What are the main reasons for tonsillectomy. How long does tonsillectomy recovery typically take. What are the most common symptoms after tonsil removal. How can parents help their child recover from a tonsillectomy. When should you seek medical attention after a tonsillectomy.

Understanding Tonsillectomy: Reasons and Procedure

A tonsillectomy is a surgical procedure to remove the tonsils, which are lumps of tissue located on both sides of the back of the throat. These tissues play a role in the body’s immune system, helping to protect against infections. However, in some cases, their removal becomes necessary.

Why Do Children Need Tonsillectomies?

There are two primary reasons why healthcare providers recommend tonsillectomies for children:

1. Obstructive sleep apnea: When tonsils become enlarged, they can block the airway, making it difficult to breathe, especially during sleep. This condition can lead to snoring and brief periods of breathing cessation, known as sleep apnea.
2. Recurrent tonsillitis: If a child experiences frequent tonsil infections, removal may be advised. The general guideline for considering tonsillectomy is at least 7 infections in one year, more than 5 infections per year for two consecutive years, or three infections per year for three years.

Obstructive sleep apnea can have serious consequences for a child’s health and development. It can result in poor quality sleep, which may lead to learning difficulties, behavioral problems, growth issues, and even heart problems. Therefore, addressing this condition through tonsillectomy can significantly improve a child’s overall well-being.

The Tonsillectomy Procedure

A tonsillectomy is performed by an ear, nose, and throat (ENT) surgeon while the child is under general anesthesia. The procedure is carried out through the open mouth, meaning there are no external incisions or visible scars. There are two main types of tonsillectomy:

• Traditional tonsillectomy: This involves the complete removal of both tonsils.
• Intracapsular tonsillectomy: In this method, the surgeon removes most of the tonsil tissue but leaves a small protective layer over the throat muscles.

The intracapsular method often results in a faster recovery, less pain, and a lower risk of complications. However, there is a slight chance that the remaining tissue could regrow or become infected, potentially requiring additional surgery.

Preparing Your Child for Tonsillectomy

Proper preparation can help reduce anxiety and ensure a smoother experience for both the child and parents. Here are some key steps to take:

Medical Preparations

Your healthcare provider will provide specific instructions regarding medication use in the weeks leading up to the surgery. It’s crucial to follow these guidelines carefully, as some medications may need to be discontinued temporarily.

Fasting Requirements

On the day of the surgery, your child will need to have an empty stomach. Your doctor will provide clear instructions on when to stop eating and drinking prior to the procedure. Adhering to these guidelines is essential for your child’s safety during anesthesia.

Emotional Preparation

Surgery can be a frightening experience for children. Take time to explain the procedure in age-appropriate terms, addressing any concerns or questions your child may have. Reassurance and open communication can help alleviate anxiety and promote a more positive experience.

The Tonsillectomy Surgery: What to Expect

Understanding the surgical process can help parents feel more at ease on the day of the procedure. Here’s what typically happens during a tonsillectomy:

Duration of the Surgery

A tonsillectomy usually takes between 20 to 30 minutes, though it may sometimes take longer depending on individual circumstances.

Parental Presence

Parents are typically allowed to stay with their child until the anesthesiologist administers the anesthesia. After that, parents are directed to a waiting area until the surgery is complete.

Post-Surgery Recovery

Following the procedure, your child will be taken to a recovery area to wake up from the anesthesia. Many children are able to go home the same day, but some may need to stay overnight for observation. This is particularly common for children under 3 years old or those with serious sleep problems like apnea.

Post-Tonsillectomy Recovery: Timeline and Expectations

Recovery after a tonsillectomy can vary depending on the individual and the type of surgery performed. Generally, it takes about a week or more for a child to fully recover. During this time, parents should be prepared for certain challenges and symptoms.

Common Post-Surgery Symptoms

After the tonsils are removed, it’s normal for children to experience some pain and discomfort. This can make it difficult for them to eat and drink normally. Other common symptoms may include:

• Sore throat
• Difficulty swallowing
• Ear pain
• Bad breath
• Slight fever
• Swelling in the throat area

Recovery Timeline

While every child’s recovery is unique, here’s a general timeline of what to expect:

1. Days 1-2: Your child will likely experience the most discomfort during this time. They may be reluctant to eat or drink and may need pain medication.
2. Days 3-5: Pain may start to improve, but your child might still have difficulty eating solid foods.
3. Days 6-10: Most children start feeling significantly better and can return to normal activities.
4. 2 weeks post-surgery: By this time, most children have fully recovered.

Managing Pain and Discomfort After Tonsillectomy

Effective pain management is crucial for a smooth recovery after tonsillectomy. Here are some strategies to help alleviate your child’s discomfort:

Pain Medication

Administer pain medication as directed by your healthcare provider. It’s important to follow the prescribed dosage and schedule to maintain consistent pain relief.

Cold Therapy

Offer cold foods and drinks to help soothe the throat. Ice cream, popsicles, and cold beverages can provide temporary relief and encourage fluid intake.

Soft Diet

Stick to soft, easy-to-swallow foods in the days following surgery. Pudding, gelatin, mashed potatoes, and soup are good options. Gradually introduce more solid foods as your child’s comfort level improves.

Rest and Relaxation

Ensure your child gets plenty of rest during the recovery period. Limit physical activities and encourage quiet activities like reading or watching TV.

Potential Complications and When to Seek Medical Help

While tonsillectomy is generally a safe procedure, it’s important to be aware of potential complications and know when to seek medical attention.

Dehydration

One of the most common complications after tonsillectomy is dehydration. Children may be reluctant to drink due to pain, leading to insufficient fluid intake. Signs of dehydration include:

• Dry mouth
• Decreased urination
• Dark urine
• Lethargy

If you suspect your child is becoming dehydrated, contact your healthcare provider immediately. In some cases, children may need to return to the hospital for intravenous fluids.

Bleeding

While rare, bleeding can occur during surgery, immediately after, or up to two weeks post-operation. This is a serious complication that requires immediate medical attention. Call your doctor right away if your child coughs up, throws up, or spits out bright red blood or blood clots.

Other Warning Signs

Contact your healthcare provider if your child experiences any of the following:

• Fever that persists or worsens
• Vomiting after the first day or after taking medication
• Severe sore throat that doesn’t respond to pain medication
• Difficulty breathing
• Signs of dehydration
• Unusual drooling (which may indicate difficulty swallowing)

Long-Term Outlook and Follow-Up Care

After the initial recovery period, most children experience significant improvement in their symptoms. However, it’s important to maintain follow-up care to ensure proper healing and address any lingering concerns.

Post-Surgery Check-Up

Your healthcare provider will typically schedule a follow-up appointment about 2-3 weeks after the surgery. This visit allows the doctor to check the healing process and address any issues that may have arisen during recovery.

Long-Term Benefits

For children who underwent tonsillectomy due to obstructive sleep apnea, parents often notice significant improvements in sleep quality, behavior, and overall health. Children who had recurrent tonsillitis typically experience fewer throat infections following the procedure.

Monitoring for Complications

While rare, it’s important to be vigilant for any signs of late complications, such as:

• Recurring sore throats
• Difficulty swallowing that persists beyond the recovery period
• Changes in voice quality
• Snoring or sleep disturbances that return after initial improvement

If you notice any of these issues, consult with your healthcare provider for further evaluation.

Tonsillectomy, while a common procedure, requires careful attention during the recovery period. By understanding the reasons for the surgery, knowing what to expect during and after the procedure, and being prepared to manage potential complications, parents can help ensure a smooth recovery for their child. Remember, every child’s experience is unique, and it’s always best to consult with your healthcare provider for personalized advice and care instructions.

Tonsillectomy (for Parents) – Nemours KidsHealth

What Is a Tonsillectomy?

A tonsillectomy is surgery to remove the tonsils. Tonsils are lumps of tissue on both sides of the back of the throat that help the immune system protect the body from infections.

Tonsillectomy (tahn-suh-LEK-tuh-mee) is one of the most common surgeries kids and teens get. But they’re done less often than in the past because large tonsils may shrink on their own over time.

Why Are Tonsillectomies Done?

Kids usually have a tonsillectomy because:

1. Their tonsils are so big they block the airway and make it hard to breathe. Swollen tonsils can make it hard to breathe, especially during sleep. A child might snore and stop breathing for short periods while asleep when the tonsils get in the way. This is called obstructive sleep apnea. Apnea can make kids miss out on healthy, restful sleep, which can lead to learning, behavior, growth, and heart problems.
2. Their tonsils get infected often. A health care provider might recommend removing the tonsils if a child gets a lot of tonsil infections (called tonsillitis). Experts define “a lot” as when a doctor diagnoses a child with at least 7 infections a year, more than 5 infections a year for 2 years in a row, or three infections a year for 3 years.

What Happens Before a Tonsillectomy?

Your health care provider will let you know if your child should stop taking any medicine in the week or two before the surgery. You’ll also be told when your child should stop eating and drinking because the stomach must be empty on the day of the procedure.

Surgery, no matter how common or simple, can be scary for kids. Help prepare your child by talking about what to expect.

What Happens During a Tonsillectomy?

An ear, nose, and throat (ENT) surgeon will do the surgery while your child is under general anesthesia. This means an anesthesiologist will keep your child safely and comfortably asleep during the procedure.

The surgery is done through your child’s open mouth. There are no cuts through the skin and no visible scars.

The two main types of tonsillectomy surgery are:

1. Traditional tonsillectomy: Both tonsils are completely removed.
2. Intracapsular tonsillectomy: The surgeon removes all the affected tonsil tissue, but leaves a small layer to protect the throat muscles underneath. There’s a very slight chance that the remaining tissue can re-grow or become infected and need more tonsil surgery, but this isn’t common.
   With this type of surgery, kids:
   • recover faster
   • have less pain
   • don’t need as much pain medicine
   • have a lower risk of bleeding
   • are better able to eat and drink after the procedure

Can I Stay With My Child During a Tonsillectomy?

Usually, parents can stay with their child until the anesthesiologist gives medicine. Then you’ll go to a waiting area until the surgery is over.

How Long Does a Tonsillectomy Take?

A tonsillectomy usually takes about 20 to 30 minutes, though it can take a little longer.

What Happens After the Tonsillectomy?

Your child will wake up in the recovery area. Many kids go home the same day, though some may stay overnight. In general, kids under 3 years old and those with serious sleep problems (like apnea) usually stay overnight.

Depending on the type of surgery done, recovery after a tonsillectomy may take a week or more. Expect some pain and discomfort after the tonsils are removed, which can make it hard for kids to eat and drink.

Are There Any Risks From Tonsillectomy?

There are risks with any surgery, including infection and problems with anesthesia.

Sometimes children get dehydrated from not drinking enough when they go home, and may need to come back to the hospital for fluids.

Rarely, bleeding might happen during the surgery, right after it, or up to 2 weeks later. Call the doctor right away if your child coughs up, throws up, or spits out bright red blood or blood clots. Doctors might need to do another procedure to stop the bleeding.

How Can I Help My Child Feel Better?

Give your child pain medicine as directed by your health care provider.

Kids should rest at home for a few days following surgery and take it easy for a couple of weeks. They can return to school or childcare when they can eat normally, are sleeping well, and don’t need pain medicine.

Offer plenty to drink, and soft foods like pudding, soup, gelatin, or mashed potatoes until your child is ready for solid foods.

Kids should avoid blowing their nose for 2 weeks after surgery, as well as any rough playing or contact sports.

When Should I Call the Doctor?

Call the doctor if your child:

• gets a fever
• vomits after the first day or after taking medicine
• has a sore throat despite taking pain medicine
• isn’t drinking enough liquids

Call the doctor right away if your child vomits blood or something that looks like coffee grounds, or has trouble breathing.

What Else Should I Know?

After tonsillectomy, kids can still get colds, sore throats, and throat infections. They won’t get tonsillitis unless the tonsils grow back, which is uncommon.

Even though the tonsils are part of the immune system, removing them doesn’t affect the body’s ability to fight infections. The immune system has many other ways to fight germs.

Reviewed by: Patrick C. Barth, MD

Date reviewed: June 2019

Tonsillectomy: Purpose, Procedure, and Recovery

Tonsillectomy: Purpose, Procedure, and Recovery

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Medically reviewed by Suzanne Falck, M. D., FACP — By Erica Roth — Updated on September 17, 2018

What is a tonsillectomy?

A tonsillectomy is a surgical procedure to remove the tonsils. Tonsils are two small glands located in the back of your throat. Tonsils house white blood cells to help you fight infection, but sometimes the tonsils themselves become infected.

Tonsillitis is an infection of the tonsils that can make your tonsils swell and give you a sore throat. Frequent episodes of tonsillitis might be a reason you need to have a tonsillectomy. Other symptoms of tonsillitis include fever, trouble swallowing, and swollen glands around your neck. Your doctor may notice that your throat is red and your tonsils are covered in a whitish or yellow coating. Sometimes, the swelling can go away on its own. In other cases, antibiotics or a tonsillectomy might be necessary.

A tonsillectomy can also be a treatment for breathing problems, like heavy snoring and sleep apnea.

Tonsillitis and the need for tonsillectomies are more common in children than adults. However, people of any age can experience trouble with their tonsils and require surgery.

One case of tonsillitis is not enough to warrant a tonsillectomy. Usually, the surgery is a treatment option for those who are often sick with tonsillitis or strep throat. If you’ve had at least seven cases of tonsillitis or strep in the last year (or five cases or more over each of the last two years), talk to your doctor about whether a tonsillectomy is an option for you.

Tonsillectomy can also treat other medical problems, including:

• breathing problems related to swollen tonsils
• frequent and loud snoring
• periods in which you stop breathing during sleep, or sleep apnea
• bleeding of the tonsils
• cancer of the tonsils

You will need to stop taking anti-inflammatory medicines two weeks before your surgery. This type of medication includes aspirin, ibuprofen, and naproxen. Drugs of this kind can increase your risk of bleeding during and after your surgery. You should let your doctor know about any medications, herbs, or vitamins you’re taking.

You’ll also need to fast after midnight before your tonsillectomy. This means you shouldn’t drink or eat. An empty stomach reduces the risk of feeling nauseous from the anesthetic.

Be sure to plan for your at-home recovery. Someone will need to drive you home and help you for the first couple of days following your tonsillectomy. Most people stay home from work or school for about a week following surgery.

There are several different ways to remove tonsils. One common method is called “cold knife (steel) dissection.” In this case, your surgeon removes your tonsils with a scalpel.

Another common method for tonsillectomy involves burning away the tissues through a process called cauterization. Ultrasonic vibration (using sound waves) is also used in some tonsillectomy procedures. Tonsillectomies usually take about a half hour.

No matter what surgical method your doctor chooses, you’ll be asleep with a general anesthetic. You won’t be aware of the surgery or feel any pain. When you wake up after the tonsillectomy, you’ll be in a recovery room. Medical staff will monitor your blood pressure and heart rate as you wake up. Most people can go home the same day after a successful tonsillectomy.

A tonsillectomy is a very common, routine procedure. However, like with other surgeries, there are some risks with this procedure. These can include:

• swelling
• infection
• bleeding
• reaction to anesthetics

Patients can experience some pain as they recover from a tonsillectomy. You might have a sore throat after surgery. You might also feel pain in your jaw, ears, or neck. Get plenty of rest, especially in the first two to three days after surgery.

Sip water or eat ice pops to stay hydrated without hurting your throat. Warm, clear broth and applesauce are ideal food choices during early recovery. You can add ice cream, pudding, oatmeal, and other soft foods after a couple days. Try not to eat anything hard, crunchy, or spicy for several days after a tonsillectomy.

Pain medication can help you feel better during recovery. Take the medicines exactly as your doctor prescribes. Contact your doctor if you experience bleeding or run a fever after a tonsillectomy. Snoring for the first two weeks after the procedure is normal and expected. Call your doctor if you have trouble breathing after the first two weeks.

Many people are ready to go back to school or work within two weeks after a tonsillectomy.

Most who have a tonsillectomy have fewer throat infections in the future.

Last medically reviewed on August 10, 2017

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

• Mayo Clinic Staff. (2015). Tonsillectomy.
  mayoclinic.com/health/tonsillectomy/MY00132
• Morad A, et al. (2017). Tonsillectomy versus watchful waiting for recurrent throat infection: A systematic review. DOI:
  10.1542/peds.2016-3490
• Tonsillectomy and adenoids postop. (n.d.).
  entnet.org/HealthInformation/tonsillectomyProcedures.cfm
• Tonsils and tonsillectomies. (2013).
  kidshealth.org/parent/medical/ears/tonsil.html

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Medically reviewed by Suzanne Falck, M.D., FACP — By Erica Roth — Updated on September 17, 2018

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After tonsil removal

To the guide

After removal of the tonsils, bleeding, tissue infection, soreness and other unpleasant consequences are possible.

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• Tonsil removal
• After removal

The operation to remove the tonsils in otolaryngology is called tonsillectomy, it involves the excision of the affected tissues in a traditional surgical way or as part of laser ablation.

Intervention is indicated for chronic tonsillitis, which is not treatable by conservative methods (medication and physiotherapy, washing, gargling, etc.).

Removal of the tonsils is possible only after a preliminary examination. The patient needs to take blood and urine tests, make a coagulogram.

The results of laboratory tests are a criterion for selecting patients for surgery. Women in late pregnancy, people with blood diseases, severe pathologies of the heart and other internal organs, as well as those with malignant tumors, are not allowed to undergo intervention. The essence of tonsillectomy is the resection of hypertrophied tonsils, which serve as a source of infection, together with connective tissue.

After the removal of the tonsils, complications are possible, which are relatively rare, but at the same time cannot be excluded at all.

Bleeding

One of the complications is bleeding, which mainly occurs due to incomplete removal of the affected tissues and requires secondary curettage of the nasopharyngeal cavity. This can be avoided by proper preoperative preparation of the patient. The patient is warned that swallowing saliva and blood in the first few hours after the operation is undesirable. His condition is being monitored by medical personnel.

A separate word should be said about children who cannot always follow the doctor’s recommendations, especially during sleep. Significant blood loss leads to a deterioration in the general condition, can provoke loss of consciousness and convulsions, are the cause of acute vascular insufficiency and death (in the absence of emergency care). At risk are patients suffering from rheumatism.

In rare cases, late bleeding is also possible, appearing a week after the removal of the tonsils. They do not pose a threat to life and are usually due to non-compliance with the prescribed diet.

Infection

Infectious complications are rare and not always directly related to the intervention (for example, in case of infection with influenza viruses, pneumonia, etc. ). However, postoperative tonsillitis and pharyngitis are possible. The main symptoms of inflammation are a soft palate and a red throat caused by hyperemia of the posterior pharyngeal wall. In addition, a few days after tonsillectomy, an abscess of the lateral wall of the pharynx may develop. The main reason for this is usually tissue infection during the provision of blockade of pain perception by means of injecting the anesthetic solution.

Other effects

Other unpleasant consequences that occur after the removal of the tonsils include pain in the pharynx, usually appearing when swallowing, and other paresthesias.

Power mode

After tonsillectomy, eating is allowed no earlier than 10 hours later. The consistency of the products should be liquid. The diet consists of meat broths, fermented milk products (cream, sour cream, liquid cottage cheese), jelly, etc.

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1. What is a tonsillectomy?
2. Why remove tonsils?
3. How does it work?
4. What are the risks of tonsil removal?

1.

What is a tonsillectomy?

Tonsillectomy is a surgical procedure to remove the tonsils. In this case, the adenoids can be removed. Tonsillectomy is usually performed under general anesthesia for children and under local anesthesia for adults.

What to expect after tonsil removal?

Sore throat for some time after tonsil removal. A tonsillectomy can also change the patient’s voice and volume for a few days. A sore throat can also make it difficult to eat and drink. Some patients complain of foul-smelling breath after having their tonsils removed, but this goes away after a few days. There is usually no bleeding after a tonsillectomy.

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2. Why remove tonsils?

Tonsil removal is done for one of the following reasons:

• Frequent tonsillitis;
• Acute pharyngitis;
• Abscess of tonsil;
• Biopsy needed for cancer testing;
• Tonsils too large to interfere with breathing (in children).

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3. How does it work?

Removing the tonsils can help reduce the number of sore throats, especially in children.

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4. What are the risks of tonsil removal?

Tonsillectomy, like any surgical operation, has its risks:

• Bleeding;
• Breathing problems;
• Reaction to anesthesia.
• However, all these complications are very rare.

What is worth knowing?

Tonsillectomy is rarely required. Therefore, weigh the pros and cons before making a decision. Some people worry that removing the tonsils can negatively affect the immune system, but studies do not support this.

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