Different Questions and Answers About Tonsillectomy

Tonsil Removal Surgery

What is tonsillectomy?

Tonsillectomy - What is tonsillectomy? - Can you smoke cigarette after surgery? - Can alcohol be taken after tonsillectomy? - When are the pain goes after the tonsil surgery? - Recommendations that accelerate recovery after the tonsil operation - Nutrition recommendations after tonsillectomy - Tonsillectomy diet - How long will a tonsillectomy procedure last? - Bloodless tonsillectomy - Thermal Welding Tonsillectomy - Tonsillectomy operation video - Do you gain weight after the course of tonsillectomy? - How many days will the patients recover after a tonsillectomy? - Tonsillectomy in adults - How is tonsillectomy performed in adults? - Patient reviews after adult tonsillectomy surgery - Risks and possible complications of tonsillectomy surgery in adults - A few different features between tonsillectomy in children and tonsillectomy in adults - Tonsil growth - Unilateral tonsil growth - Cough after tonsil surgery - If the tonsils are taken, the frequency of the disease increases? - Why is ice cream eaten after tonsil treatment? - List of meals after tonsillectomy - Unable to eat after tonsillectomy surgery - Speach after tonsil surgery - Risks of tonsillectomy - Tonsillectomy age - How old is the latest tonsillectomy surgery performed? - Tonsillectomy in Istanbul TurkeyTonsillectomy (tonsil removal) is the operation of removal of tonsils (tonsilla palatine, palatine tonsils) from the waldeyer lymph node ring element in our throat. There are many different devices and techniques used for the removal of the tonsils. Tonsillectomy surgery is performed under general anesthesia in many clinics.

I wanted to write an answer to the following questions about tonsil removal surgery.

Can you smoke cigarette after surgery?

As the tonsil tissues are removed in the pharyngeal region after the tonsil operation, the air space expands. They continue to function in neighboring areas (lingual tonsils, lateral pharyngeal bands, nasal flesh, neck and lymph nodes beneath the chin) instead of the depleted lumen. In patients without tonsils cigarette smoking, foreign particles, soot and soot in cigarette smoke can adhere to the pharynx and cause "recurrent pharyngitis episodes" and "chronic pharyngitis" over time. If you do not have tonsils, you should avoid smoking and smoke and smoke. Non-smoking after bademacic surgery will have many harmful effects in the short term and in the long term. After you smoke, drinking herbal tea, using antiseptic mouthwash or sports do not protect you exactly. "When do you smoke when you smoke?" the most difficult to answer questions ... If you do not have this bad thing yourself and do not smoke if you do not smoke. After the Tonsil procedure, complete recovery usually takes 2-4 weeks depending on the technique used and the patient's care. The highest risk of bleeding and infection is the first 10 days after tonsillectomy. "Do you smoke after surgery?" As the answer to the question, I would like you to think of many negative effects of smoking after surgery. If you have a healthy nose, after taking the air through the nose regularly, the air is heated, humidified, treated and pressurized to the lower airways and then to the lungs. As a result of the increase in swelling and nasal congestion in the nose, there may also be indirect throat dryness and pharyngitis susceptibility. Cigarette has negative effects on carbon monoxide and nicotine tissue nutrition.

If your nose is clogged, you do not have tonsils and if you have a profession that will require you to talk continuously (which causes dryness of the throat), if you smoke on it, the above mentioned negative effects can be seen in much higher amounts.

Can alcohol be taken after tonsillectomy?

It is inconvenient to use alcohol in the early period after the tonsil operation. Because alcohol has a vasodilating property and has a negative effect on wound healing with prolonged direct contact, consumption of alcohol-containing beverages in the early period after a tonsil operation may lead to an increased risk of bleeding and delayed wound healing. "How many days after the operation of alcohol is taken?" In response to the question, "the whitish color of the first healing tissue in the whitish bed completely replaced with normal pink mouth mucosa after alcohol can be taken as" can be answered. This period (the recovery period of the tonsil operation) may vary up to 2-4 weeks depending on the feeding style and the technique of the tonsil used. Generally, when thermal welding tonsillectomy technique is used and the patient consumes frequent intermittent fluid, almost complete recovery can be achieved in 2 weeks. In the external part of the pit where the tonsils are taken, the risks of replacing large vessels or vein nets separated from the jugular veins and taking the alcohol into this area should be kept in mind. . Reviews of patients with tonsil surgery ir is usually the fact that after the first 10 days, many complaints have been reduced.

When are the pain goes after the tonsil surgery?

During the operation of the tonsils, the less heat damage to the mucosa and the muscle layer outside the tonsils, the less the amount of pain and pain duration that the patient may feel after the surgery.

Recommendations that accelerate recovery after the tonsil operation (nutrition recommendations after tonsillectomy - tonsillectomy diet) and a few practical applications during surgery:

In the photo above, tonsillectomy operation was performed with a thermal welding device, and before and after images were added. Front and back plackets are stitched with absorbable stitches.

It has been reported by many patients after tonsillectomy operation that the pain increased after throat dryness due to not drinking water during the night sleep and this pain was felt most during the first few days after the operation. In order to avoid damage to the mucosa during surgery, as little as possible to use devices that use heat energy, to wash the patient's throat with cold sterile serum during surgery, to wear serums containing cortisone and painkillers during surgery may reduce the amount of pain the patient feels. Pain usually decreases after 10 days in patients who eat regular water and eat foods containing protein. For those who have undergone tonsillectomy, the first 10 days later, it is much more comfortable and means less pain. Patients' attention to care recommendations after tonsillectomy is also effective in accelerating recovery as much as the surgical technique.

The use of thermal damage, blood loss and pain reduction devices, such as the thermal welding device, increases the patient's postoperative comfort.

How long will a tonsillectomy procedure last?

Tonsil operations can be completed in 5-10 minutes when the old type and electrical energy are used by the devices that transform the heat energy. This application can be extended up to 45 minutes when the following procedures are done which prolong the time I am counting but which reduce the patient's postoperative pain and other complaints:

- the front and rear of the tonsils with melted material of the plica melting (prolongs an additional 15 minutes)
- reduction of tongue pressure by loosening the intra-oral metal retractors
- wash the surgical field with cold serums during surgery
- local anesthetic mixed with serum in the tonsils (about 4 hours feeling numbness and a little foreign body feeling)
- vascular delivery of products containing cortisone such as dexamethasone during surgery
- less use of caustic mode of theral welding device and less cauterization of bleedings (localized burn injury of more than 300 degrees)

Bloodless tonsillectomy (Thermal Welding Tonsillectomy)

Below, you can watch bloodless and non-bladder tonsillary surgery videos made by thermal welding. In some overseas health websites, this method is introduced with the words "bloodless, knifeless and painless tonsillectomy" which means "bloodless, painless and painless tonsil surgery"; it stands slightly exaggerated to claim that it is completely painless and completely bloodless.

Tonsillectomy Operation in Istanbul

Tonsillectomy operation videos:

Do you gain weight after the course of tonsillectomy?

I would like to share a few different information about weight gain after the tonsil surgery. If recurrent tonsillitis attacks occur, especially in children after tonsillectomy, general well-being, decreased symptoms of infection and increased appetite. It is appropriate not to give the children with artificial and glycemic index after the tonsil operation. There are different scientific studies related to postoperative weight gain, especially in children undergoing tonsilectomy + nasal surgery (adenotonsillectomy operation). Studies have indicated that adenotonsillectomy may be associated with significant weight gain after surgery, a problem that may arise for both parents and the patient. Previous studies also suggest that postoperative weight gain associated with adenotonsillectomy occurs mostly in children who have undergone procedure as a diagnosis of obstructive sleep apnea (OSA). Potentially alarming weight gain following adenotonsillectomy occurred in children aged less than 6 years and initially overweight or in normal weight. The underlying causes of weight gain after adenotonsillectomy are still unknown for these patients, but more research is needed (source link >> Key Factors in Weight Gain After Pediatric Tonsillectomy).

According to the analysis of the studies carried out in the last 40 years, the tonsils were removed and the patients tend to gain weight after surgery. Although new research does not prove whether there is a direct link between tonsilectomy and weight gain, the worldwide epidemic of obesity is primarily caused by its lifestyle. Caloric restriction is useful in patients who are overweight or overweight after a tonsil operation (source link >> Tonsil Removal May Lead to Weight Gain - WebMD).

Researchers at Johns Hopkins University School of Medicine found that weight gain after tonsillectomy was most common in children younger than 6 years of age, especially in those with weak or normal weight during the procedure (ie, it is not necessary for the patient to be overweight before the procedure!). In addition, in the same study, researchers emphasized the need for further research to determine how children's age affected weight gain after tonsillectomy (source link >>  Younger Kids Likelier to Gain Weight After Tonsillectomy - MedicineNet).

The question of many families, "tonsillectomy surgery causes weight gain?" seems to be not possible to give the answer easily. However, it is emphasized that many resource families should not worry about this issue and, if necessary, attention should be paid to patients' diet (source link >> Weight gain in children following tonsillectomy. - NCBI).

How many days will the patients recover after a tonsillectomy?

After the operation of the tonsils, the complete recovery time can vary between 1-3 weeks depending on the technique used and the patient's care. In fact, the process of healing of tonsil surgery varies depending on the patient's nutritional pattern, the mucosal irritation and burn injury of the patient during surgery. If the operation area has little contact with water and it dries out, dehydration causes the healing period to prolong.

In general, when the methods of reducing mucosal damage are used and the patient takes care of the care recommendations, improvement in 10 days after tonsil surgery is completed to a great extent.

Tonsillectomy in adults

The most frequently asked questions about tonsillectomy in adult patients are "tonsillary surgery over 30 years", "30-year-old tonsilectomy", and "40-year-old tonsilectomy" and, interestingly, there is no special case for tonsil surgery for 30 years and 40 years of age. ­čśŐ.

In children with frequent or snoring throat pain, tonsils may be planned. However, tonsillectomy is not only for children. Adults may need this surgery.

It is done in children and adults the same way, but the risks and recovery of an adult may be different.

How is tonsillectomy performed in adults?

Technically it is not different in children. The process takes about 30 to 45 minutes. Under general anesthesia, tonsils are removed using equipment or technologies such as thermal welding,
electrocautery, plasma technology, radiofrequency or laser. You can browse the links given at the top of the page near the top of the page for different modified techniques and applications that reduce pain.

Patient reviews after adult tonsillectomy surgery

Pain in adults may be higher than in children after tonsil surgery. This may be due to the fact that the dissection performed during surgery is not as easy as in children or due to recurrent infections. In adult patients, the recovery time may be longer than the children and the risk of bleeding may be higher.

Risks and possible complications of tonsillectomy surgery in adults

Tonsillectomy surgery is considered a safe procedure for adults. However, there is a risk of all operations. In a 2014 report, it was highlighted that in 1 out of 5 adults with tonsils removed, the following risks and compli- cations could be seen:

• Dehydration
• Infection
• Pain
• Pneumonia
• Too much bleeding from the wound (bleeding)

If techniques are used to reduce mucosal damage and minimize heat dissipation, and if the patient fulfills appropriate care recommendations, the likelihood of these risks and complications is reduced (source link >> Can an Adult Need a Tonsillectomy? - WebMD).

A few different features between tonsillectomy in children and tonsillectomy in adults

• Children usually recover faster than adults.
• The possibility of bleeding problems after removal of tonsils in children is low.
• Adults tend to experience more pain after surgery. This may be due to the fact that adults attempt to return to work very early after surgery and less adaptation to the recommended instructions and different healing characteristics. In children, more serious practices of parents' improvement instructions may be effective in the difference in the rate of recovery.

Tonsil growth

At the beginning of the symptoms of Tonsil growth is a decrease in sleep quality, difficulty in sleeping on the back, feeling of sticking in the throat, exacerbation of the symptoms of sleep apnea. In fact, especially in children, the causes of sleep apnea syndrome include tonsil and nasal flesh growth. Above, a photograph of a child with large tonsils can be seen. The small tongue between the tonsils is edematous (with a slight forked appearance at the end of the small tongue). Because the tonsils are large in adults, sleep apnea symptoms may occur. As the intra-oral airway cross-sectional area decreases, it is inevitable for the patient to reduce the amount of air and oxygen content that he may receive during sleep. For the treatment of large tonsils, treatment options such as partial tonsillectomy (partial tonsillectomy), radiofrequency or laser reduction of the tonsils or complete removal of tonsils by bloodless and modern techniques are available. Many patients ask, "How to reduce the huge tonsils?" In response to the question, there is no medical treatment or herbal remedy that causes a volumetric shrinkage of structurally large tonsils. Antibiotic and antiseptic throat gargles used in acute tonsillitis do not have a constrictive effect on the tonsils that are structurally large. The question of "How big herbs grows?", Can be answered as "herbal but difficult as a surgical procedure. Yes, tonsils can be reduced." "Should a big tonsil be taken?" In response to the question "If there are no symptoms related to large tonsils (hypertrophic tonsils) or tonsil hypertrophy is not necessary to tonsils removal". However, if there are symptoms such as sleep apnea, frequent tonsillitis, tonsil removal in the pursuit of a kbb specialist. can be decided.

There are many scientific studies that emphasize the fact that heart and lung diseases may be seen due to the growth of tonsils and nasal flesh, or that the patient may become more susceptible to hypertension in the long term. Links of some of these studies (this information has been emphasized since the 1960s) >> Heart failure due to enlarged tonsils and adenoids. The ... - NCBI / Tonsillar hypertrophy, airway obstruction, alveolar hypoventilation ... / Effect of adenotonsillar hypertrophy on right ventricle function in children / Adenotonsillar Hypertrophy as Cause of Pulmonary Hypertension / Enlarged Tonsils and Fatigue

Unilateral tonsil growth

Sometimes the tonsils may have different positions in the mouth and one may be closer to the midline. If there is an asymmetrical tonsil position for a long time, there is no fear. However, if an almond grows without pain or any other complaint, the patient can be evaluated by a CBD specialist and if necessary, a biopsy or unilateral tonsillectomy may be required for treatment. In patients with asymmetric tonsils, a good study link showing that the possibility of a cancerous focus is too low, if there is no change in size and change in size, which is not noticeable >> Is unilateral tonsillar enlargement alone an indication for tonsillectomy?

In case of unilateral tonsil growth in patients with unilateral tonsil size, additional lymph node enlargement in the neck and systemic symptoms, the study link emphasizing the need for tonsillectomy surgery >> What is the best management of asymptomatic unilateral tonsillar ...

Cough after tonsil surgery

It is important to keep the area where the tonsils are taken wet and moist, to drink regular water and to consume watery food. Some patients after the day of Tonsil treatment when they do not drink water, sleep cough and throat during sleep, can feel pain in the ear. Generally, these complaints are less common after the methods of reducing mucosal damage. In addition, after tonsil surgery, local anesthetic injections and stitches in the throat, foreign body sensation in the throat, drowsiness and backward slope of the food eaten when the mouth is ejaculated and cough can be seen. It is useful to eat food in vertical position, to consume natural water or honey with water. Generally, many complaints disappear after the first 10 days.

If the tonsils are taken, the frequency of the disease increases?

Tonsils are two of the lymphoid tissues in the oral cavity. On the back of the mouth there is a tonsil on either side, they are found on both sides of the small tongue. They are involved in immune function because they are lymphoid tissues. There are many other lymphoid tissues on the head and neck, so our immune system is not entirely dependent on tonsils for defense against bacteria and viruses. No studies have shown an increase in the frequency of upper respiratory tract infections when the tonsils and nasal flesh are removed (source link >> Tonsillectomy in Children and Adults: Recovery & Complications ...).

Why is ice cream eaten after tonsil treatment?

Freezing after ice cream is a well-known practice in our country and sometimes it is an application that can be said to the patients before the surgery for motivation. Because of the cold effect of ice cream, local pain relievers and bleeding-reducing, edema effects are given in the first diet after the operation. However, freezing alone can prevent the patient from eating other nutrients may adversely affect wound healing and increase the risk of infection in the throat. Ice cream can be contacted only in the mouth and can be consumed before eating.

Interestingly, it is advisable to consume ice cream and milk desserts in overseas clinics and to consume sherbet cold products or frozen syrups. Ice cream may have negative effects on wound healing at zero degrees and below, and patients can sometimes defend the feeling of sore throat, coughing and bleeding related to it. This view is defended and the patients "I've had an ice cream when I feel comfortable" comments you can read comments >> Ice cream after tonsil removal - Fact or fiction? Against this view, there are many reputable websites that recommend freezing and a soft, warm diet (two of them are: >> The Best Foods to Eat After a Tonsillectomy | LIVESTRONG.COM / Post Tonsillectomy Recovery & Aftercare Instructions for Adults)

List of meals after tonsillectomy

After tonsillectomy surgery, hard and hot, sharp-edged, non-spicy food (roughly soft warm foods) should be consumed.

At the beginning of the nutrition recommendations, products such as boiled meat cereal products, boiled and chilled bone marrow or chicken broth soups, dairy products, yogurt and ayran and kefir are among the top nutrition recommendations.

How salt, bitter spice, boiling product or a sharp body contact to a cut skin area is inconvenient is the same reasoning that such products do not touch the surgical area in the throat after tonsilectomy. Tonsillectomy instead of a special care in the form of nursing care; special nutrition is enough to pay attention to the shape.

Unable to eat after tonsillectomy surgery

Current techniques reduce the amount of pain experienced after Tonsillectomy surgery; In patients who do not drink enough water and can not be fed after surgery, as the surgical area dries and the body's water amount decreases, there is an increase in the wound healing and the amount of pain felt. In this case, in which a vicious circle is entered, the patient may be required to drink water from the mouth and vascular access, even if pain is felt. Unfortunately, intravenous fluid delivery is not as effective as oral drinking. If you have a sore throat after drinking Tonsil, you should drink more water!

Speach after tonsil surgery

The airway cross-sectional area of the throat increases after the tonsil operation. Therefore, the resonance of the sound after the vocal cords can be changed and it can be told by the families that there is a different tone in the first few weeks and a different tone in the children.

It is important not to give a long speech to cause dryness of the throat in the first week after the tonsil operation. In patients with large almonds and taken, the sound may appear as if it comes from the nasal passages.

Risks of tonsillectomy

Tonsillectomy has some risks such as other operations. The risks of tonsillectomy operation can be summarized as follows:
• Anesthesia-related risks: Drugs that make you sleep during surgery often cause small, short-term problems such as headache, nausea, vomiting or muscle pain. Serious, long-term problems are rare.
• Swelling of the lip and soft palate: it may cause breathing problems, especially during the first few hours after the procedure.
• Bleeding during surgery: In rare cases, severe bleeding occurs during surgery and additional treatment and hospital stay may be required
• Bleeding during recovery. Bleeding may occur especially if the healing tissue consisting of the wound is removed very quickly with cough.
• Infection: Rarely, surgery may cause an infection that requires more treatment.

Atlantoaxial subluxation and mandibular condyle fracture, which I have seen only in publications and never encountered before, are also written as a risk of tonsil surgery.

In the course of long-term chronic pharyngitis, n, especially in smoker and patients who have to speak continuously can be written as damages of tonsil surgery.

Tonsillectomy complications have become quite rare today (source links >> Tonsillectomy Risks - Mayo Clinic / Complications of tonsillectomy and adenoidectomy. - NCBI / Complications of tonsillectomy: a comparison of techniques. - NCBI).

Tonsillectomy age

The old sources suggest that tonsillary surgery should not be performed under 3 years of age. It is emphasized that caution should be used especially in children with large tonsils and with narrow airways. Although it is recommended to wait until the age of 3 until today is still necessary; Abdominal surgery is usually performed after 2 years of age. It is appropriate to perform surgery in small hospitals with children under age. "Can a 2-year-old tosillectomy be performed?" In order to answer the question, if a good hospital can undergo a tosillectomy.

Although there are many reports suggesting that tonsillectomy increases postoperative morbidity and mortality in patients under 3 years of age; There are also studies that emphasize that tonsillectomy can be performed safely among young children (source link >> Tonsillectomy under the age of 3 years: is it recommended or not ...).

How old is the latest tonsillectomy surgery performed?

Although there is no age limit for tonsillectomy in adult patients; general anesthesia and surgery in patients who can not remove the risk of surgery, drugs that cause the inconvenience of drug users in the tonsil treatment is more appropriate.

Similar links about "Tonsillectomy Operation in Istanbul" >>

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon

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