Description of the procedure

Tonsillectomy is a surgical procedure to remove the tonsils. Tonsils are an important part of your immune system and they help fight infections. For this reason, they are no longer routinely removed as a cure for tonsil infections (tonsillitis). Childhood stories about having your tonsils removed are becoming a thing of the past. Still, some children and adults who develop tonsillitis may need to have their tonsils removed.

The procedure usually takes place in a hospital or clinic. You can usually go home the same day of the procedure.

When should this procedure be performed?

Your doctor will decide when this test/procedure is required.

Why is this procedure performed?

Tonsillectomy may be performed if:

• the tonsillitis is caused by bacteria and symptoms do not clear up with antibiotic treatment
• pus or abscesses caused by tonsillitis do not respond to treatment
• the swollen tonsils block the air passages and interfere with breathing or swallowing
• a tissue sample (biopsy) is needed to examine a tumour on the tonsils

Tonsillectomy can reduce the number of tonsil infections you have each year.

Are there any risks and precautions

Certain risks are common to all surgery and anesthesia. These risks depend on many factors including the type of surgery and your own medical condition. The possible, but very rare, side effects include side effects of the anesthetic, breathing problems, infection, bleeding, scarring, and death.

What happens during the procedure?

Children usually receive a general anesthetic so they are not awake during the procedure. Some adults may receive a local anesthetic. A general anesthetic is is either inhaled or injected. A local anesthetic is applied to numb the area.

The doctor removes the tonsils usually with a scalpel (a surgical knife). The recovery process begins either at home or overnight in a hospital.

How should I prepare for this procedure?

Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications that you (or your child) are taking. Also tell them about any medication allergies and medical conditions that you (or your child) may have.

If a general anesthetic will be used, do not eat for 8 hours before the procedure. You (or your child) may continue to drink clear liquids until 2 hours before the procedure. If your doctor has recommended different times, follow the timing recommended by your doctor.

Ask your doctor or pharmacist whether you (or your child) need to stop taking any medications before the procedure.

Persons having this surgery need to have someone drive them home from the hospital. Arrange this in advance.

What can I expect after the procedure?

Soreness in the throat and ears occurs commonly after a tonsillectomy. Cold soft foods, such as ice cream, ice cubes, and cold drinks, help soothe the area after the procedure. A cool mist vaporizer can also help, as long as it is cleaned every day to prevent any mould or bacteria from building up.

Rest is essential to speed the healing process.

Stay away from people with infections, colds, or the flu for the first week after surgery since you or your child's immune system may be weaker at this time.

It may take up to two weeks to fully recover from the surgery.

Results

Your doctor will follow up with you after the procedure to see how the area is healing. It is important to know that the surgery may reduce the number of infections you have but may not eliminate them completely.