree?
What is 30 degrees?
Your patient's hearing will be diminished after tympanoplasty surgery, why.
What is swelling, ear packing and the turban dressing?
This can be changed as needed postoperatively.
What is the drip pad dressing?
Not all our ENT surgeons agree that this medication is safe after a child has their tonsils removed.
What is ibuprofen?
At the age of 3, Suzi's Eustachian tube should mature from a more horizontal position to a vertical position and therefore allows for her ears to drain better and help with what.
What are otitis media infections?
There are particular studies/immunizations that are required prior to having cochlear implant surgery.
What are an EKG, Prevenar 13, and Pneumovax.
Rebecca is frightened because she can't seem to smile right (equally) after having tympanoplasty surgery, why?
What is facial nerve impairment?
Sneeze with your mouth open and avoid bending, straining, or heavy lifting.
What are post FESS surgery instructions?