Why Is Tonsillectomy Performed Frequently?

Tonsil removal surgery frequency

Surgical removal of tonsils is called "tonsillectomy". This surgery, which is frequently performed for the treatment of tonsillitis during the years when antibiotics are not widespread, is less applied today for this purpose. However, tonsillectomy is still one of the most common operations.This surgery, which is frequently performed for the treatment of tonsillitis during the years when antibiotics are not widespread, is less applied today for this purpose. However, tonsillectomy is still one of the most common operations.

Tonsillectomy Frequency

Between 1915 and 1960, tonsillectomy was the most common surgical procedure in the United States. However, between 1977 and 1989, there was a decrease in the rates of tonsillectomy for the treatment of throat infections. Physicians thought that the sensitivity of the immune system could be reduced and that the tonsils might no longer be a problem in the coming years. The frequency of tonsillectomy has increased again in the last 35 years after 1989. This is due to a clearer understanding of the relationship between tonsil dilatation and sleep breathing disorders and to the prospective understanding of the persistent adverse effects on the cardiovascular system in patients with large tonsils.

The main reason for the increase in the frequency of tonsil surgery in recent years is the diseases associated with sleep breathing disorders.

Contraindications for tonsillectomy operation

Contraindications for tonsillectomy operation - Tonsillectomy before and after

It is inconvenient to perform tonsillectomy in the following cases:

- Bleeding diathesis
- Risk of poor anesthesia or uncontrolled medical illness
- Anemia
- Acute infection
- Cleft palate
- Small age and body weight of the child (link where you can find detailed information >> What Is The Minimum Age For Tonsillectomy Operation?)
- If there is an outbreak of polio

Is tonsillectomy risky?

As with all surgical procedures, tonsil surgery has some risks. In addition to the risks of general anesthesia, undesirable conditions such as nausea, vomiting, pain, edema and swelling, difficulty in breathing, infection, injury to the operating field and surrounding tissues may occur. Especially in the first 24 hours after the operation and in which the shells in the wound area are shed. bleeding may occur between weeks. Bleeding can usually be controlled by simple intervention, but it can lead to serious, even fatal consequences that require further intervention. Adults are slightly more likely to have postoperative bleeding than children. Such undesirable conditions occur between 2-4%; approximately 1 in 15000 may result in death.

Further information on the subject can be found in: Clinical Practice Guideline Tonsillectomy in Children - http://www.guideline.gov/content.aspx?id=25313

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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