Tonsillectomy

Why might someone need a tonsillectomy?

The tonsils are two pads of lymphatic tissue located at the back of the throat. They form part of the immune system, but removing them doesn’t usually cause significant problems with immunity.

Tonsillectomy may be considered for:

• Recurrent tonsillitis
• Frequent strep throat
• Chronic tonsil inflammation
• Enlarged tonsils that obstruct the airway
• Obstructive sleep apnea related to tonsil enlargement
• Recurrent peritonsillar abscesses
• Significant difficulty swallowing caused by enlarged tonsils
• Suspicious or abnormal tonsil tissue

The decision to recommend surgery depends on the frequency and severity of your symptoms, examination findings, and how much the problem affects breathing, swallowing, sleep, and everyday activities.

How is a tonsillectomy performed?

Tonsillectomy is performed through the mouth, so there are no external incisions. Dr. Shapiro removes the tonsils from the surrounding tissue using an appropriate surgical technique.

The procedure takes place under general anesthesia. Many patients return home the same day, although some people need additional observation depending on their age, health, and reason for surgery.

Children are more likely to undergo tonsillectomy, but adults may benefit from the procedure when tonsil problems are persistent or severe.

What should I expect during tonsillectomy recovery?

A sore throat is inevitable after tonsillectomy and can sometimes be significant, particularly in adults. Pain may also seem to travel to the ears because nerves in the throat and ears share pathways.

Recovery can involve:

• Throat discomfort
• Pain when swallowing
• Ear pain
• Bad breath
• Temporary voice changes
• Reduced appetite
• Fatigue

Drinking plenty of fluids is particularly important during recovery. Pain medication and a soft diet may make swallowing easier while the throat heals.

A white or yellow coating commonly develops over the healing areas and doesn’t necessarily mean an infection is present.

Are there risks after tonsillectomy?

Bleeding is one of the most important potential complications. It can occur soon after surgery or several days later as the healing tissue begins to separate.

Any significant fresh bleeding from the mouth or throat after tonsillectomy requires prompt medical attention. Dehydration can also develop if throat pain makes drinking difficult.

Most people recover over about one to two weeks, although adults may need longer than children to feel fully recovered.

If recurrent tonsil infections, enlarged tonsils, or sleep-related breathing problems are affecting your health, contact the Ear, Nose, Throat, and Sinus Center of South Florida to schedule an evaluation. Call the office or request an appointment online today.