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Tonsils and adenoids are strategically located near the entrance to the breathing passages where they can catch incoming infections. This function is performed in the first few years of life, but it is less important as the child gets older. There is a popular myth that tonsils and adenoids filter bacteria out of what we swallow and breathe, somewhat like a kitchen strainer.
Your physician will take a history about the patient’s ear, nose, and throat problems and perform an examination of the head and neck.
Examination of the nose and throat may be aided by the use of small mirrors or a flexible lighted instrument. You should see your doctor when you or your child suffer the common symptoms of infected and enlarged tonsils and adenoids: Recurrent sore throats, fever, chills, bad breath, nasal congestion or post-nasal drainage or obstruction, recurrent ear infections, mouth breathing, snoring, and sleep disturbances. Chronic infection in the tonsils and adenoids can also affect nearby structures such as the eustachian tube – the passage between the back of the nose and the inside of the ear.
In some patients, especially those with infectious mononucleosis, severe enlargement may progress to a point of obstructing the airway.
Parents should discuss openly and frankly the child’s feelings about the surgery and provide strong reassurance and support throughout the process. Your physician will provide the details of the pre-operative and post-operative care and answer any other questions you may have. There are several post-operative symptoms that may arise, These include, but are not limited to, swallowing problems. ANY QUESTIONS YOU MAY HAVE SHOULD BE DISCUSSED OPENLY AND FREELY WITH YOUR SURGEON, WHO IS THERE TO ASSIST YOU.
ENT of Georgia’s Board Certified Otolaryngologists are dedicated to providing individualized ear, nose, and throat care for patients in and around the Greater Metro Atlanta area.
Also, Emory Healthcare does not endorse or recommend any specific commercial product or service. In fact, there is no evidence that tonsils or adenoids are important after the age of three. The physical examination will also determine whether the lymph nodes in the neck are enlarged. Whether or not a culture is taken will depend on your physician’s judgment and on the appearance of the throat. The most common problems affecting the tonsils and adenoids in children are recurrent infections (causing sore throats) and significant enlargement (causing trouble with breathing and swallowing).
Encourage the child to think of this as something the doctor will do to make him healthier. This restriction also applies to chewing gum, mouth washes, throat lozenges, toothpaste, and water. Learn MoreI understand that Ear, Nose & Throat of Georgia cannot guarantee privacy for e-mail communications over the internet, other than website submissions from Secure Patient Portal. Robert Hoddeson received his medical degree with Alpha Omega Alpha honors from University of Texas Medical School and his DDS from NYU College of Dentistry. Hoddeson is a fellow of the American Academy of Otolaryngology-Head and Neck Surgery and a member of several medical societies including the American Medical Association and American Academy of Otolaryngic Allergies.


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Although T&A is not recommended as often as before the days of antibiotics, it is still a valuable operation that improves the health of many children and adults. The adenoids are located high in the throat behind the nose and soft palate (roof of the mouth) and, unlike tonsils, are not visible through the mouth without special instruments. One recent large study showed, by laboratory tests and follow-up examinations, that children who must have their tonsils and adenoids removed suffer no loss whatsoever in their future immunity to disease. Any filter that could strain out microscopic bacteria would not allow the passage of any food particles and would make eating impossible. Obstruction to breathing causes snoring and disturbed sleep patterns that lead to daytime sleepiness in adults and behavioral problems in children. The surgeon should be informed of any problems the patient or the patient’s family may have had with anesthesia. If the restriction is broken the operation may be cancelled because anything in the stomach may be vomited at the beginning of the anesthesia, and this is dangerous. In the holding area, the anesthesiologist or nursing staff may meet with the patient and family to review the history.
I just had my miniface lift and tiplasty done with him about 3 weeks ago, and cannot express how happy I am with the result. His receptionist always recognizes me with a big smile, and remembers my name, always gets me in to see him right away, his nurses are so friendly and caring, and you can tell they are all happy to be there working with Dr.
He completed both his internship in General Surgery and his residency in Otolaryngology-Head and Neck Surgery at the University of Texas Medical Branch where he received several awards including Surgery Intern of the Year.
Please click on the images below to learn more about each of our caring and highly qualified physicians. We value each of our clients' time; therefore, we ask that you arrive on time for your appointments so we can give each client the attention and time they deserve. So do abscesses around the tonsils, chronic tonsillitis, and infections of small pockets (crypts) within the tonsils that produce bad smelling, cheesy-like formations.
Some orthodontists believe chronic mouth breathing from large tonsils and adenoids causes malformations of the face and improper alignment of the teeth. Children should be aware they will have a sore throat after surgery, but it will only last a few days. If the patient has sickle cell disease, bleeding disorders, is pregnant, has specific views on the transfusion of blood, or if steroids have been used by the patient in the past year, the surgeon should be informed. He led my little girl into surgery by pulling her in a wagon as she held her teddy bear making it fun for her. Hoddeson is board certified in Otolaryngology and has special interest in the diagnosing and treatment of allergies. Hoddeson has served for many years as a Eucharistic Minister at his church and has participated in many charity projects through his church. They should also be reassured the operation does not remove important parts of their body, and they will not look differently afterward. Even though his credentials are out of this world, he doesn't have a big head and treat you as if he is better than you.


If there is a friend who has had this surgery, it may be helpful for the child to talk to the friend about it.
Weiss himself is so very friendly and down-to-earth, and treats you like a friend, he is also awesome with children. He comforts the kids he sees and speaks to the parents with genuine concern and understanding.
Hoddeson has been a participating physician of the Physician Care Clinic since 2002 which affords him the opportunity to service the medical needs of the indigent community.
Observation should be continued until the patient is adequately recovered from surgery and safe to be discharged. He brought his practice to Georgia in 1988 and is a founding partner of ENT of Georgia when it was established in 1995.
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