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Treatment Overview.

Tonsillectomy is the surgical removal of the tonsils, two oval-shaped pads of tissue at the back of the throat — one tonsil on each side.

A tonsillectomy was once a common procedure to treat infection and inflammation of the tonsils (tonsillitis). Today, a tonsillectomy is usually performed for sleep-disordered breathing but may still be a treatment when tonsillitis occurs frequently or doesn't respond to other treatments.

Eligibility For Treatment.

A tonsillectomy is used to treat:

  • Recurring, chronic or severe tonsillitis

  • Complications of enlarged tonsils

  • Bleeding of the tonsils

  • Other rare diseases of the tonsils

Preparation Before Treatment.

You will need to stop taking anti-inflammatory medicines two weeks before your surgery. This type of medication includes aspirin, ibuprofen, and naproxen. Drugs of this kind can increase your risk of bleeding during and after your surgery. You should let your doctor know about any medications, herbs, or vitamins you’re taking.

You’ll also need to fast after midnight before your tonsillectomy. This means you shouldn’t drink or eat. An empty stomach reduces the risk of feeling nauseous from the anesthetic.

About Treatment.

There are several different ways to remove tonsils. One common method is called “cold knife (steel) dissection.” In this case, your surgeon removes your tonsils with a scalpel.

Another common method for tonsillectomy involves burning away the tissues through a process called cauterization. Ultrasonic vibration (using sound waves) is also used in some tonsillectomy procedures. Tonsillectomies usually take about a half-hour.

No matter what surgical method your doctor chooses, you’ll be asleep with a general anesthetic. You won’t be aware of the surgery or feel any pain. When you wake up after the tonsillectomy, you’ll be in a recovery room. Medical staff will monitor your blood pressure and heart rate as you wake up. Most people can go home the same day after a successful tonsillectomy.

Post-Treatment Care Treatment.

Patients can experience some pain as they recover from a tonsillectomy. You might have a sore throat after surgery. You might also feel pain in your jaw, ears, or neck. Get plenty of rest, especially in the first two to three days after surgery.

Treatment Recovery Tips.

Steps to manage pain and promote a good recovery include the following:

  • Medications. Take pain medications as directed by your surgeon or the hospital staff.

  • Fluids. It's important to get plenty of fluids after surgery to avoid dehydration. Water and ice pops are good choices.

  • Food. Bland foods that are easy to swallow, such as applesauce or broth, are the best choices immediately after surgery. Avoid acidic, spicy, hard, or crunchy foods that may cause pain or bleeding.

  • Rest. 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.

Treatment FAQs.

Is a tonsillectomy a major surgery?

A tonsillectomy is a common but major surgery with serious risks and potential complications. You may have less invasive treatment options.

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