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Doctors Lounge - Endocrinology Answers
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| splume
- Fri Sep 17, 2004 6:38 pm |
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How much more dangerous is it to perform these procedures on a three year old than it is on an older child? I believe my daughter received the same surgery when she was 4 and now my son is having it, he will be 3 in October. What are the REAL complicatios or are the risks about the same?
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| Dr. Russell M
- Wed Sep 22, 2004 9:17 am |
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 Hi!
I don't know of any more complication from tonsillectomy in a 3-year-old, compared to that in an older child.
A typical textbook complication list of tonsillectomy is provided below:
* Hemorrhage (the most common complication)
* Intraoperative complications.
* Primary (occurs within first 24 hours)
* Secondary (occurs between 24 hours and 10 days)
Other complications include the following:
* Pain (eg, sore throat, otalgia)
* Dehydration (common in children who will not eat because of pain)
* Weight loss (common in children who will not eat because of pain)
* Fever (not common, usually related to local infection)
* Postoperative airway obstruction (because of uvular edema, hematoma, aspirated material)
* Pulmonary edema (occurs in people with true airway obstruction caused by tonsils)
* Local trauma to oral tissues
* Tonsillar remnants
* Voice changes (if tonsils are very large the voice may be muffled)
* Psychological trauma, night terrors, or depression
* Death (uncommon; usually related to bleeding or anesthetic complications)
Hope this helps.
bill
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