Tonsil stone tonsillectomy. Tonsil Stones: Causes, Symptoms, and Effective Treatment Options
What causes tonsil stones to form. How can you recognize the symptoms of tonsil stones. What are the most effective ways to treat and prevent tonsil stones from recurring. Is tonsillectomy necessary for managing tonsil stones in adults.
Understanding Tonsil Stones: Formation and Risk Factors
Tonsil stones, also known as tonsilloliths or tonsilliths, are calcified masses that develop in the crevices of the tonsils. These small, pale yellow formations occur when substances like food particles, bacteria, saliva, and mucus become trapped in the irregular surface of the tonsils.
The tonsils, oval-shaped pads of tissue located at the back of the throat, play a crucial role in the body’s immune system. They act as filters for bacteria and viruses while producing disease-fighting white blood cells and antibodies. However, their uneven surface with pits and craters makes them susceptible to trapping debris, leading to the formation of tonsil stones.
Who is at risk for developing tonsil stones?
While anyone can develop tonsil stones, certain factors may increase the likelihood of their occurrence:
- People with large or irregularly shaped tonsils
- Individuals with poor oral hygiene
- Those prone to chronic tonsillitis
- People with a history of recurring sinus infections
Recognizing the Signs and Symptoms of Tonsil Stones
Identifying tonsil stones can be challenging, as they may not always be visible. However, several signs and symptoms can indicate their presence:
- Visible pale yellow or white bumps on the tonsils
- Persistent bad breath (halitosis)
- Sore throat or difficulty swallowing
- Ear pain
- Tonsil inflammation or redness
- Sensation of something stuck in the throat
Can tonsil stones cause serious health problems? While tonsil stones are generally harmless, they can occasionally lead to chronic tonsillitis or more severe tonsil infections if left untreated. It’s essential to consult a healthcare professional if you experience persistent symptoms or discomfort.
Home Remedies and Self-Care Techniques for Tonsil Stone Management
For those looking to manage tonsil stones without medical intervention, several home remedies and self-care techniques can be effective:
1. Gentle Removal Methods
How can you safely remove tonsil stones at home? Two common methods include:
- Using a cotton swab or the back of a toothbrush to gently press out visible stones
- Employing a low-pressure water irrigator to wash out debris from tonsil crevices
2. Saltwater Gargles
Gargling with warm salt water can help dislodge tonsil stones and reduce inflammation. Mix 1/4 to 1/2 teaspoon of salt in 8 ounces of warm water and gargle for 30 seconds before spitting it out. Repeat this process several times a day.
3. Apple Cider Vinegar Rinses
Apple cider vinegar’s acidic properties may help break down tonsil stones. Dilute 1 tablespoon of apple cider vinegar in 1 cup of warm water and use it as a gargle once or twice daily.
4. Essential Oil Mouthwashes
Certain essential oils, such as lemongrass, thieves, or myrrh, have antibacterial properties that can help combat tonsil stones. Add a few drops of your chosen essential oil to a glass of water and use it as a mouthwash.
Professional Treatment Options for Persistent Tonsil Stones
When home remedies prove ineffective, professional medical interventions may be necessary:
1. Laser Tonsil Cryptolysis
This procedure uses laser technology to smooth out tonsil surfaces, reducing the number of crevices where stones can form. It’s less invasive than a tonsillectomy and typically performed under local anesthesia.
2. Coblation Cryptolysis
Similar to laser cryptolysis, this technique uses radiofrequency energy to smooth tonsil surfaces and remove existing stones.
3. Tonsillectomy
Is tonsillectomy the most effective solution for chronic tonsil stones? While it is the most definitive treatment, completely eliminating the possibility of future stones, it’s typically reserved for severe or recurrent cases due to the potential risks associated with the surgery.
The Tonsillectomy Debate: Weighing the Pros and Cons for Adults
Tonsillectomy, the surgical removal of tonsils, is a common procedure for children but can be more complex for adults. Understanding the potential benefits and risks is crucial when considering this option:
Potential Benefits:
- Permanent elimination of tonsil stones
- Reduced risk of chronic tonsillitis
- Improved sleep quality for those with sleep-disordered breathing
Potential Risks:
- Post-operative bleeding
- Infection
- Prolonged recovery time for adults compared to children
- Potential changes in taste or voice
Should adults with recurring tonsil stones consider tonsillectomy? While it can be an effective solution, the decision should be made in consultation with an otolaryngologist, considering the individual’s overall health, frequency of tonsil stones, and impact on quality of life.
Preventing Tonsil Stones: Effective Strategies for Long-Term Management
Implementing preventive measures can significantly reduce the likelihood of tonsil stone formation:
1. Maintain Excellent Oral Hygiene
How can proper oral care help prevent tonsil stones?
- Brush teeth thoroughly after meals and before bed
- Floss daily to remove food particles
- Gently brush the tongue to reduce bacteria
- Use an alcohol-free mouthwash to maintain oral health
2. Stay Hydrated
Drinking plenty of water helps flush out debris from the throat and tonsils, reducing the likelihood of stone formation.
3. Quit Smoking
Smoking can irritate the throat and increase mucus production, contributing to tonsil stone development.
4. Manage Allergies and Sinus Issues
Addressing underlying allergies or sinus problems can help reduce post-nasal drip, which may contribute to tonsil stone formation.
When to Seek Medical Attention for Tonsil Stones
While tonsil stones are often manageable at home, certain symptoms warrant professional medical evaluation:
- Persistent sore throat or difficulty swallowing
- Ear pain that doesn’t subside
- Tonsils that appear very red or bleed easily
- Fever or other signs of infection
- Stones that are large, numerous, or recur frequently despite home care
How can a healthcare provider help with persistent tonsil stones? A doctor can assess the severity of the condition, rule out other potential issues, and recommend appropriate treatment options, which may include professional removal techniques or, in severe cases, surgical intervention.
Exploring the Link Between Tonsil Stones and Other Health Conditions
While tonsil stones themselves are generally benign, they can be associated with or exacerbate other health issues:
1. Chronic Bad Breath
The bacteria that accumulate on tonsil stones can produce sulfur compounds, leading to persistent halitosis that may not respond to regular oral hygiene practices.
2. Sleep-Disordered Breathing
Large or numerous tonsil stones can contribute to sleep apnea or other breathing difficulties during sleep, particularly if they cause significant tonsil enlargement.
3. Tonsillitis
The presence of tonsil stones can increase the risk of recurrent tonsillitis by providing a breeding ground for bacteria.
4. Ear Pain
Due to shared nerve pathways, tonsil stones can sometimes cause referred pain in the ears, even in the absence of an ear infection.
Can tonsil stones indicate an underlying health problem? While tonsil stones themselves are not typically a sign of a more serious condition, frequent or large stones may suggest issues with oral health, immune function, or chronic inflammation that warrant further investigation.
Innovative Approaches to Tonsil Stone Management
As research in this area continues, new approaches to managing tonsil stones are emerging:
1. Probiotics for Oral Health
Some studies suggest that certain probiotic strains may help reduce the bacterial imbalance in the mouth that contributes to tonsil stone formation.
2. Photodynamic Therapy
This technique uses light-activated agents to target and destroy bacteria associated with tonsil stones, potentially reducing their recurrence.
3. Nasal Irrigation
Regular use of nasal rinses or neti pots may help reduce post-nasal drip and the accumulation of debris in the throat that can lead to tonsil stones.
4. Dietary Modifications
Some individuals find that reducing dairy intake or avoiding foods that produce excess mucus can help manage tonsil stones.
Are there any breakthrough treatments on the horizon for tonsil stones? While research is ongoing, current focus areas include developing more targeted antimicrobial treatments and refining minimally invasive removal techniques to provide alternatives to tonsillectomy.
In conclusion, tonsil stones, while often a nuisance, are manageable through a combination of self-care, preventive measures, and, when necessary, medical intervention. By understanding the causes, recognizing the symptoms, and implementing appropriate management strategies, individuals can effectively address this common oral health issue. For those experiencing persistent or severe tonsil stones, consulting with a healthcare provider is crucial to determine the most appropriate treatment approach and ensure overall oral and throat health.
Tuesday Q and A: Self-care steps may help prevent tonsil stones from returning
By
Liza Torborg
DEAR MAYO CLINIC: What causes tonsil stones? Is there a way to permanently get rid of them, other than having my tonsils removed? I am 48 and have heard that having a tonsillectomy as an adult is a significant surgery that can lead to other problems.
ANSWER: Tonsil stones form when substances become logged in the crevices of your tonsils. If you are prone to tonsil stones, having your tonsils removed is the most effective way to solve the problem. If, however, you prefer not to do that, there are ways you can safely remove tonsil stones. There also are self-care steps you can take to help prevent them from coming back.
Your tonsils are two oval-shaped pads of tissue at the back of your throat, one on each side. The tonsils are a type of lymph node and work as part of your body’s immune system. They act as filters for bacteria and viruses. They also make disease-fighting white blood cells and antibodies.
The tonsils’ surfaces are irregular. Some people have pits and craters in their tonsils that are deep enough for food particles, bacteria, saliva or mucus to become caught in them. As these substances are pressed into the craters, they eventually develop into tonsil stones.
Also called tonsilliths or tonsil calculi, these stones typically are pastel yellow in appearance. You might be able to see the stones when you examine your tonsils. But if they form deep in the tonsillar tissue, the stones may not be visible.
Common signs and symptoms of tonsil stones are tonsil redness and irritation. These stones also frequently cause bad breath due to the bacteria that collect on them. In some cases, tonsil stones can lead to chronic tonsil inflammation or infection of your tonsils, called tonsillitis. But in many cases, they are simply a nuisance.
If you have a history of developing tonsil stones, the best way to get rid of them permanently is to remove your tonsils.
Surgery to take out the tonsils is called a tonsillectomy. It is usually done as an outpatient procedure, so you don’t have to stay overnight in the hospital. As with all surgeries, it carries some risks, such as bleeding after surgery. Most people have throat pain after a tonsillectomy. But the pain often can be effectively managed with medications, along with plenty of fluids and rest.
If your doctor recommends against a tonsillectomy due to your medical history, age or other factors, or if you simply would rather not have your tonsils removed, you can take other steps to deal with tonsil stones.
When stones form, you can remove them either by gently pressing them out with a cotton swab or the back of your tooth brush, or by washing them out with a low-pressure water irrigator. You can use this device to aim a gentle stream of water at the tonsil craters and rinse out debris that may be caught in them.
You can help prevent tonsil stones from forming in the first place by following good oral hygiene.
Brush your teeth after meals, at bedtime, and when you get up in the morning. When you brush your teeth, gently brush your tongue, as well. Floss your teeth daily. Regularly use mouthwash that does not have an alcohol base. These techniques can lower the amount of bacteria in your mouth that may contribute to the development of tonsil stones.
If tonsil soreness persists, if your tonsils look very red or bleed easily, or if pain from your tonsils extends to your ear, make an appointment to see your doctor. These symptoms could signal a more serious problem that may require medical attention. — Ann Bell, M.D., Otorhinolaryngology, Mayo Clinic, Rochester, Minn.
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Tonsil Stones Treatment: Home Remedies, Surgery
Tonsil stones typically don’t pose serious health risks, but they can be irksome to deal with. They can cause bad breath, an unpleasant sensation as if there’s something lodged in the back of your throat, or trouble swallowing. So, if you notice tonsil stones (also called tonsilloliths or tonsilliths) on your tonsils, you likely will want to get rid of these pale-yellow bumps.
Here are some options you can discuss with your doctor, including some common remedies you can try at home. (1,2)
Sometimes Home Remedies Can Get Rid of Tonsil Stones — but Avoid These Missteps
Sometimes no treatment is recommended for tonsil stones. Because they are not harmful, doctors may recommend leaving them alone if you do not experience or are not bothered by the symptoms associated with tonsil stones. (1)
If they do bother you, some at-home remedies may help you deal with them.
Using a Water Flosser
One of the best methods recommended by doctors for dislodging tonsil stones is doing so with a water flosser. It’s a great way to remove them without gagging, and it doesn’t involve any sharp implements. “It’s the safest noncontact method,” says Jennifer Setlur, MD, an otolaryngologist at Massachusetts Eye and Ear in Boston. (2)
Gargling With Salt Water
When it comes to tonsil stones, there are a few benefits to vigorously gargling using salt water. It can help relieve throat discomfort or pain, and it can dislodge tonsil stones. It can even help get rid of bad breath odor caused by tonsil stones. Gargling can be particularly useful after eating to prevent food and debris from getting caught in the tonsillar crypts, the small, naturally occurring crevices in your tonsils. (1)
Pushing or Squeezing Out Stones
Many people try to physically remove these stones on their own by pushing or squeezing out these growths with an object.
If you do try to remove a stone yourself, do not use a sharp object (such as a pen, pencil, toothpick, knife, or safety pin) to do so, says Dr. Setlur. “There is risk for injury to the tonsil and bleeding,” says Setlur. “There is a risk for vascular injury.” Even using a finger or toothbrush could scratch your tonsils, so if you do try this method of removal, try using a cotton swab.
Using an object for stone removal can work, but putting pressure on the tonsils can also trigger the gag reflex in some people, says Aaron Thatcher, MD, a clinical assistant professor at the University of Michigan Medicine. If you do decide to remove the stones yourself, be sure to push the dislodged stones forward, toward the opening of your mouth, and away from your throat. (1,2)
Yes, Sometimes Tonsil Stones Do Go Away on Their Own
In some cases, tonsil stones can go away on their own, says Setlur. “Your tonsils can change, becoming more cryptic [meaning they develop more crevices and pits] in the late teens and early twenties, and shrinking as we get older.
”
Your Doctor May Be Able to Help Remove Tonsil Stones or Decide if Surgery Is Needed
There are no medications you can take to get rid of tonsil stones, and surgical procedures (like a tonsillectomy) are usually not needed unless a patient’s quality of life is affected by the tonsil stones, Dr. Thatcher says. If there is a bacterial infection, a doctor might prescribe antibiotics, but that will not treat the underlying cause of tonsil stones. (1,2)
But, if none of the above home remedies work for you or you have tonsil stones that are too large or too deeply embedded in the tonsils for you to remove them yourself, you may want to consider seeing an otolaryngologist (an ear, nose, and throat doctor), Setlur says. “Most dentists or general practitioners may not want to manipulate this area and may recommend an ENT or oral surgeon.”
But your doctor can help you decide if more serious treatment is needed.
RELATED: Everything You Need to Know About Preventing Tonsil Stones
If your tonsil stones are on the severe end of the spectrum — if you’re constantly working to remove tonsil stones that persistently grow back or you’re coughing up tonsil stones every couple of days, for instance — you may want to talk to your doctor about surgical options, says Thatcher.
RELATED: What Causes Tonsil Stones in the First Place
You should also see your doctor right away if you spot any of these symptoms, which could be signs that you have an infection or another more serious medical problem: (1,2,3)
- Tonsils that are enlarged or look very red
- Any asymmetry in the tonsils (if one side is bigger or looks different from the other or if you are experiencing more pain on one side)
- Trouble swallowing
- Fever
- Persistent sore throat
- Bleeding in the tonsils
- Pus coming from the tonsils
- Pain (including ear pain)
- Enlarged tonsilloliths that interfere with breathing
- Stomachache or vomiting
There Are a Few Surgical Options to Get Rid of Tonsil Stones, but They’re Usually Only Recommended for Very Severe Cases
If your doctor does recommend a medical procedure to get rid of (and help prevent future) tonsil stones, here are some of the options he or she may discuss.
Tonsillectomy
A tonsillectomy is the complete removal of the tonsils. Like any surgical procedure, there are risks of complications such as bleeding and infection. It’s also a painful procedure that can involve two or more weeks of moderate to severe pain, says Thatcher.
The tonsils also play an important role in keeping harmful bacteria and viruses out of your body by acting as sentinels and preventing them from entering through your mouth, and should only be removed when absolutely necessary. (1,2,3) “They are part of the immune system,” says Setlur.
The bottom line: Your doctor may recommend this surgery if the tonsil stones are severely affecting your quality of life, and other methods to keep your tonsil stones in check are not working. (1,2) “It’s a high-risk solution for a low-risk problem,” Setlur adds.
Laser Tonsil Cryptolysis
In this surgery, a surgeon uses a laser to remove the tonsil crypts by resurfacing those areas (but not removing the full tonsils).
A 2013 review of 500 cases involving this procedure found that the advantages of this surgery over tonsillectomy included no need for general anesthesia (a lower, local dose is all that is required), not having to remove the tonsils, enabling doctors to target only the areas where cryptic pockets are, reduced risk of bleeding, less pain after surgery, and shorter recovery time. (4)
Coblation Tonsil Cryptolysis
For this procedure, doctors use radio-frequency energy and salt water to remove the crypts and crevices in the tonsils where tonsil stones have formed. (5) It has all the aforementioned advantages of laser tonsil cryptolysis over tonsillectomy. Additionally, it allows the doctor to operate at a lower temperature than a laser requires, so there are fewer risks than with the laser procedure (such as potential airway fire, retinal damage, and facial burns).
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Removal of tonsils and adenoids – Prof. Dr. Teoman Dal KBB Uzmanı
The decision to surgically remove the tonsils and adenoids can be made depending on the different situations presented below.
Situations requiring removal of the tonsils
Recurrent acute tonsillitis (more than five times a year, two consecutive years with an intensity of the disease more than three times a year)
• Accompanied by recurrent acute tonsillitis
o Heart valve disease
o Febrile convulsions with high fever
• Failure to respond to treatment for chronic tonsillitis
o Bad breath
o Persistent sore throat
o Painful enlargement of lymph nodes in the neck
o Presence of infectious agents, non-responders
• Abscess formation around the tonsils
• Increased obstruction of the respiratory tract (obstruction)
• Snoring and chronic mouth breathing
• Obstructive sleep apnea syndrome (upper airway obstruction syndrome)
• Together with enlargement of adenoids and tonsils
o High blood pressure disease of the lungs – Right ventricular failure
o Difficulty swallowing 90 003
o Speech disorder
o Developmental delay
• Jaw dysfunction (occlusion) associated with mouth opening
• Facial bone development disorder
• Suspected tumor (malignant neoplasm) (asymmetric development)
Situations requiring removal of adenoids
Infectious causes:
• Infectious diseases of the adenoids, the treatment of which requires more than 5 times per year of antibiotic use
• Protracted inflammation of the adenoids that does not respond to treatment (adenoiditis)
• Diseases of the middle ear (accompanied by an increase in the size of the adenoids or without their obvious growth)
o Prolonged accumulation of fluid in the middle ear (chronic otitis media with effusion)
o Frequent inflammation of the middle ear
o Patients with holes in the eardrum and persistent accumulation of fluid
• Chronic sinusitis that does not respond to treatment
90 002 Reasons associated with obstruction – blockage of the airways:
• Excessive snoring and constant breathing through the mouth during sleep
• Obstructive sleep apnea syndrome
• Accompanied by adenoid hypertrophy
o Chronic lung disease, developmental delay, speech disorders
o Occlusion and dental problems caused by mouth breathing
o Facial bone development disorder
ii operations for removal of adenoids caused by recurrent infections, especially considering such determining factors as the general condition of patients, the spread of infections in their daily lives, the degree of impact of diseases on the performance and learning process of patients, whether they have allergies and the time of year of diagnosis.
The occurrence of these infections is markedly reduced in the summer, so patients diagnosed in the spring are advised to wait until the fall. Thus, in this period of time, the body’s immune system is strengthened through the use of vaccines and appropriate treatment, and in the presence of allergies, preference will be given to establishing control over it. Although antibiotic treatment is always an alternative to surgery, persistent gastrointestinal effects and allergic reactions associated with frequent use of antibiotics must be considered. Because of the pain and serious risk of allergy, penicillin is not the preferred treatment option.
In children who have been scheduled for insertion of a ventilation tube into the ear canal due to persistent fluid accumulation in the middle ear cavity and non-treatable fluid, the removal of existing adenoid growths during this operation significantly reduces the frequency of infection in this area.
Removal of the tonsils (Tonsillectomy)
Given the importance of the tonsils in the development of the body’s defense system (immune system), especially in the first 3 years, in the absence of a significant increase in tonsil growths that impede the functions of the respiratory tract, it may be preferable to postpone the operation for a later date or reduce their size with partial removal or radiofrequency exposure.
Tonsil surgery is performed under general anesthesia, and the average duration of the operation is about 10-20 minutes, but the total time for preparing the patient for anesthesia, postoperative control for bleeding and recovery from anesthesia is 45-60 minutes. Given the average blood loss associated with standard tonsil surgery, it is not recommended to remove the tonsils in young children weighing less than 10 kg.
After the introduction of the ThermalWelding technology, the weight of the patient is not a criterion influencing the decision to perform an operation to remove the tonsils, because there is practically no bleeding during the operation using this technique.
The surgical removal of the tonsils with “ThermalWelding”, along with the absence of bleeding during the operation, also minimizes the pain that is largely felt during standard operations. In addition, the recovery of health status is faster, and patients can return to their usual lifestyle in a shorter time.
During the operation, the tonsils together with the tonsil sinuses are not completely removed. In some patients, the lymphatic tissue at the root of the tongue may begin to increase in size, spreading into the area of concentration of the tonsils, may cause the formation of lymphatic tissue in the lower pole of the tonsil. There is a rather low probability of concentration of an infectious focus in this area, due to the fact that this tissue does not contain crypts.
Patients under 10 years of age are usually discharged 2-3 hours after outpatient follow-up. Those who have undergone surgery and live away from the hospital, children or very young children, as well as adults and other patients of all age groups with any pathological abnormalities (diabetes, heart disease, seizures, obstructive sleep apnea, etc.) should at least one day after the operation to be in the hospital under the supervision of doctors.
Complications
Despite the fact that the removal of the tonsils is accompanied by such rare complications as trauma to the vessels and nerves around the tonsils, trauma to the jaw joint, trauma to the cervical vertebra, the most common complication is postoperative bleeding.
Bleeding is most often observed in the first 24 hours. Another risky period is the first 7-14 days, during which abscesses are released on the healed tissue. Therefore, the first 2 weeks after surgery are crucial in terms of diet. It is important that patients are informed of the need to go to the hospital at any time in the event of bleeding.
Postoperative period of tonsillectomy
Pain
Pain may occur within 2 weeks after the operation. In general, pain sensations in children are much weakened, while their intensity decreases markedly within 3-4 days. Most often, pain can occur during swallowing and swallowing.
The intensity of pain varies from person to person, usually simple pain relievers are sufficient, but some people may need stronger pain relievers.
Nutrition
The diet of patients in the first two days after surgery includes warm, liquid foods without lumps. Then you can switch to mushy soft food, and after 4-5 days, patients can switch to normal food.
It is recommended to avoid eating hard and crunchy foods such as chips and crackers for two weeks.
Speech
Usually, in the postoperative period, speech becomes gundos, acquiring a “nasal sound”. This situation can last up to 3 weeks. A certain role in the formation of speech sounds is played by the volume of air space in the throat, therefore, after the operation, depending on the size of the tonsils, a slight change in the tone of the voice may remain unchanged.
Odor of the mouth
A dirty gray film may form in the surgical area, which can most often cause bad breath in patients who drink little liquid or do not eat regularly. This film is part of the natural healing process and disappears on average within 2 weeks.
Surgical removal of the adenoids (Adenoidectomy)
Adenoid masses usually begin to grow after 1 year, and after 10 years, noticeably decreasing in size, during the examination are no longer observed in most patients who have reached the age of 13-15 years.
As a result of frequent infections of the upper respiratory tract, most often occurring in children who are starting kindergarten or primary school for the first time, adenoid masses begin to develop rapidly during this period, the presence of which is especially pronounced in sleep and which causes nasal obstruction, breathing through the mouth during sleep and snoring. Also, most often in patients with enlarged tonsils, adenoids can cause obstructive sleep apnea. Adenoid tissue, affecting the functional state of the Eustachian tube, can act as an infectious focus of the nasal cavity, disrupting normal ventilation and drainage of the sinuses, can cause chronic sinus infections and diseases of the middle ear. Other disadvantages include the need to constantly breathe through the mouth, as well as the negative impact on dental health and facial bone development. In addition, due to insufficient oxygen intake, growth, development and mental functions are negatively affected.
In contrast to the tonsils, the growing adenoid tissue, which does not particularly contribute to the formation of the body’s protective immune system, and the treatment of a bacterial infection which does not improve breathing, would be preferable to remove it.
Adenoid formations are non-encapsulated lymphoid tissue, which is quite difficult to completely remove during surgery. As a result, some adenoid tissue remains in the nasal passages. Thus, although rare, some patients who have had their adenoids removed at a very early age may also need to undergo reoperation in later years.
How is adenoid removal performed?
Operations are always performed under general anesthesia and the total duration is approximately 45-60 minutes.
Currently, adenoid surgery is performed using an endoscope inserted through the nose or throat, which provides a view of the operated area. The most important advantage of an operation performed using an endoscopic examination method is that the adenoid tissue can be removed in the most optimal way without damaging adjacent anatomical structures.
Recent widespread use of Coblasyon technology allows adenoidectomy operations to be performed without blood loss.
Recommendations after adenoidectomy
In the first 2-3 days after surgery, there may be slight light pink bleeding mixed with saliva.
Contact your healthcare provider if you find discharge in the form of fresh red blood or vomit blood.
Patients who have an ear tube inserted during this operation or who have an incision in the eardrum (paracentesis) may experience a small amount of slightly bleeding discharge from the ear in the first few days after the operation. In case of prolonged or intense yellow-green discharge, be sure to inform your doctor.
Pain
There is usually no significant pain after surgery. For mild or severe sore throats, simple pain relievers such as paracetamol are used.
Nutrition information
During the first 3-4 hours after the operation, the patient is not allowed to eat or drink because he is under the influence of anesthesia. Your nurse will tell you when you can eat by mouth.
In general, it is recommended to drink plenty of warm liquids and eat foods that are soft, mushy, warm and not irritating to the throat. During the first three days after the operation, it is recommended to eat warm food, then it will be possible to switch to a normal diet.
Speech
Usually, in the postoperative period, speech becomes gundos, acquiring a “nasal sound”. This situation can last up to 3 weeks. A certain role in the formation of speech sounds is played by the volume of air space in the throat, therefore, after the operation to remove the adenoids, a slight change in the tone of the voice may remain unchanged.
High temperature
It is normal to increase the temperature in the postoperative period by 0.5-1 degrees. A higher and longer temperature usually causes dehydration. It is recommended that you contact your doctor if you develop a fever despite drinking a lot of fluids.
Odor of the mouth
In rare cases, inflammation may occur in the operated area, which can cause bad breath, especially in patients who drink little liquid or do not eat regularly. Be sure to tell your doctor about this.
Patient’s postoperative period
Children after surgery should be completely at rest at home for 1-2 days.
You will be able to attend school 4-5 days after the operation. It is not recommended to exercise for at least 7 days.
It is not recommended to take a bath for 3-4 days after the operation. You can take a warm bath 15 days after the operation. Until instructed to do so by your doctor, it is recommended that your ear canal be protected from water entering your ear canal while bathing, swimming in a pool, or in the sea. To prevent water from entering, just put a small amount of cotton wool pre-lubricated with petroleum jelly in the center of the ear canal. Except in cases of contact with water, the ear canals must remain open.
Seek medical advice for alternative methods of protection (headbands, special earplugs, etc.)
“The contents of this page are for information only, consult your physician for diagnosis and treatment”
Tonsillectomy (tonsilectomy) – prices in Moscow, make in the network of clinics Poliklinika.
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Specialization of the doctorAllergistAndrologistAnesthetistPediatrician house callPaediatrician house callGastroenterologistHematologistGynecologistBreastfeedingDermatologistPediatric allergologistPediatric gastroenterologistPediatric gynecologistPediatric dermatologistPediatric infectious disease specialistPediatric cardiologistPediatric ENT specialistPediatric chiropractorPediatric massagePediatric neurologistPediatric neurologist phrologistPediatric oncologistPediatric osteopathPediatric ophthalmologistPediatric psychiatristPediatric traumatologistPediatric urologistPediatric surgeonPediatric endocrinologistPediatric departmentDietologistImmunologistInfectionistHeadache roomCardiologistCosmetologistENT doctor (otolaryngologist)MammologistManual therapistMassageNarcologistNeurologistNeurologistNephrologistOncologistOperational unitOsteopathOt department of pediatrics m. TherapistTraumatologist-orthopedistTrichologistUltrasound (ultrasound examination)UrologistPhysiotherapistPhlebologistSurgeonEndocrinologistAesthetic gynecologyClinics.
Smolensk. Taganskaya. Street 1905 years. Red Gates. AvtozavodskayaPharmacy. Glades. Sukharevskaya. st. Academician Yangelam. Frunzenskaya Zelenograd
Kornienko Anna Yurievna
ophthalmologist
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m. Taganskaya
Eremenko Nadezhda Mikhailovna
gastroenterologist
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m. Avtozavodskaya
Hovsepyan Naira Gevorgovna
rheumatologist, online consultations
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m. Red Gate
Bamburova Tatyana Vladimirovna
ophthalmologist
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m.