Dr. Mersch received his Bachelor of Arts degree from the University of California, San Diego, and prior to entering the University Of Southern California School Of Medicine, was a graduate student (attaining PhD candidate status) in Experimental Pathology at USC. He attended internship and residency at Children's Hospital Los Angeles.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
What are the risks and complications of tonsillectomy and
adenoidectomy?
The patient's surgery will be performed safely and
with care in
order to obtain the best possible results. The surgery may
involve risks
of unsuccessful results, complications, or injury from both
known and
unforeseen causes. Because individuals differ in their response
to
surgery, their anesthetic reactions, and their healing outcomes,
ultimately there can be no guarantee made as to the results or
potential
complications. Furthermore, surgical outcomes may be dependent
on
preexisting or concurrent medical conditions.
The following complications have been reported in the medical
literature. This list is not meant to be inclusive of every
possible
complication. They are listed here for your information only,
not to
frighten you, but to make you aware and more knowledgeable
concerning this
surgical procedure. Although many of these complications are
rare, all
have occurred at one time or another in the hands of
experienced surgeons
practicing the standard of community care. Anyone who is
contemplating
surgery must weigh the potential risks and complications
against the
potential benefits of the surgery or any alternative to
surgery.
Failure to alleviate every episode of sore throat, or
resolve subsequent or concurrent ear or sinus infections/nasal drainage.
Possible need for additional surgery.
Bleeding. In very rare situations there may be a need for blood
products or a
blood transfusion. The
patient has the
right, should he/she choose, to have autologous or designated donor directed
blood prepared in advance in case an emergency transfusion was necessary.
Patients
are encouraged to consult with a doctor if they are interested in this
option.
Infection, dehydration,
prolonged pain, and/or impaired healing that could lead to the necessity for
hospital admission for fluids and/or pain control.
A permanent change in voice or nasal regurgitation
(rare).
Failure to improve the nasal airway or resolve snoring,
sleep apnea,
or mouth breathing.
Most sore throats are caused by viruses or mechanical causes (such as mouth breathing) and can be treated successfully at home. However, a person should be seen by a health care professional if they have a sore throat that has a rapid onset, and is associated with a fever or tenderness of the front of the neck; a sore throat that causes the person to have difficulty swallowing (not just pain swallowing) or breathing; or if a sore throat lasts for more than a week.
Strep throat is a sore throat caused by a bacterium called streptococcus (strep) that can be treated through antibiotics. Common symptoms of strep throat include pinkeye, runny nose, skin rash, cough, hoarseness, diarrhea and more. Complications of untreated strep throat include middle ear infections, meningitis, pneumonia, rheumatic fever, and more.
Dehydration is the excessive loss of body water. There are a number of causes of dehydration including heat exposure, prolonged vigorous exercise, and some diseases of the gastrointestinal tract. The best way to treat dehydration is to prevent it from occurring.
Lymph nodes help the body's immune system fight infections. Causes of swollen lymph nodes (glands) may include infection (viral, bacterial, fungal, parasites). Symptoms of swollen lymph nodes vary greatly. They can sometimes be tender, painful or disfiguring. The treatment of swollen lymph nodes depends upon the cause.
Nausea is an uneasiness of the stomach that often precedes vomiting. Nausea and vomiting are not diseases, but they are symptoms of many conditions. The causes of vomiting differ according to age, and treatment depends upon the cause of nausea and vomiting.
Although a fever technically is any body temperature above the normal of 98.6 degrees F. (37 degrees C.), in practice a person is usually not considered to have a significant fever until the temperature is above 100.4 degrees F (38 degrees C.). Fever is part of the body's own disease-fighting arsenal: rising body temperatures apparently are capable of killing off many disease- producing organisms.
Sleep apnea is defined as a reduction or cessation of breathing during sleep. The three types of sleep apnea are central apnea, obstructive apnea (OSA), and a mixture of central and obstructive apnea. Central sleep apnea is caused by a failure of the brain to activate the muscles of breathing during sleep. OSA is caused by the collapse of the airway during sleep. OSA is diagnosed and evaluated through patient history, physical examination and polysomnography. There are many complications related to obstructive sleep apnea. Treatments are surgical and non-surgical.
It is thought that the tonsils and adenoids assist the body in fighting incoming bacteria and viruses by helping the body form antibodies. This is thought to be important only during the first year of life. Acute tonsillitis, strep throat, mononucleosis (mono), chronic tonsillitis, peritonsillar abscess, and hypertrophic tonsils and adenoids are all common problems involving the tonsils and adenoids. Treatment of tonsillitis and adenoids include antibiotics and other medications depending on the cause. In some cases, a tonsillectomy or adenoidectomy (the removal of the tonsils or adenoids) may be necessary.
Nausea and vomiting are symptoms that may be caused by many conditions. Antiemetics are drugs that treat nausea and vomiting. Though some antiemetics for motion sickness and mild nausea are available over the counter (OTC), most require a medical evaluation and prescription.
Bad breath can result from poor oral hygien habits and may be a sign of other health problems. Bad breath, also called halitosis, can be made worse by the types of food you eat and other unhealthy lifestyle habits.
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