Tonsillectomy

Relative indications;

Recurrent tonsillitis; If there are 6 or more tonsillitis in the last 1 year, 5 or more per year in the last 2 years, 3 or more per year in the last 3 years or more, it is considered that the tonsils cannot protect the body and become a source of infection, and it is recommended to remove them.
Diagnosis of PFAPA syndrome (This diagnosis is made by pediatricians).
Bad taste and bad breath (halitosis) in the mouth
Carrying Beta (beta-hemolytic streptococcus) and diphtheria that persists despite drug treatment
Unilateral tonsil enlargement (suspected tumor)
Growth restriction that cannot be explained by other causes
Snoring or speech disorders caused by enlarged tonsils magma, tonsil Stones
Tonsillectomy is performed under general anesthesia. Various methods can be used during the procedure. I use the coblation method in my clinic. Coblation method means “controlled ablation”. In this method, the soft tissue is destroyed with low temperature radiofrequency without damaging the surrounding tissue. The risk of bleeding is low and pain control is much easier.

Coblation technique uses bipolar electric current with low radio frequency. With this current, sodium ions are formed in the working area. These ions break the intercellular bonds and the tissue reaching a temperature of about 60 ºC, is vaporized. This causes very little damage to the muscle fibers and nerve endings under the tonsil tissue.

After surgery, a white cover forms where the tonsils were removed. This cover is actually healing (granulation) tissue, it should not be confused with inflammation. The healing process takes an average of 10 days. During this time, you may experience a sore throat, and sometimes pain in the ear, especially when swallowing. They are usually relieved with pain syrups.

After surgery, a diet of cold and soft foods is followed. Juicy foods such as cold milk, ice cream, pudding, soup without particles and fruit juice are recommended for the first 3 days.

Mild fever may be experienced after the surgery. It usually returns to normal with adequate fluid intake and a fever-reducing agent.

Children with very large tonsils may experience a temporary voice change after surgery.

I recommend 1 week rest for children who go to school.

Tonsil Reduction

Surgical reduction of the tonsils can be performed for tonsillar hypertrophy that is not accompanied by recurrent tonsillitis. Functional tonsil tissue that does not interfere with swallowing or breathing is preserved. In this procedure, I use the coblation method in my clinic.