Recurrent tonsillitis can sometimes lead to serious complications. By removing or partially removing the palatine tonsils, also known as tonsillectomy, we can provide lasting relief from the symptoms. The most common reason for tonsil removal is recurring or persistent (chronic) infections. These are usually caused by a specific type of bacteria, streptococci.
When the tonsils are chronically inflamed, bacteria have an easy time multiplying. If these bacteria spread throughout the body, they can trigger serious illnesses, such as rheumatic fever and inflammation of the kidneys, heart, or joints. In some cases, a collection of pus (abscess) can form behind the tonsils. If these bacteria enter the bloodstream, blood poisoning (sepsis) can occur. To prevent serious secondary illnesses or complications, a tonsillectomy in adults or partial removal may be recommended, depending on the patient’s condition.
Tonsillitis in children
Young children’s immune systems are not yet fully developed. Therefore, recurring tonsillitis is not uncommon. If this occurs frequently, removal of the palatine tonsils may be advisable.
Some children have enlarged tonsils that can obstruct breathing. In this case, we can reduce the size of the tonsils (tonsillotomy). This is a routine procedure in our clinics. In addition to experienced ENT specialists, we have specially trained anesthesiologists who have extensive experience administering anesthesia to even young children.
Procedure of the operation
In our modern clinics, we have various surgical methods available, including the gentle removal of the tonsils using lasers. The tonsils are usually removed completely or partially under general anesthesia. It is also possible to insert tympanostomy tubes into the eardrum if hearing loss is already present.
The procedure usually takes less than an hour. Afterwards, you or your child will remain in the hospital for a few days. During this time, we will monitor for any bleeding or other complications. We will treat any pain that may occur with our professional pain management program.
After tonsil surgery: How to accelerate healing
Help and tips for the period after the procedure
Tonsillectomies are among the most common surgical procedures in Germany. While children and adolescents are significantly more prone to tonsil infections, adults are not immune. Bacteria are usually the cause, and viruses are rare. Tonsil removal (a procedure known as a “tonsillectomy”) can be an option if bacterial tonsil infections occur several times a year (approximately three to five times) and the symptoms are severe. However, this decision should always be preceded by careful consideration and consultation with a doctor before taking this step to reduce the risk of throat infections.
After tonsillectomy: This is important
Tonsillectomies are considered routine procedures. The operation, performed under general anesthesia, typically takes between 15 and 30 minutes. After the surgery, the patient remains in the hospital for observation for approximately four days and is on sick leave at home for about 14 days. During this time, the body primarily needs rest to recover. Many patients experience unpleasant throat pain in the first few days, so the doctor will prescribe appropriate pain medication, and the throat area should be protected as much as possible to avoid disrupting and ideally promote wound healing.
Post-operative bleeding
Patients who have had their tonsillectomy should be especially careful to watch out for post-operative bleeding. The risk is highest in the first week after the procedure, but it can still occur up to four weeks later. This is when the surgical wounds start bleeding again, which can be very dangerous. Typical signs include frequent swallowing or red saliva. If you suspect post-operative bleeding, you should always spit out the blood and not swallow it, and call an ambulance immediately.
Conclusion
Proper post-operative care is essential for a smooth recovery after tonsil surgery. A soft diet helps protect the surgical wounds, while very hot, spicy, or acidic foods should be avoided. Milk-based ice cream can help soothe pain and reduce swelling, but fruit-based ice creams should be avoided due to their acidity. Regular gargling can promote healing and relieve discomfort. Finally, adequate rest is crucial, as physical activity too soon can increase the risk of bleeding. For personalized guidance and support throughout recovery, patients can consult experienced ENT consultants West Yorkshire.
