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Table of contents
- What is tonsillitis?
- What are the symptoms of tonsillitis?
- When should I seek treatment for tonsillitis?
- What does the treatment of tonsillitis involve?
- How long does tonsillitis surgery take?
- How long will I be in hospital?
- What are the results of tonsillectomy?
- What are the risks and complications of tonsillectomy?
- Pre-operative assessment
What is tonsillitis?
Your tonsils are two glands which sit at the back of the throat and during childhood help us to fight infection. As we get older the role of the tonsils decreases and in most cases they shrink. Comparatively common in children but less so in adults is tonsillitis, a painful infection of the tonsils.
What are the symptoms of tonsillitis?
Tonsillitis can be caused by a viral infection such as the common cold or flu (and this is the most frequent cause) or by a bacterial infection which can cause complications.
- A sore throat or pain when swallowing
- Ear ache
- A high fever of more than 38 degrees Centigrade or 100.4 degrees Fahrenheit
When should I seek treatment for tonsillitis?
In most cases tonsillitis gets better after a week with painkillers, plenty of fluids and rest. Where it is caused by a bacterial infection antibiotics prescribed by your GP will also aid recovery.
However, some people suffer from chronic tonsillitis which is where the condition lasts for longer, and/or keeps coming back. In these cases surgery may be necessary where at least three out of the following criteria are met:
- Sore throats caused by tonsillitis
- A chronic infection of the tonsils which stops you from functioning normally, eating or drinking
- Seven or more episodes of tonsillitis in the preceding year which have been well-documented, clinically significant and adequately treated
- Five or more episodes of tonsillitis in each of the two preceding years
- Three or more episodes of tonsillitis in each of the three preceding years
What does the treatment of tonsillitis involve?
Removal of the tonsils is called a tonsillectomy and is carried out under general anaesthetic. The main methods include:
- Cold steel surgery, where the tonsils are cut out with a surgical blade and the bleeding is controlled by either applying pressure or sealing the blood vessels using diathermy
- Diathermy, which is a probe used to destroy the tissue around the tonsils and to remove them while simultaneously applying heat to seal the blood vessels
- Cold ablation, which works in a similar manner to diathermy but which uses a lower temperature and is considered to be less painful than diathermy
- Lasers, which are used to cut away the tonsils and seal the blood vessels
- Ultrasound, which is used in a similar way to lasers
How long does tonsillitis surgery take?
Surgery takes between 30 minutes and one hour.
How long will I be in hospital?
You will usually go home on the same day as your surgery, but may have to spend a night in hospital depending on the time of day you had your surgery and your reaction to the general anaesthetic. If you are in and out in one day you will be advised to have someone who can get you to and from hospital – you will not be able to drive until the general anaesthetic has fully worn off.
What are the results of tonsillectomy?
With the tonsils removed there will be no further instances of tonsillitis. You are likely to experience pain for a week or two after a tonsillectomy and this can be managed with painkillers.
Swallowing can be difficult after surgery but you are encouraged to eat and drink because this aids recovery. Cold water will not only keep you hydrated but also helps to relieve pain by contracting the blood vessels. Avoid fizzy or acidic drinks (they will sting) and do not drink alcohol – this widens the blood vessels and can result in bleeding.
Regular tooth brushing and using a mouthwash will help prevent infection.
What are the risks and complications of tonsillectomy?
Tonsillectomy is a comparatively risk-free procedure. Some people experience ear ache after the operation but this is common and not a cause for concern.
Bleeding is common where the tonsils have been removed for anything up to 10 days after surgery and 1 in 30 adults will experience some bleeding after their operation. Minor bleeding usually clears up by itself and can be helped by gargling with cold water.
If bleeding is severe or if you are coughing up blood, you should seek medical attention immediately. Use the emergency contact number we have given you or call 111.
A pre-operative assessment is our opportunity to ensure that the procedure for which you have been referred is right for you. We’ll explain your treatment to you and make sure that you are well enough to go ahead with it. It is also your opportunity to meet the team who will care for you and to ask any questions.
We carry out all the necessary tests and examinations in one outpatient session. While this may take several hours, everything is done in one go to save frequent visits before surgery.
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