PATIENT INFORMATION
ADENOIDECTOMY
                                     REVISED   DECEMBER 2004
The purpose of this document is to provide written information regarding the risks,
benefits and alternatives of the procedure named above. This material serves as a
supplement to the discussion you have with your physician. It is important that you fully
understand this information, so please read this document thoroughly. If you have any
questions regarding the procedure, ask your physician prior to signing the consent
form.
The Procedure: Adenoidectomy involves removal of the adenoids, which are two
small lumps of tissue that lie on either side and at the very back of the throat, where it
meets the back of the nose. The tissue that makes up the adenoids is called "lymphoid
tissue," which means that it contains white blood cells of the immune system.
Adenoidectomy is performed to treat airway obstruction with secondary
cardiopulmonary complications. Relative indications include chronic nasal obstruction
with rhinorrhea, obligate mouth breathing, failure to thrive, eustachian tube obstruction
with otitis (secretory or acute) or conductive hearing loss, abnormal speech
(hyponasality), and abnormal dental/facial development.
Benefits
You might receive the following benefits.         1. Improve breathing
The doctors cannot guarantee you will             2. Reduce number of infections.
receive any of these benefits. Only you           3. Minimize recurrent ear disease
can decide if the benefits are worth the
risk.
Risks
Before undergoing one of these                       additional treatment to stop the
procedures,       understanding      the             bleeding or to remove blood clots.
associated risks is essential.       No              Post operative bleeding occurs in
procedure is completely risk free. The               about 2% of cases, most often
following risks are well recognized, but             immediate, although it can occur at
there may also be risks not included in              any time during the first two weeks
this list that are unforeseen by your                after surgery.
doctors.                                          2. You     may     also    need     blood
                                                     transfusions. You will sign a separate
1. Bleeding may occur during or after the            consent authorizing transfusions if
   procedure.    Bleeding can be life-               necessary. Separate information is
   threatening. If the bleeding occurs               available regarding blood transfusion,
   after the procedure, you may need                 products, and alternatives.
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3. You may develop throat infection. Any       6. You may experience temporary or
   infection might require you to stay in          permanent changes in your vocal
   the hospital a long time or require you         tone.
   to get antibiotics through your veins at    7. The healing process may take longer
   home for a long time.                           than expected; there may be scarring
4. Because swallowing is painful after             or the need for further surgery.
   surgery, there may be poor oral intake      8. You may develop an allergic reaction
   of fluids. If this cannot be corrected at       to drugs and/or equipment.
   home, the patient may be admitted to        9. The operation may fail to achieve the
   the hospital for IV fluid replacement.          desired results.
5. The adenoids may grow back,                 10. There may be pain associated after
   necessitating further surgery.                  the procedure and during the helaing
                                                   period.
Alternatives
The alternatives to this procedure
include:                                       If you decide not to have this procedure,
1. Not undergoing the procedure.               there may be associated risks to this
2. Conservative management, such as            decision. Please discuss it with your
   antibiotics.                                doctor.
If you have any questions regarding the procedure, risks, benefits, or alternatives to
this procedure, ask your physician prior to signing any consent forms.
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