tonsillectomy

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tonsillectomy

 [ton″sĭ-lek´tah-me]
excision of tonsils, done in treatment of chronic infection of the tonsils, obstructive sleep apnea, purulent otitis media, or hearing loss associated with otitis media.

Patient Care. Since most tonsillectomy patients are children, it is important that the preoperative period include adequate emotional preparation of the patient and family. Children should be told in advance of the admission to the hospital and given some idea of what they can expect. They should not be deceived about the possibility of discomfort, but it is best to stress the positive aspects of surgery, such as the fact that they will not suffer as many colds and attacks of sore throat once the surgery is performed and the sore throat has healed.



Although tonsillectomy is rarely associated with complications, there is always the possibility of serious hemorrhage after surgery. The patient should be placed prone on the abdomen in bed immediately after surgery, to allow for adequate drainage of blood and mucus from the throat and mouth and avoid their aspiration into the respiratory passages. Signs of excessive bleeding from the operative site include bright red blood from the mouth or nose, frequent swallowing, and extreme restlessness. Efforts to keep a child quiet may include holding, rocking, or otherwise providing comfort until the effects of anesthesia wear off. An ice collar is helpful in preventing edema, reducing blood loss, and eliminating nausea.

During the immediate postoperative period the diet is restricted to bland liquids or semi-liquids. Citrus fruit juices and liquids at extreme temperatures should be avoided. As the throat heals and edema subsides, more solid foods are gradually added to the diet, but for at least a week after surgery all foods that are chemically, physically, or thermally irritating to the throat should be avoided.
Tonsillectomy. Scissor dissection of the tonsil. From Bluestone and Stool, 1995.

ton·sil·lec·to·my

(ton'si-lek'tŏ-mē), Because this word is based on the Latin word tonsilla rather than English tonsil, the spelling tonsilitis is incorrect.
Removal of the entire tonsil.
[tonsil + G. ektomē, excision]

tonsillectomy

/ton·sil·lec·to·my/ (ton″sĭ-lek´tah-me) excision of a tonsil.

tonsillectomy

(tŏn′sə-lĕk′tə-mē)
n. pl. tonsillecto·mies
Surgical removal of tonsils or a tonsil.

tonsillectomy

[ton′silek′təmē]
Etymology: L, tonsilla + Gk, ektomē, excision
the surgical excision of the palatine tonsils, performed to prevent recurrent tonsillitis. Before surgery several laboratory tests, including a bleeding and clotting time, complete blood count, and urinalysis, are done. Tonsillar tissue is dissected and removed, usually with the patient under general anesthesia, and bleeding areas are sutured or cauterized. An increase in pulse rate, falling blood pressure, restlessness, or frequent swallowing warns of possible hemorrhage. When the patient has recovered from anesthesia, ice chips or clear liquids without a drinking straw may be offered. Tonsillectomy is often combined with adenoidectomy. Compare adenectomy, adenotonsillectomy.

ton·sil·lec·to·my

(ton'si-lek'tŏ-mē)
Removal of the entire tonsil.
[tonsil + G. ektomē, excision]

tonsillectomy

Surgical removal of the tonsils. This may be done using forceps and blunt dissection with minimal cutting, or by means of a wire snare that is tightened with a rachet. General anaesthesia is needed.

Tonsillectomy

A surgical procedure to remove the tonsils if the patient has recurrent sore throats or throat infections, or if the tonsils have become so swollen that the patient has trouble breathing or swallowing.

tonsillectomy (tônˈ·s·lekˑ·t·mē),

n surgical procedure in which the tonsils are removed, often because the inflamed tonsils interfere with swallowing or breathing. Tonsillectomies are most common in children and adolescents.

ton·sil·lec·to·my

(ton'si-lek'tŏ-mē)
Removal of tonsil.
[tonsil + G. ektomē, excision]

tonsillectomy (ton´səlek´təmē),

n the surgical excision of the palatine tonsils, performed to prevent recurrent tonsillitis.

tonsillectomy

excision of tonsils, most commonly performed in dogs.
References in periodicals archive ?
There did not appear to be any correlation between regional tonsillectomy rate and proportion of tonsillectomies performed by otorhinolaryngologists as opposed to GPs.
11) et al concluded that in 38 tonsillectomies done under local anaesthesia, in suitable patients is a safe alternative to tonsillectomy under general anaesthesia and that considerable resources can be saved if the operation is performed with local anaesthesia.
Studies have shown that patients who have undergone MiFusion ENTceps tonsillectomies experience less pain and bleeding compared with other surgical techniques.
Adenotonsillectomy incidence increased more than tonsillectomy incidence overall, although there was a high density of tonsillectomies in adolescent females, she said.
Tonsillectomies were suspended in January 2001 because of concerns that variant Creutzfeldt-Jacob Disease (vCJD could be transmitted by re-usable surgical instruments -even if normal sterilisation procedures were followed.
The measures we have taken have always been based on patient safety and I know that the news that tonsillectomies have now restarted will be welcomed by many.
Reusable surgical instruments were banned for tonsillectomies in January this year after expert advice pointed to a theoretical risk of transmission of variant Creutzfeldt-Jacob Disease (vCJD) from reusable surgical instruments.
He added: "We have accepted the expert advice on vCJD and tonsillectomies - as have the other UK health departments.
ENTceps enables us to perform tonsillectomies with greater precision compared with devices that we've used in the past.
All these patients fulfilled the routine pre-operative protocol for tonsillectomies and satisfied the basic investigations like complete blood count, prothrombin time and partial thromboplastin time.
All tonsillectomies were performed by residents under the direct supervision of the attending physician.
In what they said is the first study of its kind, the researchers studied 295 consecutive bipolar diathermy tonsillectomies (BDT) and 305 consecutive partial intracapsular tonsillectomies (PIT) performed at the Stollery Children's Hospital in Edmonton between July 2002 and January 2007 (Intl.