THE PHARYNX AND NASOPHARYNX
needs much sleep and parents tend to prolong their stay. A brief visit may
comfort the child if he is awake and lonely, but the child should not be
wakened merely to see the parents. Children are resilient and with sympathetic
nursing care they largely accept the position on the day of operation provided
that visits are paid on every other day that the child is in hospital. Some
children suffer from fear of the dark or of strange people, while others have
nightmares. With proper premedication and sedation, and with a greater
understanding on the part of ward and theatre staffs these sequelae are
Speech is affected until the slough separates, but if care has been taken to
modify removal of adenoids in children with insufficient soft palates there
should be no long-term deterioration in speech.
RESULTS. The only result that should be claimed for the operation is
freedom from attacks of acute tonsillitis. It will not stop the transient
pharyngitis before upper respiratory tract infections, and during this
pharyngitis there will be congestion of small islands of lymphoid tissue on the
posterior and lateral walls of the pharynx and in the lingual tonsil. Head colds
will not disappear following surgery, although they may decrease hi frequency
and severity. Appetite may improve initially. Attacks of otitis media should
diminish, especially if the adenoids have also been removed, and a conductive
deafness should improve, again especially when adenoids have been removed
at the same time. Snoring and mouth breathing should disappear, but
occasionally a confirmed mouth breather will be helped by breathing exercises.
In the adult relief from acute tonsillitis ensures the success of the operation.