Hypernasal After T&A?

If you're scared, and it's less than a few weeks from the surgery and since he had a complication, I think you need to contact his pediatrician or the surgeon. You're going to wait for responses on the internet rather than talk to someone familiar with his case, which isn't going to help you. I'm not sure what you mean by "air coming out of his nose" - isn't it supposed to? If the swelling is going down, maybe he's feeling things he hasn't felt before? Can you explain more what you mean by that?

Your pediatrician has a 24 hour call line. I'd use it if this were my child.

You will need to wait until he heals completely from the surgery, first of all. THEN you tell the ENT that you need a nasal endoscopy done to see if his structure is compromised. You need to know for a FACT that he doesn't have an occult submucous cleft palate. My son has this and hypernasal speech. With a submucous cleft palate, it is not a good idea to take out the adenoids, especially with a short soft palate, because the adenoids are effectively a "roof" to the palate. When the soft palate is short, it has to work hard to move up to make nasal sounds, and if the roof is gone, it can't reach all the way up. So, you get hypernasality.

I have a feeling there was no nasal endoscopy done before the surgery, which could have told the doctor what your son's structure was like.

If your son's ENT balks at doing this, get another ENT to do it.

I do hope that what I am talking about is not the case with your son. (It is with mine, and I refused to have an adenoidectomy done because I had already researched it.) My son's ENT refused to do ANY diagnostic testing at all and just insisted that I let him do the adenoidectomy, so I found someone else to do testing. THAT'S when I found out my son has an occult submucous cleft palate. My son also had Velopharyngeal Insufficiency - VPI - which is pretty uncommon, secondary to his cleft palate, and most speech pathologists go their entire careers without seeing it.

I do hope for your son that his speech issues are temporary. But if they have not resolved themselves by the time your son is completely healed, do what I suggest. And make sure that if his speech doesn't go back to normal that you get a very experienced speech and language pathologist who has experience with hypernasality. Any speech pathologist who has dealt with VPI will understand the pathology of hypernasality, which is why I mentioned this part of my son's issue, as a frame of reference about the hypernasality.

I know this is all very confusing, but I also hope it will help you. You can show this to the ENT and to the speech pathologist.

I had my tonsils out a few years ago and although I know it's a lot different for adults and kids, I will say that I felt like I wasn't talking normal for like 2-3 weeks. Since he's had to have a follow up surgery maybe he is just taking longer to recover. Getting your tonsils out really sucks! I would probably call the doctor if it's bothering either of you and just ask the question. I'm sure the nurse can answer it.

Talk to your doctor.
Since he's had some follow up surgeries, his healing has been delayed - so give it some more time.

I wouldn't start to worry for a few months, any swelling or just difficulty with movement due to soreness can make you hypo or hypernasal.

Well there are some letters he can't pronouce like the B he sounds very nasally. I have read some sites that say it common in the first few weeks after surgery but I would like to hear if anyone has had first hand experience with their kids.

Updated

Sorry forgot to mention I have left a message with the ENT.