Cases that Require Throat Surgery Due to the Inflammation of the Tonsils

Tonsilent operations should be performed only when necessary. Since tonsils are similar to lymphoid tissues of the nose, tonsillectomy problems are often associated with nasal problems especially in pediatric patients and thus should usually be removed together when needed. Removal of these lymphoid tissues is usually required for two reasons:

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  1. First, the size of the tonsils and nasal polyps increases obstructing the airway, and

  2. Second is their frequent inflammation.

Enlarged tonsils lead to problems associated with swallowing, feeding and speech. Foods that accumulate on the tonsils can also cause bad breath.

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Patients with enlarged tonsils commonly experience problems related to sleeping, which leads to snoring as well. Among other adverse impacts of the enlarged tonsils are pharyngitis, coughing, impotence in the facial and jaw bones resulting in appearance called 'adenoid face', fluid accumulation in middle ear and hearing loss, sinusitis, nasal discharge, etc. In addition, recurrent tonsillitis infections can cause problems in the heart, joints, and kidneys. In such cases, it is necessary to plan tonsillectomy and nose surgery.

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Tonsils can be removed at any age when necessary. Except for respiratory arrest attacks (apnea) that usually occurs at nighttime sleep, the age of 2.5 should be waited before going for tonsillectomy operations, whereas surgeries with regards to the adenoid hypertrophia can be safely performed at younger ages. There is no upper age limit for tonsillectomy operations but complications such as bleeding and pain are more common in adult patients after completion of the operation.

Indications for the Tonsillectomy Operations

  • 3 or more infections in one year in successive years indicating frequent infections.

  • Inflammation of the tonsils to the extent that the swallowing and breathing are proving to be very difficult

  • Unilateral growth of tonsils, which may be a symptom of malign diseases

  • Accumulation of food on the tongue causing bad breath.

  • Tonsillitis leading to accumulation of fluid in the ear causing hearing loss

  • Tonsillitis leading to common nasal sinusitis and chronic inflammation of the nose causing chronic cough

 

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