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 ?
The number of tonsillectomies performed were significantly higher than the Welsh average in North Wales, South West Wales and the South Wales valleys, suggesting either rates of recurring and debilitating tonsillitis are higher in these areas or that the three health boards - Betsi Cadwaladr, Abertawe Bro Morgannwg and Cwm Taf - have a more liberal interpretation of the guidelines.
About 4,000 tonsillectomies are carried out in Northern Ireland every year but all were cancelled a fortnight ago on Dr Campbell's advice.
Studies have shown that patients who have undergone MiFusion ENTceps tonsillectomies experience less pain and bleeding compared with other surgical techniques.
Let's start by noting that two generations ago, tonsillectomies were routine, not due to snoring, but due to throat infections.
In January 2001, tonsillectomies were suspended in Wales because of concerns that surgical instruments could cause a spread of the human form of mad cow disease.
As a result, we expect all tonsillectomies to be carried out with single-use instruments by this autumn.
I went online and read horror stories from people who had undergone tonsillectomies," said Ellis.
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.
Excluding those waiting for tonsillectomies, the 18-month waiting list rose by 86 (2.
After gaining experience with this device in this way, we began using it to perform tonsillectomies in November 2002.
Ms Hutt said yesterday: ``Our primary focus with tonsillectomies has always been patient safety.