Tonsillectomy - removal of the tonsils

The surgical operation of tonsillectomy was known to medicine more than two thousand years ago, and today it is widely in demand in ENT practice. New approaches and techniques have made it possible to make it less traumatic, which significantly shortens the recovery period and minimizes possible complications. The K+31 clinic in Moscow successfully solves the problem of chronic tonsillitis. Our own laboratory and well-equipped operating rooms allow us to perform complete diagnostics and perform tonsillectomy, achieving treatment goals in the shortest possible time.
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The meaning of tonsillectomy surgery

Tonsils (tonsils) are important organs of the immune system. They consist of lymphatic tissue and are richly penetrated with blood and lymphatic vessels. The protective functions of the tonsils are to be the first to stand in the way of infectious agents entering the nasopharynx through the nose and mouth. Viruses, bacteria, fungi settle on their surface, where they are neutralized with the help of immune cells - lymphocytes.

The pharyngeal ring of seven tonsils, including the palatine tonsils, is in constant contact with pathogens. Inflammatory processes often occur in the tonsils, which we know as tonsillitis, or tonsillitis. Suppressed immunity and pathological proliferation of lymphoid tissue lead to narrowing of the entrance to the pharynx, pain and other problems.

When conservative treatment does not bring positive results, the tonsils can be removed surgically. Unilateral or bilateral tonsillectomy eliminates the source of chronic infection in the body, which, without treatment, is often the source of serious infectious and inflammatory diseases of other organs.

The meaning of tonsillectomy surgery

Tonsillotomy, tonsillectomy and adenotomy - what is the difference?

These are three completely different surgical procedures, so they should not be confused.

Tonsillotomy and tonsillectomy operations have the following differences:

  • Tonsillotomy is a partial resection of lymphoid tissue, which is aimed at removing the pathologically changed area, but preserving the tonsil
  • Bilateral or unilateral tonsillectomy consists of complete removal of the tonsil and capsule from two or one side, respectively

Tonsillectomy and adenotomy differ in the organ on which the intervention is performed. Adenotomy is the removal of adenoids located in the nasopharyngeal space. Often, the removal of tonsils and adenoids is performed simultaneously, during one procedure.

General information about the procedure

Indications for surgical intervention

Before prescribing an operation, the doctor examines the patient, assessing the indications and contraindications for it. Removal of the tonsils is often necessary in the toxic-allergic form of chronic tonsillitis, when there are signs of general intoxication, immunosuppression, and the development of complications against the background of chronic tonsillitis:

  • Pain in the heart
  • Heart rhythm disturbances
  • Swallowing and speech problems
  • Apnea (stopping breathing during sleep)
  • Subfebrile body temperature over a long period of time
  • Pain and swelling of the joints
  • ECG abnormalities
  • Infectious pathologies of the heart, blood vessels, kidneys, joints
  • Rheumatic disease
  • Sepsis or high risk of blood poisoning
  • Paratonsillar abscess
  • Signs of general intoxication: weakness, fatigue, headaches and joint pain
  • Frequently recurrent tonsillitis (7 times in one year or 5 times annually for two years or 3 times a year for three years)

Surgery is necessary not only to stop tonsillitis, but also to relieve frequent complications that are dangerous to health and life. The type of surgery will be chosen depending on the extent of the operation. This can be endoscopic tonsillectomy, surgery with adenotomy, partial resection, classic tonsillectomy, etc.

Contraindications

The operation is performed during the period of remission. Purulent processes and severe complications of the disease are an indication for preliminary anti-infective therapy. The patient is prescribed a course of antibiotics, immunomodulatory and anti-inflammatory drugs, and after treatment they undergo surgery.

Absolute contraindications:

  • Heart, kidney, liver, multiple organ failure
  • Decompensated condition due to a chronic disease (for example, diabetes mellitus, arterial hypertension)
  • Decreased blood clotting ability due to diseases (hemophilia, leukemia) or after taking certain medications (Aspirin, Methotrexate, etc.)
  • Any malignant pathologies
  • Pulmonary tuberculosis

Relative contraindications that can be adjusted before surgery:

  • Acute viral and cold diseases
  • Pregnancy in the 3rd trimester
  • Menstrual bleeding in women

Until recently, the operation was not performed in early childhood and old age. However, today minimally and microinvasive tonsillectomy, according to indications, can be prescribed even to children from 2 years of age and to older people.

Preparation for surgery

The patient should tell the attending physician about existing chronic diseases and medications taken. Medicines that affect blood clotting should be stopped several days before surgery. This issue is discussed with the attending physician.

To minimize the risk of bleeding, a few days before the procedure, medications that reduce vascular bleeding are prescribed. The night before surgery, you may be given a sedative to help manage anxiety.

An examination is prescribed, which may include the following activities:

  • General clinical blood test
  • Biochemical blood test
  • Coagulogram and blood clotting test according to Sukharev
  • Blood test for STIs
  • Cultivation of microflora from the tonsils to determine the type of infectious agent
  • Fluorography

A consultation with a therapist and highly specialized doctors is scheduled to determine contraindications.

No complicated preparation is required on the patient's part. If a tonsillectomy under anesthesia is scheduled, the doctor will warn you about your diet a few days before the operation. As a rule, a light diet is prescribed, and before the procedure, a fasting regime of at least 12 hours is prescribed. Tonsillectomy under local anesthesia using one of the minimally invasive techniques is performed on an empty stomach, so the patient cannot eat or drink on the day of the operation.

Recovery

The patient is prescribed an inpatient recovery regimen. Bed rest may be recommended for the first two days.

The most common complication after this surgical procedure is pharyngeal bleeding. To eliminate risks, the patient should follow all medical recommendations, follow the prescribed regimen and take medications.

Rehabilitation algorithm:

  1. 1 day after the procedure: Swallowing, expectoration, and gargling are not allowed. To relieve pain, painkillers are prescribed; to prevent inflammation, antibiotics and non-steroidal anti-inflammatory drugs are prescribed. You can't eat. After tonsillectomy in children, young patients should not eat or drink for about 6 hours
  2. 1 week after surgery – a period of light diet. Dishes must be liquid, pureed, homogeneous
  3. 3-4 weeks you need to follow a light diet, excluding hot, spicy, sour foods, spices, coarse foods
  4. During the entire rehabilitation period, it is recommended to sleep on a high pillow

The hospital stay lasts from 3 to 7 days, depending on the patient’s condition and the presence of complications. Full recovery will occur in 2-4 weeks.

Types of surgical interventions for resection of palatine tonsils

The preferred intervention technique depends on the extent of the pathological process, the presence of complications, age, and other factors. The cost of tonsillectomy surgery will depend on the technique chosen and the method of anesthesia.

Partial or complete, unilateral or bilateral tonsillectomy for tonsillitis is carried out today using the following techniques:

1

Tonsillectomy using the radio wave method is performed in cases where total removal of the tonsils with capsules is not required, but partial resection is required. Radio wave tonsillectomy involves exposing foci of pathology to high frequency radio waves. Recovery is fast, the risk of complications is reduced to zero

2

Infrared laser tonsillectomy in Moscow is performed at the K+31 clinic. IR laser heat sealing allows you to avoid pain, swelling, and long postoperative rehabilitation. Requires local anesthesia

3

Ultrasonic tonsillectomy is performed with an ultrasonic “knife” that generates ultrasound waves of a specific frequency and length. Thanks to the ability to set wave parameters, the surgeon is able to act only on pathological lesions without affecting healthy tissue

4

The laser tonsillectomy operation, or vaporization (evaporation), is performed using a medical carbon laser. The method is simple, the postoperative period takes several days. Laser tonsillectomy reduces the risk of bleeding to zero

5

Using the classical technique, the capsule and soft tissue of the tonsils are removed using the traditional method - with a scalpel or a wire loop

6

Coblation. Tonsillectomy with a coblator is performed without the influence of high temperatures on the tissue, which reduces all the risks of the postoperative period. Local anesthesia is sufficient

7

Electrocoagulation. Instead of a scalpel, the surgeon uses a surgical instrument with an electrode, which is used to cauterize tissue. The risk of bleeding is minimized, but recovery may take longer due to thermal injury to healthy pharyngeal tissues

Depending on the type of intervention and the patient’s condition, the doctor chooses the type of anesthesia. Tonsillectomy under anesthesia is performed when choosing the classical method and electrocoagulation. Laser, ultrasound, radio wave methods and coblation are more often performed with local anesthesia. General sedation can be chosen by the surgeon to best open the surgical field, reduce the risk of bleeding, and eliminate pain for the patient.

Advantages of treatment of chronic tonsillitis at the K+31 clinic

In the K+31 clinic, the choice of surgical technique is made by the therapist and otolaryngologist, taking into account the patient’s opinion.

Our advantages:

  • High-precision diagnostic equipment and our own laboratory allow us to perform the full scope of the necessary examination and accurately make a diagnosis
  • The use of high-quality anesthesia and therapy reduces the likelihood of complications
  • Modern surgical techniques and expert-class equipment ensure rapid rehabilitation of patients
  • Operations are performed by surgeons with many years of experience and high qualifications
  • The healing environment of the inpatient department is conducive to rapid recovery and improved well-being

You can make an appointment with a doctor or consult on questions of interest by phone, via messenger or through your personal account on the official K+31 website.

Advantages of treatment of chronic tonsillitis at the K+31 clinic

Our doctors

Sadikov
Ilya Sergeyevich
Head of the Clinic for Otorhinolaryngology, Otorhinolaryngologist
Tetzoeva
Zalina Muratovna
Head of the department of otorhinolaryngology, otorhinolaryngologist
Lapshina
Anastasia Andreevna
Otolaryngologist, audiologist
Lopatin
Andrew Stanislavovich
Chief Specialist in Otorhinolaryngology
Portnyagina
Maria Pavlovna
Audiologist-otorhinolaryngologist
Kaspranskaya
Galina Rustemovna
Otorhinolaryngologist, otoneurologist, audiologist
Budeikina
Liliya Sergeevna
Otorhinolaryngologist, phoniatrist
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Answers to popular questions

Where to get a tonsillectomy in Moscow?

At the K+31 clinic in Moscow, tonsillectomy is performed using high-tech methods, which minimizes damage to adjacent structures during surgery and reduces the risk of typical complications to zero.

How much does a tonsillectomy cost in the capital?

The cost of tonsillectomy is influenced by the list of medications and auxiliary products used, and the level of technology of the operation. The final price of tonsillectomy in Moscow depends on the type of intervention and the diagnostic and treatment program prescribed to the patient.

You can find the full price list of medical services on the official website of the K+31 clinic. When performing tonsillectomy for a fee, you can count on reasonable prices. Doctors make only the most necessary appointments to avoid unnecessary treatment costs. The final price of tonsillectomy surgery will be calculated before the intervention and agreed upon with the patient.

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st. Lobachevskogo, 42/4

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