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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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A Child Complications Versus Adult Complication With A Tonsillectomy ?

I am a online student. My teacher has given me a report to answer. I have looked all over the internet unsuccessfully. Please help me with the following question? Explain why a tonsillectomy in a child is less likely to involve complications than the same procedure for an adult? Susie-que
Sun, 2 Oct 2011
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  User's Response
's  Response
1. Long standing chronic tonsillitis in adults leads to severe fibrosis and adhesions within the capsule of the tonsil.
2. Dissection of the tonsil involves more tissue damage, hence more bleeding, pain and post operative scarring.
3. Blood vessels supplying the tonsils are also bigger in caliber in older patients. 4. Possibly, children tend to forget and ignore the pain through distractions more easily.
5. Adult patients may have significant post nasal drip and acid reflux, which may delay post operative healing.
6. Adult patients are also more likely to have co-morbid conditions which increase the risk of anesthetic complications.
  User's Response
Zelda Fountain's  Response
Susie-que
I too am an online student, and I am looking for the same assignment. If I find anything that can help us I will be more than happy to drop you a line letting you know where I found my information if you what me to. bigmomma
Anesthesiologist Dr. Dhananjaya's  Response
Hello,The duration of inflammation is more in children in comparision with adults..So the fibrosis & adhesions are more in adults.
I find this answer helpful
  Anonymous's Response
Anonymous's  Response
What does this mean exactly (co-morbid conditions)?
  Anonymous's Response
Anonymous's  Response
Already have the answer to my question.
  User's Response
Kimberly Holmes's  Response
What does co-morbit condition mean?
  User's Response
Dr. Sumit Bhatti's  Response
Co-morbid conditions are additional or pre-existing diseases such as diabetes, asthma, hypertension, heart, lung, liver or renal disease, cancer, AIDS, and so on which may complicate treatment or recovery from the primary disorder (in this case, chronic tonsillitis). These conditions are more likely in adults as compared to children.

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A Child Complications Versus Adult Complication With A Tonsillectomy ?

1. Long standing chronic tonsillitis in adults leads to severe fibrosis and adhesions within the capsule of the tonsil. 2. Dissection of the tonsil involves more tissue damage, hence more bleeding, pain and post operative scarring. 3. Blood vessels supplying the tonsils are also bigger in caliber in older patients. 4. Possibly, children tend to forget and ignore the pain through distractions more easily. 5. Adult patients may have significant post nasal drip and acid reflux, which may delay post operative healing. 6. Adult patients are also more likely to have co-morbid conditions which increase the risk of anesthetic complications.