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The tonsils are glands in the back of the throat. A tonsillectomy is the surgical removal of the tonsils.
Tonsillectomy is most often done when other nonsurgical treatments have not worked for: Chronic or recurrent tonsil infections—Tonsillectomy may reduce the number, but will not completely eliminate these infections.Peritonsillar abscess—pocket of infection spreading outside the tonsilEnlarged tonsils causing obstruction of the throat
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Complications are rare, but no procedure is completely free of risk. If you are planning to have a tonsillectomy, your doctor will review a list of possible complications, which may include: BleedingTemporary breathing problemsAdverse reaction to anesthesia
Factors that may increase the risk of complications include: ObesitySmokingPoor nutritionChronic illnessSickle cell anemiaBleeding disordersRecent or current steroid useDiabetesTaking anticoagulants or aspirin productsDehydration
Be sure to discuss these risks with your doctor before your tonsillectomy.
Your doctor may: Do a physical exam of the tonsils, throat, neck, and possibly other parts of the bodyOrder blood tests and a urine testReview your medical history and current medications
Leading up to your procedure:
Talk to your doctor about your current medicines. Certain medicines may need to be stopped before the procedure such as:
Anti-inflammatory drugs for up to one week before surgeryBlood-thinning drugsAnti-platelet medicationsThe night before, eat a light meal. Do not eat or drink anything after midnight.
is most commonly used. You will be asleep for the procedure. If necessary, the surgery can also be done with sedation and local anesthesia.
The anesthesia will be given through an IV or by a mask. The doctor will grasp each tonsil with a special tool. The tonsils will then be cut away from the surrounding tissues and removed. The tonsils may be cut out with a scalpel or hot knife. An electrical current or clamps and ties will be used to stop bleeding at the site.
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Anesthesia prevents pain during the procedure. After the procedure, you will find it difficult to swallow due to throat pain. You may also experience ear pain.
Your doctor will either give you pain medication or recommend over-the-counter products to relieve pain.
This procedure is most often done in a hospital setting. It may be possible to leave the hospital on the day of the procedure. Some patients may need to stay in the hospital for up to two days. Talk to your doctor about what is right for you.
You will be monitored for any negative reactions to anesthesia or other complications.After you are fully awake, alert, and stable, you may be able to leave. An adult should accompany you and drive you home.
When you return home, take the following steps to help ensure a smooth recovery:
Be sure to follow your doctor's
Take medications that are prescribed as directed.Avoid talking, coughing, and singing for one week.Drink plenty of fluids.Avoid spicy, acidic, and hard-to-digest foods.Eat soft foods, such as gelatin and pudding, for 3-4 days after surgery. Gradually return to a normal diet.Avoid swallowing hard items such as crackers and hard cookies. They may injure the back of your throat.Bathe or shower as usual.
After you leave the hospital, contact your doctor if any of the following occur: Signs of infection, including fever and chillsRedness, swelling, increasing pain, excessive bleeding, or discharge from the site where the tonsils were removedNausea and/or vomiting that you cannot control with the medications you were given after surgery, or which last for more than two days after discharge from the hospitalPain that you cannot control with the medications you have been given, especially if it prevents you from drinking fluidsCough, shortness of breath, or chest painSpitting or vomiting bloodNew, unexplained symptoms
In case of an emergency, call for medical help right away.
4/16/2009 DynaMed's Systematic Literature Surveillance
: Burton MJ, Glasziou PP. Tonsillectomy or adeno-tonsillectomy versus non-surgical treatment for chronic/recurrent acute tonsillitis.
Cochrane Database Syst Rev
Last reviewed July 2013 by Marcin Chwistek, MD; Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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