Tonsillectomy
What is Tonsillectomy?
A tonsillectomy is a surgical procedure to remove the tonsils, which are two oval-shaped masses of tissue located at the back of the throat. The tonsils are part of the immune system and help fight infections. However, in some cases, they can become infected or enlarged, leading to recurrent problems that necessitate their removal.
How to diagnose Tonsillectomy? When to consult a doctor?
- Physical Examination: A healthcare provider will examine the throat, looking for enlarged or inflamed tonsils and signs of infection such as redness, swelling, or pus.
- Throat Culture or Rapid Strep Test: These are used to detect bacterial infections, like streptococcus bacteria, which commonly cause tonsillitis.
- Sleep Study (Polysomnography): If sleep apnea is suspected due to enlarged tonsils, a sleep study may be conducted to monitor breathing patterns during sleep.
- Blood Tests: In some cases, a blood test may be done to check for infections like mononucleosis, which can also cause tonsillitis.
You should consult a doctor if:
- Recurrent or Chronic Tonsillitis: If you or your child experience frequent episodes of tonsillitis, especially if they occur multiple times per year.
- Breathing Problems During Sleep: If there are symptoms of sleep apnea such as snoring, gasping, or pauses in breathing during sleep.
- Difficulty Swallowing or Eating: Persistent or severe discomfort when swallowing food or liquids.
- Abscess Formation: If a peritonsillar abscess develops, this is a medical emergency requiring immediate attention.
- Ear Pain with Sore Throat: Frequent ear pain that may be connected to tonsil issues, particularly in children.
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Causes
- Chronic or Recurrent Tonsillitis
- Enlarged Tonsils (Tonsillar Hypertrophy)
- Peritonsillar Abscess
- Sleep Apnea
- Frequent Ear Infections
- Tonsil Stones (Tonsilloliths)
Symptoms
- Sore Throat
- Difficulty Swallowing
- Fever
- Swollen Tonsils
- Snoring and Sleep Problems
- Ear Pain
Frequently Asked Questions
Like any surgery, a tonsillectomy carries risks, such as:
- Bleeding during or after the surgery
- Infection
- Swelling that affects breathing
- Reaction to anesthesia However, these complications are relatively rare.
The surgery usually takes between 20 and 60 minutes. Most patients can go home the same day, but occasionally, an overnight stay may be required.
Most people can return to school or work after 10 to 14 days, but vigorous activities should be avoided for at least two weeks to reduce the risk of bleeding.