Tonsil surgery: pain, why, what are the risks?

If tonsillectomy was done frequently twenty years ago, it is less regular today. Indications, risks, side effects… The point with Dr. Patrick Obe, General Practitioner.

Tonsillectomy is also called ‘tonsillectomy’.tonsillectomy” where “tonsillectomyIt can be identified when the airways are blocked

What are tonsils?

A tonsillectomy, sometimes called a tonsillectomy, is the surgical removal of the tonsils. While it is true that the tonsils play an important role in immune defense, they can also block the airways. exist Three types of tonsils: palatine and lingual (the two tonsils you see). and the Pharyngeal tonsils (the plants). All are lymphatic organs in the larynx. TRUE. honest. core protective body barriersThey oppose inflammation in the same way that lymph nodes do. In case of infection, the tonsils swell.

Diagram of the tonsils © 123rf

When should tonsils be removed?

In children, tonsillectomy relates to resection of the palatine tonsils in the case of recurrent angina or, in particular, chronic tonsillitis. It is often associated with adenoidectomy where the pharyngeal tonsils or adenoids are removed. In young children (less than 6 years old), the main indication isChronic respiratory obstruction associated with enlarged tonsils. In 2020, the French Society of Otolaryngology, Face and Neck Surgery (SFORL) updated its recommendations for tonsil removal in children and made it clear that Tonsillectomy is not recommended for simple snoring And she is not It is also not recommended for the treatment of recurrent angina or pharyngitis in children that occur with frequency Fewer than 7 infectious episodes within the past year, or fewer than 5 episodes per year for the past 2 years, or fewer than 3 episodes per year for the past 3 years.

Enlarged tonsils

Enlarged tonsils It prevents you from breathing properly and swallowing well, it is often an indication for 80% of tonsillectomy cases. Then it is often associated with adenectomy, that is, the removal of vegetation. .’s appearanceSleep Apnea It is because of these very large tonsils that they are also observed. When the tonsils are too large, they can partially block the airways, causing inflammation snoring Accompanied by respiratory arrest, with poor quality sleep. Children are tired all day, and may have problems at school. On the other hand, if they are tired, they are likely to eat less, especially if the tonsils sometimes interfere with swallowing, and they have a developmental delay. Tonsillectomy often has very positive consequences for the physical and psychological health of his children.

recurrent angina pectoris

20% of tonsillectomy are performed for angina or abscess. Recurrent angina is one of the main indicators of infection. But the process Not Not recommended for the treatment of recurrent angina or pharyngitis in children that occur with frequency Fewer than 7 infectious episodes within the past year, or Less than 5 episodes/year over the past 2 years, or Less than 3 episodes per year for the past 3 years. If a tonsillectomy is required, it is best to do so Always get a second opinion, Except in emergency situations such as the emergence of phlegmon or abscess. Abscesses of phlegmon and tonsils can cause respiratory distress that requires urgent intervention.

Acute articular rheumatism

The Acute articular rheumatism (AAR): This disease occurs a few weeks after a Angina pectoris caused by streptococcus. It causes damage to the joints, the heart, and the membranes surrounding certain organs, such as the pleura around the lungs. Diagnosis is confirmed by a blood test, a local biopsy, x-rays, and ultrasound. RAA represents a A real emergency It requires prompt care and treatment including antibiotics, corticosteroids, and complete rest. A preventive treatment that includes a regular injection of penicillin is then prescribed.

Chronic tonsillitis

Oropharyngeal pain, bad breath, tonsillitis, cervical lymph nodes that persists for at least three months despite treatment requires intervention says Dr. Patrick Obe, GP.

Tonsil removal in adults

Tonsil operation in adults is not the same It is only performed if there are medical reasons that require it.

The operation is performed under general anesthesia It is accompanied by antibiotic treatment. judicial intervention (from 20 to 30 minutes) It occurs by endotracheal intubation. . is interfered with Passing tools through the mouth. Tonsillectomy can be performed In the pediatric outpatient clinic As far as post-tonsillectomy bleeding is detected either before discharge or after the sixth day. However, not all patients can benefit from the operation on an outpatient basis.

What are the side effects of tonsil removal?

subordinate Sometimes the pain is hard to bear It may occur within a few days of surgery. “In particular painful dysphagia that prevents food”Dr. Obe says. Paracetamol treatment can reduce pain. It can reduce eating ice cream Pains. It is recommended that Drink fluids for a few days. Hospitalization may be necessary in case of dehydration in children‘, asserts the GP. Determining: “You should know that tonsillectomy can cause very frequent bleeding After this intervention in generalwithin six hours that follows, which corresponds to the minimum time for close observation of the person undergoing surgery.

What are the risks after tonsil surgery?

The risks of surgery cannot be neglected. Haute Autorité de Santé estimated in 2012 summary.

immediate risks

  • Minor injuries to the tongue and lip (benign).
  • Earache without danger from the same.
  • Some blood stained phlegm.

secondary risks

  • Bleeding is rare within 8 to 15 days after the procedure. It must be treated quickly and any bleeding, even if minimal, must be reported to the surgeon, to inform SNORL.
  • Eating difficulties can interfere with taking analgesics, or even lead to malnutrition and dehydration: this should be reported to the surgeon quickly.
  • Changes in the voice can be observed by air leakage at the level of the soft palate after healing. They may need speech therapy.

Serious and/or exceptional complications

Exceptional complications should be reported:Severe bleeding, which occur during the operation or during the recovery phase. He can force a neck surgery to perform hemostasis and vital diagnosis. danger from the death The origin of the bleeding has been estimated at 1/50,000 according to the HAS.

  • The child must be special Follow up for the first 10 days of healing.
  • It is recommended to follow a liquid and cold diet in the days following the operation to reduce pain and the risk of bleeding.
  • Fever and bleeding may occur. Consult a doctor.
  • Monitor the child’s temperature and no bleeding.
  • It is highly recommended to combat the factors that lead to chronic tonsillitis to avoid the functioning of the tonsils in adults as much as possible.
  • Avoid allergens and treat any type of allergy.
  • Do not smoke until you are cured and avoid secondhand smoke.
  • Consult in case of sinusitis or recurrent rhinitis.
  • It is essential to treat any angina and maintain impeccable oral hygiene.

Sources:

Medical information before a tonsillectomy, SNORL, 2017.

Tonsillectomy for children. 2020 Update of the SFORL and CFC Recommendation.

Tonsillectomy with or without adenoidectomy in children or adolescents (under 18 years of age). Literature data synthesis December 2012. HAS

Thanks to Dr. Patrick Obe, GP.

#Tonsil #surgery #pain #risks

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