Tonsils, medically known as tonsils, are glands located on either side of the mouth at the entrance to both the respiratory and digestive systems. They are a key component of the lymphatic system, responsible for the body's immune system.

Tonsils, in our immune system, are responsible for blocking and identifying viruses that can reach the throat via the respiratory tract. However, when tonsils lose their protective function, they can become recurrently infected, leading to chronic illness.

Tonsil Infection Symptoms and Treatment

• Red and swollen tonsils
• Sore throat and earache
• White or yellow spots on the tonsils
• Difficulty swallowing
• High fever
• Shake
• Cough
• Enlarged lymph nodes in the neck or under the chin
• Hoarseness
• Difficulty opening the mouth
• Postnasal drip

If the cause of tonsillitis is viral, antibiotics are ineffective. In this case, it's important to follow your doctor's recommendations. If the cause of the inflammation is bacterial, antibiotic treatment is administered under the supervision of a doctor.

What is Tonsillectomy? 

The surgical removal of the tonsils is called a tonsillectomy. Tonsillectomy was a common procedure in the days before antibiotics.

However, today it is not applied unless it causes serious health problems and there is a doctor's recommendation.

Tonsillectomy is not suitable for children under 4 years of age due to the protective properties of the tonsils.

If the doctor deems it appropriate, it is considered to be done in the following cases:

In Which Situations Is Tonsillectomy Required?

• Tonsil infections become chronic and occur more than 3 or 5 times a year in children and more than 2 times a year in adults.
• Sudden stopping of breathing while sleeping
• In case of difficulty in swallowing and breathing
• In case of detection of a tumor in the tonsil
• Inflammation that has become chronic and causes bad breath
• Inflammation that causes swelling of the lymph nodes
• In people with rheumatic heart disease
• People with inflammation in their kidneys
• People who have problems with adenoid
• Tonsil enlargement that causes deterioration in the jaw structure

Tonsillectomy in Children

Tonsillectomy, or tonsillectomy, is usually performed in children due to inflammation and infection of the tonsils. Tonsils are lymphoid tissue located in the mouth that protect the body from harmful microorganisms. However, in some cases, persistent inflammation can lead to sleep problems, difficulty swallowing, and frequent infections. Here's what you need to know about tonsillectomy in children:

1. Why Is Tonsillectomy Necessary?

Tonsillectomy is generally recommended in the following situations:

• Recurrent infections:  If tonsillitis in a child recurs frequently and does not go away with antibiotics, surgery may be considered.
• Obstructive sleep apnea:  When tonsils become overgrown and block the airways, a child may have difficulty breathing while sleeping. This can lead to restless sleep, snoring, and low oxygen levels throughout the night.
• Difficulty in swallowing:  The large size of the tonsils can make it difficult for the child to swallow.
• Pain and discomfort:  Constant pain and discomfort can negatively impact a child's daily life.

2. Surgery Process

Tonsillectomy is usually performed under general anesthesia and typically takes 30-45 minutes. During the surgery, the tonsils are removed from the body along with any painful or inflamed tissue. Sometimes, the tonsils are not completely removed, but rather reduced in size.

Post-operative recovery time can vary depending on the child's age, overall health, and the surgical technique used. While most children begin to recover within a few days, full recovery can take approximately one to two weeks.

3. Post-Operative Care

Some precautions should be taken to ensure the child's comfort in the postoperative period:

• Fluid intake:  The child should stay hydrated during the recovery process. Drinking plenty of fluids can help reduce pain.
• Soft and cold foods:  Soft and cold foods (such as iced drinks, yogurt) can relieve pain by reducing difficulty swallowing.
• Pain management:  Pain relievers recommended by your doctor can help your child feel better. Cold compresses can also help reduce swelling.
• Rest:  The child should rest and avoid physical activity during the recovery process.

4. Possible Risks and Complications

 While tonsillectomy is generally a safe procedure, as with any surgical procedure, there are some risks. These include:

• Bleeding:  There is a risk of bleeding after surgery, so attention should be paid to the doctor's recommendations.
• Infection:  Although rare, infection may develop.
• Pain:  Pain may occur throughout the healing process, but this is usually manageable.

5. Benefits of Surgery

Significant improvements in the general health of children can be observed after tonsillectomy:

• Better sleep quality:  In children with sleep apnea, tonsil removal often leads to more restful sleep.
• Fewer infections:  Tonsillitis often subsides, improving the child's overall health.
• Ease of swallowing:  Children who have difficulty swallowing can eat more easily after surgery.

Tonsillectomy in children is an effective treatment that can address certain health issues. However, because every child's situation is different, it's important that the decision to undergo such surgery be carefully evaluated by a specialist. Post-operative care and follow-up are critical to ensuring a child's rapid and healthy recovery.

Tonsillectomy in Adults

Tonsillectomy in adults is generally a more complex procedure than in children. Because adults have more developed immune systems, tonsils are generally less inflamed, but in some cases, tonsil removal may be necessary. Tonsillectomy in adults is often performed for recurring infections or other health problems. Here's what you need to know about tonsillectomy in adults:

1. Why is tonsillectomy performed in adults?

There are several main reasons why tonsils are removed in adults:

• Recurrent tonsil infections (tonsillitis):  If an adult has tonsil infections several times a year and these infections do not go away with antibiotics, surgery may be recommended.
• Obstructive sleep apnea:  When tonsils become enlarged, they can block the airways, causing sleep apnea. This can seriously affect the quality of sleep and lead to long-term health problems.
• Snoring :  Tonsils can narrow the airways in the throat, causing snoring. In adults, snoring can be a sign of sleep apnea and may require treatment.
• Difficulty swallowing:  When tonsils become enlarged, they can cause difficulty swallowing. This can make daily activities like eating and speaking difficult.
• Suspected cancer:  Although rare, tonsil cancer can occur. In this case, tonsils may be removed before a diagnosis is made.

2. Surgery Process

Tonsillectomy in adults   is usually performed under general anesthesia. The surgery can last anywhere from 30 minutes to an hour. During the surgery, the tonsils are removed, either partially or completely. Sometimes, after the tonsils are removed, a dressing is applied until the wound heals.

3. Post-Operative Recovery Process

The recovery process for tonsillectomy in adults   is generally longer and more challenging than in children. The postoperative period can range from a few days to a few weeks. Adults may experience more pain than children and may require more attention during the recovery process. Here are some important points to keep in mind during the recovery period:

• Pain management:  Adults often experience severe pain after tonsillectomy. Pain management should include painkillers recommended by your doctor.
• Fluid intake:  Drinking adequate fluids can speed up the healing process. During this period, cold, soft foods should be preferred.
• Diet:  Due to difficulty swallowing, soft foods such as soup, yogurt, and pureed foods should be preferred. Hard and spicy foods should be avoided.
• Rest:  It's important for adults to get enough rest during the recovery process. Physical activity should be avoided, and hoarseness should be avoided to allow the throat to heal.

4. Possible Risks and Complications

While tonsillectomy is generally a safe procedure, it can carry some risks, including:

• Bleeding:  Adults are at higher risk of bleeding after tonsillectomy than children. Bleeding can sometimes require emergency medical attention.
• Infection:  Infection can develop after surgery. Antibiotics and hygiene guidelines recommended by your doctor should be followed.
• Pain:  In adults, the healing process may be longer and more painful.
• Dehydration:  Difficulty swallowing and not drinking enough fluids can lead to dehydration, which can lead to serious health problems.

5. Benefits of Surgery

Tonsillectomy can have many positive effects on adults:

• Better sleep:  Tonsil removal can address sleep apnea and snoring issues, leading to healthier, more restful sleep.
• Fewer infections:  An adult who experiences persistent tonsil infections may experience fewer infections after surgery.
• Easier swallowing:  Adults who have difficulty swallowing may find relief after surgery.
• Reduction of pain and discomfort:  Surgery can end ongoing tonsil pain and discomfort.

Tonsillectomy in adults   is generally recommended for cases of persistent tonsil infection, breathing difficulties, or other health issues. While surgery may be necessary for maintaining a healthy lifestyle, recovery can be longer and more challenging. Therefore, the decision to undergo surgery should be carefully evaluated by a specialist. Proper postoperative care and monitoring are critical to a successful recovery.

Tonsillectomy Procedure and Methods

Tonsillectomy was historically performed under local anesthesia. However, today, general anesthesia is used. Unless otherwise indicated, the procedure takes approximately 30 to 60 minutes.

It's usually performed as a day case. The patient is discharged 5-7 hours after surgery, unless otherwise noted. It's a procedure that completely removes the tonsils from their embedded location.

Different methods used in tonsillectomy are; cold knife method, harmonic knife method, bipolar radiofrequency ablation (plasma knife) method, argon plasma method, microdebrider method, thermal welding method, electrocautery method and laser method.

1. The cold knife method is one of the most commonly used methods in
   tonsillectomy . The tonsils and surrounding tissue are removed using a knife, scissors, or a dissector. Any bleeding that occurs after tonsil removal is controlled with ligation or cautery.
2. The harmonic knife method uses
   ultrasonic energy to simultaneously cut and bind the tip of the knife in seconds. This method eliminates the need for an additional method to stop bleeding.

3. Bipolar radiofrequency ablation (plasma knife) is
   a method used for extracapsular or intracapsular tonsillectomy and causes less tissue damage.
4. Microdebrider method
   The microdebrider is a tube-shaped tool with a sharp rotating tip and a tip for vacuum.
5. Thermal welding
   has become the most frequently used method in recent years due to its numerous advantages. This method utilizes a specialized device with disposable, sterile tips for each patient, allowing the tonsils to be removed without causing bleeding.
6. Electrocautery
   is based on the principle of altering tissue structures with electric current. Electrocautery generates very high temperatures at the tip of the device. This heat cuts tissue and occludes blood vessels.

Before and After Tonsillectomy

Pre

• If you have used any medication before tonsillectomy, you must inform your doctor about it.
• Nothing should be consumed before surgery. This will reduce the nausea caused by the anesthesia.

Post

• Recovery after tonsillectomy usually takes 2 weeks, and  a diet  program is followed for 10-15 days under the supervision of a doctor to prevent bleeding.
• Fluid consumption is very important. Solid foods and hot drinks should be avoided after surgery.
• The patient should rest at home for at least 3 days.
• After surgery, pain in the throat, ear, and jaw may occur.

What are the risks of tonsillectomy?

Tonsils protect the body from viruses and bacteria and are an important part of the immune system. However, if tonsillitis becomes chronic, it's best to remove it with a doctor's advice. This doesn't cause any problems in the body.

As with all surgical procedures, tonsillectomy carries some risks.

• Risks of general anesthesia
• Nausea
• Vomiting
• Pain
• Edema
• Swelling
• Difficulty breathing
• Infection
• Injury to the surgical field

Frequently Asked Questions

How Many Hours Does Tonsillectomy Take?

Tonsillectomy  is a procedure that typically takes 30-45 minutes. However, the time can vary depending on the patient's condition and the surgeon's technique. If complications arise or additional procedures are required during the surgery, the procedure may take longer. In most cases, the procedure is completed quickly.

How Many Days Does It Take to Heal After Tonsillectomy?

Recovery from tonsillectomy can range from 3 to 14 days. The first few days may be challenging, particularly pain and difficulty swallowing. This period may be longer for adults than for children. Generally, significant improvement is observed within 7 to 10 days. Full recovery can take approximately two weeks. This period includes relief from swallowing, swelling reduction, and healing of the throat.

Are There Stitches in Tonsillectomy?

Whether or not stitches are used during tonsillectomy depends on the surgeon's preference and the technique used. In some cases, stitches may be used, but nowadays, self-dissolving stitches are generally preferred. These types of stitches do not cause any problems during the healing process and generally do not require any intervention. Furthermore, some surgeries can eliminate the use of stitches and allow the tonsils to be removed directly by incision. This determination is based on the surgeon's evaluation.

 Does the Epiglottis Swell After Tonsillectomy?

During tonsillectomy, the uvula may also be affected, causing swelling, but this is usually temporary. Postoperative uvula swelling is primarily due to general swelling in the throat. This swelling typically subsides within a few days. However, if there is significant swelling or difficulty breathing, it's important to contact a doctor. While uvula swelling can be uncomfortable, it usually resolves on its own.

What is the Age Limit for Tonsillectomy?

There's no specific age limit for tonsillectomy, but it's most commonly performed on children. In children, it's usually performed at ages 3 and older, but it can also be performed earlier (around age 1) for some specific circumstances. In adults, tonsillectomy is typically performed at age 18 or older, but it can be performed at any age if your health allows it.

Is Tonsillectomy Painful?

Because tonsillectomy is usually performed under general anesthesia, no pain is felt during the procedure. However, postoperative soreness in the throat is common during the recovery period. This pain can be quite severe, especially in the first few days, and can cause difficulty swallowing. This pain may be felt more severely in adults than in children.

To manage pain, doctors often recommend pain relievers. Additionally, cold drinks and soft foods can make swallowing easier and provide relief. Pain typically subsides within 7-10 days, but full recovery and relief can often take up to 2 weeks.

Does Tonsil Removal Affect the Immune System?

Tonsils are part of the immune system and defend against microbes that enter the body. However, tonsil removal does not significantly impact the immune system. While tonsils are a component of the body's immune response, other immune organs (e.g., lymph nodes and spleen) also serve this function. After tonsil removal, the body can maintain the same level of protection as the rest of the immune system. For those who suffer from persistent infections or enlarged tonsils that block the airway, a healthier life can be achieved after the surgery.

Is Tonsillectomy Difficult in Adults?

Adult tonsils are larger than those of children, so removing them can often be a bit more challenging. With surgery performed by a professional surgeon and proper postoperative care, successful results can be achieved in adults as well.

How Risky Is Tonsillectomy?

Tonsillectomy is generally a low-risk procedure, but as with any surgical procedure, there are risks. These risks include bleeding, infection, pain, and difficulty swallowing. Generally, tonsillectomy is very low-risk when performed by a qualified surgeon and provided with appropriate recovery care. However, as with any surgical procedure, it's important to obtain detailed information from your doctor about potential complications.

Does the Voice Change After Tonsillectomy?

Voice changes may occur after tonsillectomy  , especially in the first few days. This is usually due to swelling in the throat and the healing process. Voice changes may also be due to difficulty swallowing and pain. However, this change is temporary and usually resolves within a few days to two weeks. In rare cases, long-term voice changes may occur if there is a permanent change in the vocal cords or throat, but this is extremely rare.

What Should You Pay Attention to After Tonsil Removal?

There are a few important points to consider after tonsillectomy:

• Pain management:  Pain can be severe for the first few days, so it is important to take painkillers regularly as recommended by the doctor.
• Fluid intake:  Drinking plenty of water is essential to prevent dehydration and promote healing. Cold liquids can soothe sore throats.
• Soft and cold foods:  In the first few days, it will be more comfortable to consume soft and cold foods (e.g., ice cream, yogurt, soup). Hard, hot, spicy, and acidic foods should be avoided.
• Bed rest:  Rest is important during the recovery process. Physical activity should be avoided and plenty of rest should be provided.
• Smoking and alcohol:  Smoking and drinking alcohol can negatively impact the healing process. Smoking before healing is complete can increase the risk of bleeding.
• More signs of bleeding:  If bleeding suddenly begins or if there is severe pain or increased swelling in the throat, contact a doctor immediately.

What are the Harms of Tonsil Removal?

While tonsillectomy is generally a safe and effective treatment option, there are some risks and harms:

• Bleeding:  There is a risk of postoperative bleeding, which may sometimes require surgical intervention.
• Infection:  Although rare, infection can develop after any surgical procedure.
• Difficulty swallowing:  Swallowing may be difficult for the first few days, making feeding difficult.
• Persistent discomfort in the throat:  Some patients may experience long-term discomfort, pain, or voice changes in the throat after surgery.
• Immune system impact:  Tonsils are part of the immune system, and removing them can slightly impact immune function. However, other lymph nodes and immune organs take over this function, so it's usually not a serious problem.

 Do Removed Tonsils Grow Again?

Once tonsils are removed, regrowth is unlikely. Tonsil tissue does not naturally regenerate after removal. However, very rarely, some tonsil tissue may remain, which can lead to recurring infections. Furthermore, if the tonsil removal procedure was incomplete or if another health problem is causing the tonsils to enlarge, similar symptoms may occur. However, in general, tonsils are unlikely to regrow after removal.

How Many Days After Tonsillectomy Can You Take a Bath?

After tonsillectomy, bathing should generally be avoided for the first 2-3 days. During this time, it's best to avoid bathing to avoid increasing the risk of any infection.

When Can Adults Stop Smoking After Tonsillectomy?

Smoking after tonsillectomy can negatively impact the healing process and increase the risk of bleeding. Smoking can damage healing tissues in the throat, increase the risk of infection, and worsen pain. It is recommended to abstain from smoking for at least two weeks after surgery. Furthermore, complete abstinence from smoking during the healing process is crucial for a speedy recovery.

Does Tonsillectomy Cause Weight Gain?

Tonsillectomy is not expected to directly cause weight gain. However, some patients may experience temporary decreased mobility and difficulty swallowing after surgery, which may lead to a lower than normal calorie intake or decreased physical activity.

Does Having Your Tonsils Removed Prevent Bad Breath?

Yes, tonsil removal can reduce bad breath (halitosis). Inflammation, infection, and bacterial deposits in the tonsils can cause bad breath. Recurrent tonsil infections, in particular, are a common source of bad breath. Removing the tonsils can significantly reduce bad breath because these bacterial deposits and the source of infection are eliminated. However, if there are other causes of bad breath (e.g., digestive problems or dental issues), tonsil removal alone may not completely resolve the condition.

Are Stitches Used During Tonsillectomy?

Stitches may be used during tonsillectomy. However, the stitches used are usually self-dissolving. These stitches dissolve naturally during the healing process, so the patient does not require further intervention. Some surgeons may cut out the tonsils instead of stitches, allowing the wound to heal on its own. The method used depends on the surgeon's preference and the patient's condition.

How Long is the Risk of Bleeding After Tonsillectomy?

The risk of bleeding after tonsillectomy generally persists for the first 7-10 days. During this time, as the throat continues to heal and the blood vessels attempt to heal, bleeding may occur. Bleeding can sometimes occur due to the tearing of the top layer of the healing tissue. If bleeding persists or is severe, it's important to seek immediate medical attention. Therefore, the first week is a period that requires particular attention.

What to Eat on the First Day of Tonsillectomy?

During the first day after tonsillectomy, liquids are recommended due to difficulty swallowing and pain. Cold drinks and soft foods (e.g., yogurt, ice cream, soup, milk) can be soothing. Ideally, consuming cold, smooth, and soft foods can alleviate pain and promote healing. Hot, acidic, spicy, or hard foods should be avoided as they can irritate the throat.

Why Is Chocolate Forbidden After Tonsillectomy?

Eating chocolate is generally not recommended after tonsillectomy because it can cause further irritation to the throat. Furthermore, the sugar and fat in chocolate can negatively impact healing and increase the risk of further throat infection. Certain foods, such as chocolate, can also promote bacterial growth in the mouth, increasing the risk of infection.

Do State Hospitals Perform Tonsillectomy?

Yes, tonsillectomy is performed in public hospitals. In most public hospitals in Türkiye, tonsillectomy is usually performed under general anesthesia with intubation, and patients can receive this service through public health insurance. However, the procedure may vary depending on the hospital's appointment schedule or the doctor's assessment. Some hospitals may perform scheduled surgeries, particularly for children.

In Which Season Should Tonsillectomy Be Performed?

The most suitable seasons for tonsillectomy are generally spring and summer. There are several reasons for this:

• Avoiding cold weather:  Cold weather during the winter months can increase the risk of infection and cause discomfort during the healing process. Keeping the throat warm after tonsillectomy can speed healing.
• Performing the surgery before the school year:  Performing the surgery during the summer break before returning to school can ease the recovery process for children and prevent them from having to take a break from school.
• Periods when the risk of infection is low:  Since infections such as flu and colds are common in winter, summer and spring months may be more suitable to avoid complicating the healing process of these diseases.

However, the time of surgery should be determined taking into consideration the doctor's recommendation and the patient's specific condition.

Tonsil, Tonsillectomy Surgery Price

Tonsillectomy  is performed at many private hospitals in Ankara. At Magnet Hospital, it's performed by experienced doctors in a state-of-the-art environment at affordable prices. For information and an appointment, please call 0 312 212 80 80.

If you're looking for a good doctor who performs tonsillectomy surgery in Ankara  , there are a few key steps you can follow to make the right choice. First, it's important to research experienced otolaryngologists. Observing patients' previous experiences, their communication skills, and their success rates can also help you make a decision. Furthermore, the hospital's technological infrastructure and the quality of its surgical equipment play a significant role in the surgical process.

Tonsillectomy Surgery at a Private Hospital : Ankara Magnet Hospital is a healthcare facility known for its experienced doctors who specialize in tonsillectomy surgery. If you'd like to learn more about tonsillectomy and choose a suitable doctor, you can visit Ankara Magnet Hospital and schedule an appointment with one of our specialists.

 
February, 2025