Tonsillectomy

Tonsillectomy is the surgical removal of the tonsils located in the oral cavity.

The tonsils are lymphatic tissue and contribute to the body's defense. That is, they function as filters to fight germs, especially in childhood. After the age of 3 to 5, their role declines and the body can fight infections without the tonsils.

What are the indications for tonsillectomy?

The indications for tonsillectomy are classified into absolute and relative, depending on the severity of the condition.

Absolute indications

• Recurrent episodes of acute tonsillitis (5 episodes in one year or 3 to 4 episodes per year)
• History of 1 or 2 peritonsillar abscesses
• Tonsillar hyperplasia causing airway obstruction/sleep apnea
• Suspected malignancy of the tonsils

Related indications

• PFAPA syndrome
• Retardation of physical growth and weight gain of the child
• Severe bad breath (halitosis)
• Positive culture for streptococcus

How is the procedure performed?

The operation lasts from 30 to 60 minutes and is performed under general anesthesia. It usually does not require a stay in the Clinic (ODC). There are several techniques and each surgeon chooses the one that suits him best or knows best, without any difference in the result, postoperative pain or the frequency of complications.

Is there a change in the voice?

In some cases of tonsil hypertrophy, the voice may be somewhat heavier as the “resonance” of the oral cavity is affected. With the removal of the tonsils, the voice will return to its normal timbre, without a dramatic change or excessive alteration and thinning.