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

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

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.

ton·sil·lec·to·my

(ton'si-lek'tŏ-mē)
Removal of tonsil.
[tonsil + G. ektomē, excision]
References in periodicals archive ?
A prior Mott study found that children who underwent tonsillectomy in 2013 were prescribed an average of 52 opioid doses but had an average of 44 leftover doses.
"Please Explain tonsillectomy and Adenoidectomy to Me" is an excellent resource for parents and caregivers of children who are candidates for these surgeries.
While a child's pain obviously needs to be managed, the new guidelines specify that clinicians should not administer or prescribe codeine to children under the age of 12 who undergo a tonsillectomy.
A prospective, self-controlled clinical study was conducted to confront the influences of cold towards bipolar electro cautery tonsillectomy procedures in patients with recurrent chronic tonsillitis.
Among the 510 subjects, 65 (12.7%) had a history of adenoidectomy and/or tonsillectomy (Table 1).
Patients who underwent tonsillectomy, adenoidectomy, and/or adenotonsillectomy in Tokat State Hospital between May 2010 and April 2017 and who underwent histopathological evaluation were evaluated.
Tonsillectomy is the most commonly performed surgery carried out by otolaryngologists worldwide1.
A meta-analysis said pain is the most important cause of morbidity following tonsillectomy and that peritonsillar local anaesthetic infiltration is successful regarding this issue.20 Among the most commonly used local anaesthetics are bupivacaine and its derivatives.
Of the almost 1.2 million children, 17,460 had adenoidectomies, 11,830 tonsillectomy and 31,377 had adenotonsillectomies, where both tonsils and adenoids removed.
Several studies have demonstrated the efficacy of tonsillectomy for the treatment of streptococcal-associated psoriasis.
[45] played a crucial role in refuting the notion that tonsillectomy may play a protective role in the development of the disease.