A tonsillectomy is a surgical procedure to remove the tonsils, which are two rounded lumps of tissue located at the back of the throat. The tonsils are part of your immune system. The procedure is most commonly performed to treat conditions such as recurrent tonsillitis and obstructive sleep apnoea. In Australia, tonsillectomy is one of the most frequent surgeries performed on children, although occasionally adults may also require the procedure.
Reasons for having a Tonsillectomy:
Recurrent Tonsillitis: Frequent episodes of tonsillitis that do not respond well to antibiotic treatment.
Obstructive Sleep Apnoea: Enlarged tonsils can obstruct the airway during sleep, causing breathing difficulties, and chronic health issues.
Chronic Tonsillitis: Persistent inflammation of the tonsils that leads to ongoing throat pain and discomfort.
Tonsillar Hypertrophy: Enlarged tonsils causing swallowing difficulties or speech issues.
For patients with recurrent or chronic tonsillitis, tonsillectomy can significantly reduce the frequency and severity of throat infections. In cases of obstructive sleep apnoea, removing the tonsils can improve breathing during sleep and enhance overall quality of life.
A tonsillectomy is typically performed under general anaesthesia. The surgeon removes the tonsils through the mouth without making external incisions. The operation usually takes about 30 to 60 minutes. There are several techniques for tonsil removal, including cold knife dissection, electrocautery, and laser tonsillectomy.
Recovery from a tonsillectomy generally takes about one to two weeks. Common post-operative symptoms include a sore throat, ear pain, difficulty swallowing, and mild fever. Pain relief can be managed with over-the-counter medications such as paracetamol or prescribed pain relievers. It is important to stay hydrated, eat soft foods, and avoid strenuous activities during recovery.
Tonsillectomy complications:
While tonsillectomy is generally safe, potential complications include bleeding, infection, and reactions to anaesthesia. It is important to follow the surgeon’s post-operative care instructions to minimise the risk of complications, and to seek medical advice if any problems arise.
For more useful patient information on having a tonsillectomy, visit the website of Sydney Children’s Hospital.
