Can My Child Get Ear Tubes During a Hand, Foot, and Mouth Virus Infection? - Otolaryngology

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Is it possible to intubate during an enterovirus infection?


Hello, my son was originally scheduled to have a tracheostomy this Thursday, but unfortunately, he contracted enterovirus last Saturday.
If he does not have a fever, can we proceed with the tracheostomy as planned?

Zhang Da Mao, 30~39 year old female. Ask Date: 2014/02/24

Dr. Zheng Jueyi reply Otolaryngology


Hello, if a child needs to undergo intubation due to the requirement for general anesthesia, there are concerns about increased anesthesia risks if they have a cold, fever, or severe cough.
It is advisable to discuss postponing the procedure with the surgeon.
However, if there is no fever and the symptoms have improved, the surgery should still be able to proceed.
It is recommended to call the surgeon to inform them of the current situation, after which the surgeon can decide whether to proceed with the surgery as scheduled or to postpone it.
Wishing you safety and good health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2014/02/24

More Info


When considering whether your child can undergo ear tube placement during a Hand, Foot, and Mouth Disease (HFMD) infection, there are several factors to take into account. HFMD is a viral infection that primarily affects children and is characterized by sores in the mouth and a rash on the hands and feet. While the infection itself is generally mild and self-limiting, it can still pose risks when it comes to surgical procedures.

Firstly, if your child is currently infected with HFMD but does not have a fever, it may be possible to proceed with the ear tube placement. However, the decision should ultimately be made by your child's healthcare provider, who will assess the overall health of your child, the severity of the HFMD symptoms, and any potential risks associated with anesthesia and surgery during an active viral infection.

One of the primary concerns with performing surgery during an active infection is the risk of complications. Even if your child does not have a fever, the presence of the virus in the body can affect their immune response. This could potentially lead to an increased risk of postoperative infections or complications. Additionally, if your child has mouth sores, there may be concerns about their ability to tolerate anesthesia or the risk of aspiration during the procedure.

It is also important to consider the recovery process. After ear tube placement, children often experience some discomfort and may need to take medications, such as pain relievers or antibiotics. If your child is still recovering from HFMD, their ability to manage postoperative care may be compromised.

In general, healthcare providers prefer to schedule elective surgeries, such as ear tube placement, when a child is in optimal health. If your child has any lingering symptoms from HFMD, such as mouth sores or general malaise, it may be advisable to postpone the procedure until they have fully recovered. This will help ensure a smoother surgical experience and recovery.

To summarize, while it may be possible to proceed with ear tube placement if your child is not experiencing fever during an HFMD infection, it is crucial to consult with your child's healthcare provider. They will evaluate your child's specific situation and provide guidance on whether to proceed with the surgery as scheduled or to postpone it for a later date when your child is fully recovered. Always prioritize your child's health and well-being when making decisions regarding medical procedures.

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