Tonsillectomy and Adenoidectomy
chewy treats such as 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 middle ear cavity and the nasal part of the pharynx, through which air reaches the middle ear.
What is the Eustachian tube?
The cochlea is in what part of the ear?
What is the inner ear?
A benign growth found in the middle ear that can affect hearing, cause recurrent ear infections and erode bone is called this:
What is cholesteatoma?
This nerve can be damaged in endoscopic sinus surgery and is found in the sphenoid cavity.
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 other than medicine?
3 to 4 ear infections within 6 months; a persistent ear infection that doesn't clear with 3 different antibiotics; persistent fluid in the middle ear (serous otitis media) for 3 months, or persistent fluid in the middle ear for 6-8 weeks with a documented hearing loss.
What is an indication/need for BMT's?
This is an alternate way to stimulate the auditory nerve, sending sound to the brain in individuals who have profound sensorineural hearing loss (most commonly due to damaged hair cells in the cochlea).
What is a cochlear implant?
A post auricular (behind the ear) incision or transcanal (through the ear canal) describe this.
What are the two different surgical approaches used to expose the anatomy for tympanoplasty surgery?
Nasal polyps, chronic recurrent 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?
This piece of equipment, which has several parts, will be attached, activated and programmed after the surgical incision is healed (1-4 weeks).
What are the external components (microphone, processor, transmitter, and batteries)
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 thicker than normal mucus and nasal polyps, often requiring 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 are indicators that your patient has severe obstructive sleep apnea?
This part of the ear transmits vibrations from the tympanic membrane to the cochlea, conducting sound to the inner ear.
What are the ossicles (malleus, incus and stapes)?
Post-operatively, a patient that has cochlear implant surgery should have the head of the bed set at this level
What is 30 degrees?
Your patient's hearing will be diminished after tympanoplasty surgery for these reasons.
What is swelling, ear packing and the turban (head)dressing?
This can be changed as often as needed postoperatively and is under the nose.
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?
You do this by having the child lie down, gently pulling the ear (auricle), then depressing the tragus several times ("pumping the bump")
What is the proper way to instill ear drops?
This is the only type of cochlear implant patient that requires an EKG before surgery
What is a patient with profound bilateral sensorineural hearing loss? (NOT unilateral hearing loss)
This is a rare complication after middle ear surgery that involves drilling the mastoid bone.
What is facial nerve weakness on the same side (facial droop seen as asymmetric smile, inability to flare the nostril on that side)?
Sneeze with your mouth open, avoid blowing your nose, and avoid bending, straining, or heavy lifting.
What are post FESS surgery instructions?