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Tonsillotomy in children

Tonsillotomy – partial removal of the palatine tonsils

Tonsillotomy is a surgical procedure that involves the partial removal of the palatine tonsils. It is a less invasive alternative to tonsillectomy (complete removal of the tonsils) and is intended to improve airway function, especially in children with enlarged tonsils that cause health problems such as difficulty breathing, snoring, or recurrent infections.

Indications for tonsillotomy
  • Enlarged palatine tonsils that cause:
    – Difficulty breathing through the nose, snoring, or sleep apnea
    – Recurrent upper respiratory tract infections
    – Difficulty swallowing
    – Ineffective drug therapy for chronic tonsil infections
    – Obstructive sleep apnea associated with tonsillar hypertrophy
    – Speech problems due to tonsillar hypertrophy
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The course and recovery of tonsillectomy surgery

The course of the operation
  1. The procedure lasts 15-30 minutes
  2. Anesthesia – usually general with intubation, especially in children.
  3. Removal of part of the tonsil – the surgeon removes only part of the tonsil tissue, leaving the rest to maintain the protective function of these structures.
  4. Stopping the bleeding – electrocautery or another method of controlling bleeding.
  5. Closing the wound – stitches are usually unnecessary, because wounds heal on their own.
  6. Postoperative observation – the patient is monitored for several to several dozen hours, depending on the general condition.
Convalescence
  • Hospitalization time: 1 day
  • Sore throat: may last for several days, but is less than after a total tonsillectomy.
  • Liquid and soft diet: for a few days after surgery.
  • Return to normal activity: after about 1-2 weeks.
  • Recommendations: avoiding hot drinks, spicy foods and intense physical activity for several weeks.
Possible complications
  • Postoperative bleeding (rare)
  • Wound infections
  • Temporary changes in voice
  • Pain and swelling in the throat area

Tonsillotomy is an effective method of treating enlarged tonsils that make breathing difficult and cause other health problems.

If these problems are chronic and do not respond to drug treatment, it is worth consulting an ENT doctor.

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See also

Endoscopic sinus surgery

Functional rhinoplasty in adults

Septoplasty in adults

Otoplasty in children and adults

Uvulopalatopharyngoplasty in adults (UPPP)

Adenoidectomy in children

Tympanostomy in children

Blepharoplasty

Eustachian Tube baloon dilation