Tonsil Surgery in India

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What is a Tonsillectomy?

The process is carried out to eliminate the tonsils as a treatment for tonsillitis. Tonsillitis arises from the inflammation of the tonsils, typically caused by either bacteria or a virus. This condition is predominantly observed in children and occurs infrequently in adults.

Children experiencing tonsillitis often exhibit symptoms such as swollen glands, fever, and a sore throat. The primary cause of tonsillitis in children is the Streptococcus virus. Tonsillitis can become a recurring and chronic issue. Tonsillectomy stands out as the most effective treatment among the various options available.

Adults Tonsillectomy

As a component of the lymphoid tissue group, tonsils play a crucial role in preventing infections from germs that are either ingested or inhaled. Tonsillitis arises when these tonsils get infected. In children, if there are more than four attacks annually, tonsillectomy is recommended. For adults, a lower frequency of attacks may prompt a suggestion for tonsillectomy. In certain cases, the attacks can be severe, with minimal likelihood of resolving on their own.

Indications for Tonsillectomy

  • Suspicion of tonsillar malignancy.
  • Tonsillitis occurring 3 or more times each year over a period of 2 years.
  • The removal of tonsils is usually done when other medical therapy has failed.
  • Tonsillitis occurring 5 or more times every year.
  • Tonsillitis is not responding to antibiotics.
  • Tonsillar hypertrophy is the most common indication that poses obstruction leading to sleep disturbance or sleep apnea.
  • Recurrent ear infections.
  • Peritonsillar abscess
  • The normal sized tonsils are removed that is obstructing narrow upper airway due to dental abnormalities, orofacial or congenital abnormalities.
  • Recurrent or chronic tonsillitis
  • The problems caused by obstructing tonsils and the removal is necessary if the conditions are not attributable to the other causes. It gets difficult to figure out the blockage as the tonsils may be long and the narrow area is lowering down the throat.
  • Failure to thrive.
  • Corpulmonale-right-sided heart enlargement due to disease in the air passages.
  • Swallowing or speech abnormalities.

Tonsillectomy Procedure

  • The surgical procedure of tonsillectomy can be performed with adenoidectomy or even without it. The procedure is done on an outpatient basis under general or local anesthesia (patient asleep).
  • The surgeon makes the patient sit with head forward and opening its mouth wide open.
  • Both adenoids and tonsils can be taken out of their bed with the help of different methods. The method adopted depends on the choice of surgeon and does not affect the length of the surgical procedure. Different methods used are :
  • Laser
  • Electrocautery (hot electric knife that is used to seal bleeding vessels).
  • Metal snares
  • Scissors
  • Blunt dissecting instruments
  • The surgeon controls the bleeding of the patient and also makes him awakened.

Tonsillectomy and Adenoidectomy

Surgical procedures like tonsillectomy and adenoidectomy are undertaken to remove adenoids and tonsils, which are clusters of immune cells within the lymphoid tissue (lymph glands). Positioned in the oral cavity and at the rear of nasal passages, these structures serve immune functions. Enlarged tonsils may lead to persistent issues such as chronic sore throat, dental misalignment, bad breath, upper airway obstruction affecting swallowing, and even sleep apnea. Conversely, oversized and infected adenoids can contribute to ear infections and obstructed breathing.

Coblation Tonsillectomy

Coblation originates from "controlled ablation" or removal. The coblation tonsillectomy surgical technique involves utilizing an ablation wand, resembling a pen-like device, and radio frequency radiation to partially or completely remove tonsils. This method ensures the safe removal of tonsils without causing harm to surrounding tissues. The entire procedure typically lasts around 30-45 minutes and is conducted under general or local anesthesia.

Laser Tonsillectomy

For individuals grappling with severe tonsillitis or enlarged tonsils, the laser tonsillectomy technique is employed. This advanced approach aims to enhance the patient's condition by reducing the size of the tonsils. Unlike traditional surgeries involving incisions and cutting, the laser technique eliminates the need for such procedures. At the heart of this method lies state-of-the-art technology, contributing to its effectiveness and precision.

Purpose of Laser Tonsillectomy

The technique is employed to address specific severe tonsil conditions. The conditions treated through this technique include :

  • The patients suffering from oversized tonsils as tonsil stones develop the serious conditions of sleep apnea and snoring.
  • Chronically affected tonsillitis.
  • Recurring symptoms of painful tonsillitis.

Cost of Tonsillectomy Surgery in India

Tonsillectomy in India is remarkably affordable and conducted by highly qualified, well-trained doctors. Hospitals in the country utilize the latest technologies and boast world-class facilities, ensuring a high standard of medical care.

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