On T&A and sucking, in my experience, working with pediatric T&A for over
three years. I had understood the reason for not allowing a straw was more
to do with the risk the straw accidently got bumped knocked or what ever to
literally cause trauma by contact to the surgical site (the tonsil bed).
Nothing to do with sucking or suction pressures.
when toddlers around 12 months or older (up to 2 - 3 years) who were still
drinking from a bottle had a tonsilectomy there was no problem with them
being allowed to drink from the bottle whenever they were ready to resume
drinking. In fact it was considered thereputic. It is less common for
breastfed children to require T&A however we did see a few and the resuming
of breastfeedign was never an issue.
It seems to me the concern about sucking and suckling being a problem for
post operative heamorrhage is being misconstrued. Older person and
chiildren get to chew chewing gum postoperatively, the swallowing is
healing and the sooner and more of it they do the better. The sucking and
suckling and swallowing action of breast feeding I understand is equal to
that and I doubt very much whether any person claiming sucking pressure
could dislodge anything really knows much about the pressures and the
effects of suckling pressure to dislodge or interfere with the tonsil bed
site. Sounds like one of those misconceptions and unfouded fears to me.
(But i stand to be corrected if there is real evidence). As I say in my
expereice caring for many post tonsilectomy children, one or two as young
as 9 months sucking and suckling post surgery was a helpful fact not to be
discouraged. Getting those swallowing muscles going again is much like
getting up out of bed to move around post abdo or other surgery. Unless
things have chnged in the last 5 years.
Ruth
Ruth Cantrill
Griffith University
Nathan QLD Australia




Ruth Cantrill
Griffith University
Nathan QLD

Ph 38755224 Mob 0438987261

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