Hello,
Thank you for your query at DoctorSpring.com
Tonsillectomy is a commonly done procedure, but its one where there is the potential for heavy bleeding because there are a lot of major arteries supplying the neck region. One of them may have been nicked while performing surgery which is what I understand from your case scenario. But I would like to assure you that it is not a lymphoma or any other malignant process.
Hope this helps
Patient replied :
Thank you dr Prasad,
But what could she mean with something being enlarged in between the ear and nose. Google translate gives the word "conduit" but this probably not the right medical term. This is nit malignant?
She also speculated that the mucus or phlegm is due to some virus but all she had was a cough, nothing else. She also thought this could be created by allergy, what is your view on this?
Finally, we still probably need to get the tonsils removed, correct? What is the probability this happening again and is there a special regime to prepare the girl more properly?
With regards
Kaido
Hello,
Thank you for your follow up.
The canal / conduit is known as the eustachian tube which connects the inner ear to the nose. It's highly unlikely that anything is enlarged in between since this is an open canal and it most definitely is not malignant.
Most commonly, the source of an upper respiratory infection is by a viral organism and the cough may take up to 2-3 weeks to clear off. Considering the season, this is the time for viral colds and alsothis can be an allergy. Your doctor was right about both these possibilities.
For what indication are the tonsils being removed? Sleep apnea or repeated episodes of tonsillitis? For either it is important to have the tonsils removed. But if the doctor faced a lot of internal bleeding its highly unliekley she will try again.
I would advise that you trust the plan your pediatrician has for you since she knows your daughter's entire history. Feel free to discuss further
Patient replied :
The reason is the consequence we have been talking about over a year now. A year ago she had a bad virus after which the lymph nodes under the jaw remained swollen at around 2cm being the largest on both sides. Then they also found out about the tonsils being very large and infected, the infection cleared though during the summer. There were also some bacterial tests positive and she is also snoring at night when sleeping on the back, no snoring when sleeping on a side.
If they need to be removed but the doctor is highly unlikely to repeat this, what should be done then?
Hello,
She definitely had infection, and hence that also makes her more prone for bleeding.
If her symptoms persist, then it has to be removed, once the infection has settled down completely.
In that scenario, you can always get a second ENT specialist opinion, and based on his physical examination, a decision can be taken on tonsillectomy.
Regards.
Patient replied :
So as a final question: this does Not Indicate malignacy?
Hello,
Yes I assure you this is not malignancy.
Hope the conversation was fruitful,
Regards.