Tonsillectomy is a surgical procedure in which the tonsils are removed to treat recurrent tonsillitis and to treat other health problems such as difficulty breathing during sleep. This procedure is associated with the treatment of enlarged tonsils and rare tonsil diseases.
Why are tonsils removed?
Tonsils are removed to treat:
- Recurrent, chronic or severe tonsillitis.
- Complications of enlarged tonsils.
- Tonsil bleeding.
- Other rare tonsil diseases.
The tonsils are the first line of defense for the immune system against bacteria and viruses that enter the mouth, but this function exposes the tonsils to infection and inflammation, and the function of the immune system in the tonsils decreases after puberty, a factor that may be one of the rare causes. Tonsillitis cases in adults.
This procedure is recommended if:
- Antibiotic treatment did not improve the bacterial infection causing tonsillitis.
- Despite medical treatment, a tonsil abscess has not improved.
Complications of enlarged tonsils
Tonsils can become swollen after repeated or persistent infections, so a tonsillectomy can be used to treat problems caused by:
- breathing difficulties.
- Disturbed breathing during sleep (obstructive sleep apnea).
Diseases or other conditions affecting the tonsils
Tonsillectomy may be used to treat rare diseases or conditions, such as:
- Cancerous (malignant) tissue or suspected malignancy in one or both tonsils.
- Blood vessels often bleed near the surface of the tonsils.
- Severe bad breath associated with cracked tonsils.
Risks of a tonsillectomy
Like other surgeries, tonsillectomy carries some risks:
Reactions to anesthesia:
Anesthesia can cause minor short-term complications, such as headache, nausea, vomiting and muscle pain, and rarely serious long-term problems.
A swollen tongue and thin roof can cause breathing problems, especially in the first few hours after surgery.
Bleeding during surgery:
In rare cases, severe bleeding may occur during surgery, requiring additional treatment and a longer hospital stay.
Bleeding during recovery:
Bleeding may occur during the healing process, especially if the crust falls off early.
Rarely, surgery can result in an infection that requires further treatment.
Steps to prepare for a tonsillectomy
Patients will receive instructions on how to prepare for surgery or how to prepare their child. The information that will be requested includes the following:
- Take all your medications regularly, including over-the-counter medications and nutritional supplements.
- Personal or family history of adverse reactions to anesthesia.
- Personal or family history of bleeding disorders.
- Known allergy or adverse reaction to medicines such as antibiotics.
Preparation instructions include:
- He may be asked to stop taking certain medications or change the dose of medications a few days before surgery.
- Stop eating after midnight before surgery
- Arrange to go home.
What to expect:
Tonsillectomy is performed on an outpatient basis, and the patient can go home on the same day of the procedure
during the procedure
The procedure begins by placing the patient under general anesthesia, meaning the patient will not be conscious and not feel any pain during the operation. The surgeon then cuts the tonsils using a scalpel or specialized surgical tools using high-energy heat or sound waves to remove or destroy the tissue and stop the bleeding.
After the procedure
Common problems after a tonsillectomy include:
- A moderate to severe sore throat lasts one to two weeks.
- Pain in the ears, neck or jaw.
- Nausea and vomiting for a few days.
- Mild fever for several days.
- Bad breath for up to two weeks.
- Swollen tongue or throat.
- Feeling of something stuck in the throat.
- Anxiety or sleep disturbances in children.
Steps to control pain and promote a good recovery include the following
Medicines Take pain relievers as directed by your surgeon or hospital staff.
Fluids It is important to get plenty of fluids after surgery to avoid dehydration.
Food Eat soft foods that are easy to swallow, such as applesauce or broth, add foods such as ice cream and candy, and avoid acidic, spicy, hard or crunchy foods that can cause pain or bleeding.
In addition to:
- bed rest
- Avoid strenuous activities, such as running and cycling, for two weeks after surgery.
You should contact the doctor if:
Small black specks of blood in the nose or saliva, but any bright red blood will require a trip to the emergency room.
Fever : 38.9°C or higher.
Dehydration: Signs of dehydration include insufficient urination, thirst, weakness, headache, dizziness, or lightheadedness.
Snoring or noisy breathing is common during the first week of recovery, but call your doctor if you have trouble breathing.