SUPRIYA

Facial Cosmetic, ENT & Thyroid Surgeon

Image is not available

Mr. Mrinal Supriya FRCS(OTOL-HNS)

01604556244
britishentcare@gmail.com

British Face clinic

SUPRIYA

Facial Cosmetic, ENT & Thyroid Surgeon

Image is not available

Mr. Mrinal Supriya FRCS(OTOL-HNS)

01604556244
britishentcare@gmail.com

British face clinic

SUPRIYA

Facial Cosmetic, ENT & Thyroid Surgeon

Image is not available

Mr. Mrinal Supriya FRCS(OTOL-HNS)

01604556244
britishentcare@gmail.com

British Face Clinic

SUPRIYA

Facial Cosmetic, ENT & Thyroid Surgeon

Image is not available

Mr. Mrinal Supriya FRCS(OTOL-HNS)

01604556244
britishentcare@gmail.com

British Face Clinic

SUPRIYA

Facial Cosmetic, ENT & Thyroid Surgeon

Image is not available

Mr. Mrinal Supriya FRCS(OTOL-HNS)

01604556244
britishentcare@gmail.com

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Tonsillectomy

  • Tonsils are small glands in the throat, one on each side. They are there to fight germs when you are a young child. As you get older, the tonsils become less important in fighting germs and usually shrink.

  • Your body can still fight germs without them. We only take them out if they are doing more harm than good.

  • We will only take tonsils out if they cause recurrent sore throats despite treatment with antibiotics. The other main reason for removing tonsils is if they are large and block the airway. A quinsy is an abscess that develops alongside the tonsil, as a result of tonsil infection, and is most unpleasant. People who have had quinsy therefore often choose to have a tonsillectomy to prevent having another. Tonsils are also removed if we suspect there is a tumour in the tonsil. A rapid increase in the size of a tonsil or ulceration or bleeding occurs if a tumour of the tonsil develops.

  • Arrange for two weeks off work. Let us know if you have a chest infection or tonsillitis before your admission date because it may be better to postpone the operation. It is very important to tell us if you have any unusual bleeding or bruising problems, or if this type of problem might run in your family.

  • You will be asleep under general anaesthetic. We take the tonsils out through the mouth, and then stop the bleeding. This takes about 30 minutes.

  • Tonsillectomy is usually performed as a day case procedure.

  • Tonsil surgery is very safe, but every operation has a small risk. The most serious problem is bleeding. This may need a second operation to stop it. As many as five adults out of every 100 who have their tonsils out will need to be taken back into hospital because of bleeding, but only one adult out of every 100 will need a second operation.

    Bleeding can be serious. If you notice any ongoing bleeding from your throat, you must go to your nearest hospital casualty department.

    During the operation, there is a very small chance that I may chip or knock out a tooth, especially if it is loose, capped or crowned. Please let me know if you have any teeth like this.

    Some patients notice a temporary change in how food and drink tastes after the operation.

  • The following instructions will help you know what to expect in the days following surgery. 

    Physical Activities
    After this surgery, you should rest. Normal non-strenuous activity is allowed, if you feel up to it. Strenuous physical activity following surgery is discouraged. You may return to work (school for children) whenever comfortable; usually after 10 days. 

    Diet
    The more you drink, the sooner the pain will subside. Water, Smoothies and Gatorade are excellent sources of liquid. Soft foods such as ice cream, sherbet, yogurt, pudding, apple sauce and jello, should also be encouraged. Other soft, easily chewed foods are also excellent. Avoid hot or spicy foods, or foods that are hard and crunchy. Often, chewing gum speeds comfortable eating by reducing the spasm after surgery and can be started any time after surgery. 

    Pain
    For the first 10 -14 days following surgery, pain in the throat is inevitable. In some cases, the pain is worst between day 3 and 6 after surgery. This can usually be controlled with Paracetamol or Paracetamol with Codeine (prescription will be given at time of surgery). Avoid medication containing aspirin for two weeks. Pain is often worse at night and may prompt the need for additional pain medication. Ear pain, especially with swallowing is also a common occurrence; it is not an ear infection but due to referred pain from the surgery. Occasionally a stiff neck may occur.

    Ice Collar
    An ice collar can also be helpful for post-operative sore throat. Make this by placing ice cubes and water in a large Zip-Loc bag and wrapping it in a towel. Gently lay the ice pack on the front of the neck. 

    Fever
    A low-grade fever (less than 101 degrees) following surgery may occur and should be treated with Paracetamol. While children have a fever, they should play quietly or remain in bed. If the fever persists (more than two days) or if a higher fever develops, call. Fever may indicate that you have not taken in sufficient fluids or may have an infection. 

    Bleeding
    Post-operative bleeding is unusual, but it can occur up to two weeks after surgery. Most bleeding is minor and you may only see a little coating of blood on the tongue. Put your child into bed, sitting upright, and place an ice collar on their neck. Watch for spitting, coughing, or vomiting of blood.

    If you have a major ongoing fresh bleed following surgery, call A&E immediately.

  • If you are a smoker, please do not smoke for at least 3 weeks after the surgery. 

    Do not take any pain medication not prescribed. Please do not use aspirin (which children should never receive anyways) as this increases the risk for bleeding. 

    Bad breath may be present for 10-14 days following the procedure. 

    Constipation may be noted for several days after the procedure. The narcotic pain medications tend to make this worse.
    If you look inside the mouth, you may see two whitish areas where the tonsils used to be. This is normal and not a sign of infection.

    I strongly recommend that you stay in the local area for a minimum of two weeks after surgery due to the small but important risk of bleeding.  

    Plan on making a follow up appointment 3-4 week after surgery

    Acknowledgement


    The information has been taken from ENT UK www.entuk.org with some modifications to reflect my practice.