WHAT IS TONSILLITIS?

The tonsils are the first line of defence against bacteria & viruses that enter your mouth. The tonsils may be particularly susceptible to infection and inflammation However, The immune system of the tonsil begins to deteriorate after adolescence, which may be the cause of tonsillitis in adults. A tonsillectomy is recommended to prevent frequent, recurring episodes of tonsillitis. 

WHAT IS TONSILLECTOMY?

Tonsillectomy is the surgical removal of the tonsils which are two oval-shaped pads of tissue at the back of the throat one tonsil on each side. A tonsillectomy may also be necessary to treat breathing and other problems related to enlarged tonsils and to treat rare diseases of the tonsils. Recovery time for a tonsillectomy is usually at least 10 days to two weeks.

SYMPTOMS OF TONSILLECTOMY

RED SWOLLEN TONSILS
SORE THROAT
DIFFICULT & PAINFUL SWALLOWING
COUGHING

WHEN TO CONSULT AN ENT SURGEON?

  • Difficulty in breathing
  • A sore throat with fever
  • Extreme difficulty in swallowing
  • Excessive drooling
  • Extreme weakness & fatigue

DIAGNOSIS & LINE OF TREATMENT 

  • Physical examination is done to check the condition, color, and size of the tonsil. 
  • Swab Test for culture - to know exact condition.
  • Blood test – to check for white blood cells count to confirm the presence of infection

SURGICAL OPTIONS


The Tonsil is retracted medically and excised from superior to inferior.

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The tonsil is retracted medially and blunt dissection using a spatula or sponge is performed. Cold tonsillectomy is associated with less post-operative pain

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Monopolar cautery has become the most common technique for the performance of tonsillectomy. It is performed with minimal intraoperative bleeding. Concurrent haemostasis shortens surgical time.

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Technology uses Radiofrequency Ablation for tissue removal

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NON-SURGICAL OPTIONS


In the initial phase of inflammation, tonsillitis is always treated conservatively. The patient is advised on bed rest & to maintain hydration with oral fluids. The patient is asked to take gargles with warm water and betadine. Suitable antibiotics and analgesics are given for a short period.

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RISKS AND COMPLICATIONS:

  • Swelling
  • Infection
  • Bleeding

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Frequently Asked Questions

There are chances for tonsils to partially grow back after the surgery. During the surgery, most of the tissues are removed. However, some tissues often remain, so tonsils occasionally can regrow. 

When snoring is linked to enlarged tonsils or adenoids, surgery may be recommended to remove them. Removing tonsils and adenoids can be effective in treating snoring. 

The tonsillectomy surgery is a short procedure of an hour so, the patient can go home the same day. 

  • Cancerous tissue (malignancy) in one or both tonsils or suspected malignancy
  • Recurrent bleeding from blood vessels near the surface of the tonsils
  • Severe bad breath (halitosis) related to debris in the crevices of tonsils

Yes, generally tonsillectomy & adenoidectomy is covered under health insurance by most of the insurance providers in India. 

Avoid acidic, spicy, hard or crunchy foods that may cause pain or bleeding. Bed rest is important for several days after surgery, and strenuous activities such as running and bike riding should be avoided for two weeks after surgery.

At first, your voice may sound different. Your voice probably will get back to normal in 2 to 6 weeks. It's common for people to lose weight after this surgery.

Ice is one of the best things to have during a tonsillectomy recovery. Ice keeps the incision site moist during recovery and this is very important for speedy healing. The cold temperature of ice also helps to numb pain and reduce swelling.

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