The effect of post-operative instructions on recovery after tonsillectomy and adenoidectomy

The effect of postoperative diet and activity instructions on the recovery rate after tonsillectomy and adenoidectomy (T&A) was assessed in 92 children ages 3 to 14 years. Two types of postoperative instruction were randomly assigned ‘Restricted’, which advised limited, stay at home activities and a soft food liquid diet for 7–10 days, and ‘nonrestricted’, which advised return to activity and diet as tolerated by the child. Parental evaluation of the levels of pain, activity, and diet using an equal intervals scale was obtained. The number of doses of pain medication, the types of food eaten and postoperative complications were also recorded. No significant differences were found between the two groups in pain level, activity tolerance, return to normal diet, and numbers of doses of pain medication at day 3 and day 7 after surgery. More ‘junk’ food and spicy foods were eaten in the ‘nonrestricted’ group. Postoperative hemorrhage requiring intervention occurred in one child in each group. Implications for the children and their families undergoing T&A are discussed with attention to a review of the literature.