Tonsillectomy and AdenoidectomyTonsillectomy involves completely removing the tonsils from the back of the throat. Typical reasons to remove them include frequent infections and/or chronic enlargement with airway obstruction. Adenoids are a group of lymphoid tissues in the very back of the nose just behind the soft palate. They are similar to tonsils in that they are part of our lymphatic system. By removing abnormally enlarged tonsils and adenoids, one offers a safe, effective surgical method for resolving breathing obstruction, throat infections, and to manage some cases of recurring ear infections and sinusitis, especially in children. Lastly, individuals with asymmetrical tonsils may consider removal in order to rule out a malignancy. It is performed most commonly through the mouth under general anesthesia and lasts approximately 20 minutes. Techniques have changed over the years with regards to the specific tools used in surgery to remove tonsils and adenoids. Regardless of the technique, the main drawback is postoperative pain. Dr. Speyer can use many different tools during tonsillectomy including Coblation Wand and Plasma Knife. The reasons you should be considering this procedure will be discussed with Dr. Speyer prior to scheduling. All of the possible indications are too many to list here and should be reviewed with Dr. Speyer with regards to your specific needs. Dr. Speyer will discuss the risks, benefits, and alternatives to this procedure with you in detail. Listed below are some of the disclosed risks of undergoing tonsillectomy and adenoidectomy. By reading and signing below, you are stating that you indeed understand the nature of the procedure, the risks as listed, and alternatives to undergoing the procedure. Risks of tonsillectomy and adenoidectomy include, but are not limited to, bleeding, infection, failure to resolve recurring infections, failure to resolve all of the obstructive symptoms, pharyngeal and palatal closure problems (oropharyngeal and/or velopharyngeal stenosis or insufficiency). The latter is unlikely to persist but can occur temporarily, then resolves within 2 weeks. The risk of bleeding is greater on the day of surgery (6 hours post-op) and then again 7-10 days later when the eschar (scab) falls off. Lastly, since the procedure is performed under a general anesthetic, this alone carries its own risks regardless of the surgery considered. You should discuss the specific risks with the anesthesiologist during your preoperative anesthetic appointment.
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