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Overview

 


Your doctor has recommended a tonsillectomy and/or adenoidectomy for you, a loved one, or your child. The following information is provided to help individuals prepare for surgery, and to help those involved understand more clearly the associated benefits, risks, and complications. Patients or caregivers are encouraged to ask the doctor any questions they feel necessary to help better understand the above procedure.

The tonsils and adenoids are masses of immune cells commonly found in lymph glands (lymphoid tissue). These tissues are located in the mouth and behind the nasal passages, respectively. Infected or enlarged tonsils may cause chronic or recurrent sore throat, bad breath, dental malocclusion, abscess, upper airway obstruction causing difficulty with swallowing, snoring, or sleep apnea. Infected adenoids may become enlarged, obstruct breathing, cause ear infections or other problems. Tonsillectomy and adenoidectomy are surgical procedures performed to remove the tonsils and adenoids.


Tonsillectomy For Tonsillitis : -


Tonsils play a minor role in fighting infections, but they can cause more harm than good when they get infected themselves. A tonsillectomy may be needed to treat a serious infection, or if you have infections that keep recurring.

Most cases of tonsillitis are caused by viruses, including the virus that causes mononucleosis (Epstein-Barr virus). In other cases, tonsillitis is caused by a bacterial infection. When tonsillitis is due to the specific type of bacteria known as group A streptococcus, the illness is also referred to as strep throat.

Tonsillectomy Surgery Bangalore India, Adenoidectomy, Intracapsular Tonsillectomy



Why The Procedure Is Performed ?

The tonsils help protect against infections. But children with large tonsils may have many sore throats and ear infections.

You and your child’s doctor may consider a tonsillectomy if:

  • Your child has infections often (seven or more times in 1 year, or five or more times over 2 years).
  • Your child misses a lot of school.
  • Your child has trouble breathing.
  • Your child has abscess or growth on their tonsils.

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Risks


The risks for any anesthesia are:

  • Reactions to medications
  • Breathing problems


The risks for any surgery are:

  • Bleeding
  • Infection


Rarely, bleeding after surgery can go unnoticed and cause very bad problems. Swallowing a lot may be a sign of bleeding from the tonsils.
Another risk includes injury to the uvula (soft palate).




Serious tonsil infections can cause a number of problems in children and adults, including : -

  • Trouble eating and swallowing
  • An abscess - pocket of infection - in the back of the throat (peritonsillar abscess)
  • Chronic bad breath
  • Other health problems, including rheumatic fever and glomerulonephritis - a type of kidney disease.


As well as being painful and inconvenient, for many people tonsillitis also means doctor visits and missed school days or workdays. Tonsillectomy generally helps cure infections in both adults and children. But, in most cases, younger people appear to benefit more from tonsillectomy than do adults.


Tonsillectomy for enlarged tonsils : -

  • Sleep apnea
  • Snoring
  • Trouble swallowing


Usually, a tonsillectomy is considered when other treatments aren't effective. Like any surgery, doctors want to try other treatments first - and make sure surgery is needed and likely to help.



When is a tonsillectomy needed in children ?

For tonsillitis, your child's doctor may recommend tonsillectomy if your child has : -

  • A tonsil infection or throat abscess that doesn't get better with other treatment
  • Seven or more serious throat infections in one year
  • Five or more serious throat infections every year over a two-year period
  • Three or more serious throat infections every year over a three-year period


When is a tonsillectomy needed in adults ?

Your doctor may recommend a tonsillectomy if you have : -

  • Tonsillitis that keeps coming back or tonsillitis that doesn't get better with medication
  • Oversized tonsils that cause sleep apnea or other related problems
  • Cancer or suspected cancer of the tonsils
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Risks of Tonsillectomy


Tonsillectomy is a major surgery. Like other surgeries, it has certain risks.

Risks during and immediately following the procedure include : -

  • Reactions to anesthesia : - Medication to make you sleep during surgery (general anesthesia) can sometimes cause mild or serious reactions.
  • Tongue soreness or swelling : - The tool used to keep your mouth open during a tonsillectomy may make your tongue numb or sore right after the procedure. This is temporary.
  • Bleeding during surgery : - In rare cases, severe bleeding occurs during surgery and requires additional treatment and a longer hospital stay.

Risks during recovery include : -


  • Bleeding during healing. After a tonsillectomy, about one in five adults have bleeding that won't stop. Bleeding occurs less often in children, but can still occur. It usually occurs a week or so after surgery, but may happen sooner or up to two weeks later. This type of bleeding is believed to occur when the scab comes off the tonsil area. It can be caused by eating hard-edged food, such as chips, or by strenuous activity. This requires a trip to the emergency room to check the extent of the bleeding.
  • Complications with anesthesia if you need surgery to stop bleeding. Follow-up surgery with anesthesia to stop the bleeding can be dangerous because you probably will have food in your stomach. This could place you at risk of inhaling (aspirating) food or liquids.
  • Infection. Rarely, surgery can lead to an infection that requires further treatment.
  • Delayed recovery. Some people take longer to heal than do others after a tonsillectomy. Although children usually recover in less than two weeks, it can take a month or longer for some adults. It's difficult to predict exactly how long it will take for you or your child to recover.
  • Pain. Both children and adults have throat pain after the procedure. However, adults may have more pain than do children, and in adults, pain generally lasts longer. In some cases, adults have throat pain bad enough to make swallowing difficult for several weeks.


How you prepare for Tonsillectomy ?


  • Make arrangements for your child to stay home from school for at least a few days following surgery.
  • Don't give your child anything to eat or drink after midnight. Check with your doctor regarding other feeding instructions prior to surgery.
  • Don't give your child medications that contain ibuprofen (Advil, Motrin, others) or naproxen (Naprosyn) for two weeks before surgery, and for two weeks after surgery. These and other nonsteroidal anti-inflammatory medications (NSAIDs) can increase your child's risk of bleeding during and after the procedure.






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