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Disturbed functioning of the tonsils can cause chronic infections, hearing loss and even speech disorders. Is it safe to cut the tonsils and is it safe? Check which studies confirm the negative effect of tonsillectomy on the child’s immunity.
Functions of the tonsils
Sick tonsils – complications
As a result of a high number of infections, the tonsils may become attached to each other. By producing antibodies, the tonsils enlarge and become red. In a situation where the number of infections is high and the tonsils are still enlarged, permanent hypertrophy may occur.
Overgrown tonsils manifest themselves:
- breathing difficulties, sleep apnea,
- frequent sinusitis, relapse of angina, infections and sore throat, ear infections,
- peritonsillar abscesses,
- problems with swallowing, hearing and even speech
- an unpleasant smell from the mouth.
Tonsilectomy – indications for the procedure
Until a few years ago, tonsillectomy was popular, recommended and used at the slightest suspicion of malfunction. Meanwhile, the latest research indicates that the procedure may have a negative impact on the child’s immunity. Researchers from Copenhagen and Melbourne have shown that people who have had their tonsils removed are more likely to develop infectious diseases, respiratory diseases or asthma than people who have not had surgery.
Currently, the following applies the requirements necessary to perform a tonsillectomy:
- having had at least three anginas in the last year, or five for two years;
- post-angina complications, e.g., peritonsillar abscess;
- tonsil overgrowth that causes apnea;
- swallowing and speech disorders;
- chronic inflammation or inflammation of the tonsils;
- unpleasant smell from the mouth after excluding other causes;
- suspicion of cancer.
Tonsilectomy – the course of the procedure
The first step in deciding whether to have a tonsillectomy is to determine whether the growth is permanent or temporary. Before the operation, blood count, urine and blood clotting tests are performed. The tonsil removal procedure is painless and takes about an hour. It is performed under general anesthesia.
After the operation, the patient wakes up about 5-6 hours and usually stays for a one-day observation. It is recommended to use painkillers for about a week. And for two weeks it should refrain from physical exertion.
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Tonsilectomy in adults
The indications for tonsillectomy in adults are the same as those listed above for children. When an adult is chronically ill with tonsils, a tonsillectomy, i.e. removal, can be performed. The course of the operation of an adult does not differ from the operation of a child.
Recommendations after removal of the tonsils
- After the operation, white patches may appear at the site of the tonsils. They should not be removed as this is a normal healing process.
- The patient should avoid hot places such as saunas.
- Follow an easily digestible, soft diet with little spices. In the first days after the surgery, meals should be cool and mixed.
- Avoid physical exertion.
- If necessary, use painkillers.