Overview
Adenotonsillectomy is a widely used and evidence-based procedure in otolaryngology head and neck surgery. It is an effective treatment for sleep-disordered breathing, recurrent infections and airway obstruction in children.
A single dose of postoperative steroids is often used to reduce swelling and improve comfort. Follow Dr Kelly’s instructions regarding regular pain relief, diet, rest and monitoring for signs of bleeding, and contact your doctor if you have concerns about your child’s healing, especially bleeding, persistent pain or fever.
Who It Helps
Benefits of adenotonsillectomy
- Improved sleep quality
- Reduction of obstructive sleep apnoea and mouth breathing
- Relief from recurrent tonsillitis and throat infections
What Happens
Common Temporary Side Effects
Many children experience temporary side effects as the body heals:
Sore throat and ear discomfort
Bad breath
Neck pain or swelling
Slight changes to the child’s voice
Mild weight loss due to reduced appetite
Slightly enlarged neck lymph nodes related to cervical adenitis
These symptoms are usually self-resolving and improve within a few days with proper pain management, rest and supportive care.
Less Common Side Effects
Bleeding: go to the nearest hospital.
Weakness of the palate: liquids may come out of the nose when swallowed.
Recovery Information
Pain Management
Mild to moderate pain in the throat, ears or neck is common in the first several days after surgery. Your child will need regular pain medication, particularly in the first few days.
Diet And Hydration
A soft diet is recommended during recovery to minimise throat irritation and protect the surgical site as it heals. Offer foods such as yoghurt, mashed potatoes, soups or smoothies. Avoid spicy, acidic and very hot foods or drinks for the first several days. Encourage your child to drink plenty of fluids.
Activity Restrictions
Children should rest and avoid strenuous activity, heavy lifting or rough play until cleared by the surgeon. It is best not to return to school or childcare before the surgeon’s recommendation.
Monitoring For Complications
Watch for signs of bleeding, infection or persistent vomiting. Minor bleeding or irritation is common, but significant or ongoing bleeding requires immediate medical attention. Visit your nearest emergency department should you have any serious concerns.
Oral Hygiene
Encourage gentle oral care to prevent infection and reduce bad breath. Avoid vigorous brushing in the throat area during early recovery.
Return To Normal Activities
It takes 10 to 14 days for most children to fully recover, and your child will need to be home from school or daycare during this time with a responsible adult supervising. Avoid active sports, exercise and heavy lifting for 2 weeks. If only an adenoidectomy is performed, recovery is generally 5 to 7 days.
Post-Operative Care Instructions
Detailed aftercare guidance for your surgery, to keep and refer back to.
Frequently Asked Questions
How long will my child need off school or daycare?
Most children take 10 to 14 days to fully recover and will need to stay home with a responsible adult during this time.
What should my child eat after surgery?
Offer soft foods such as yoghurt, mashed potatoes, soups or smoothies, plenty of fluids, and avoid spicy, acidic or very hot foods for the first several days.
Is bad breath normal after adenotonsillectomy?
Yes. Bad breath is a common temporary side effect and improves as healing progresses.
What if my child has bleeding after surgery?
Minor irritation can be common, but significant or ongoing bleeding needs immediate medical attention. Go to the nearest hospital emergency department.