Tonsillectomy procedure for enlarged tonsils

Jun 09, 2023 Source: Cainiu Health

Dr. Xu Gang

Introduction

Under normal circumstances, surgical methods for tonsil hypertrophy include tonsillotomy (tonsil挤cutting), tonsillectomy by dissection and removal, and tonsillectomy using electrocautery or plasma knife. After general anesthesia, the patient's oral cavity is cleaned, and a sterile drape is placed over the patient's face. The patient's head is tilted backward, and a mouth gag is used to open the mouth and expose the palatopharyngeal arch.

Generally, surgical methods for tonsil hypertrophy include tonsillotomy (tonsil extrusion), tonsillectomy by dissection, and tonsillectomy using electrocautery or plasma knife. Taking tonsillectomy by dissection as an example, the specific procedure is as follows:

1. After general anesthesia, clean the patient's oral cavity and drape sterile towels over the patient's face.

2. Tilt the patient's head backward and use a mouth gag to open the mouth, thereby exposing the palatopharyngeal arch.

3. Make an incision along the palatopharyngeal arch, grasp the tonsil with a tonsil forceps, and use a curved knife to incise the free edge of the palatoglossal arch and part of the mucosa of the palatopharyngeal arch.

4. Then use a tonsil dissector to separate the tonsillar capsule, dissecting the tonsil from top to bottom.

5. Use a snare to remove the lower pole of the tonsil, thus completely excising the tonsil.

6. Perform hemostasis and suturing, dry the patient’s face, and complete the surgery.

Patients undergoing tonsillectomy due to chronic infection foci still require postoperative antibiotic therapy to prevent infection. It is recommended that patients seeking tonsillectomy for tonsillar hypertrophy go to a正规 hospital and have the procedure performed by qualified medical professionals.

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Enlarged tonsils are blocking the right side of the throat.

Enlarged tonsils blocking the right side of the throat may be related to factors such as tonsillitis, pharyngitis, and sinusitis. Treatment can be carried out through oral medications. When the body's immunity decreases, pathogens may invade the body and irritate the tonsils, leading to inflammatory infection. Clinically, symptoms such as swelling, pain, and fever may occur.

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Can I eat rice noodles after having my tonsils removed?

You can eat rice noodles after having your tonsils removed. However, it is recommended to wait 3 to 7 days after surgery before eating them, and you should avoid eating too much. Your diet should primarily consist of liquid or soft foods. Avoid spicy, irritating, overly sour, sweet, or salty foods. Since the surgical site has not fully healed after a tonsillectomy, strict dietary precautions are necessary. It is advisable to consult a healthcare professional for guidance.

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The child has neck pain behind the neck after having a tonsillectomy.

After a child undergoes tonsil surgery, neck pain at the back of the neck may be caused by physiological factors or pathological factors, such as unhealed wounds or muscle strain, and symptomatic treatment should be provided according to the specific situation. If the neck is exposed to cold or maintains an improper posture during rest, it may lead to excessive muscle tension in the neck, resulting in joint dysfunction.

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Can I eat stir-fried dishes 13 days after tonsil surgery?

In general, whether a patient can eat stir-fried dishes 13 days after tonsil surgery depends on their recovery status. If the surgical wound is healing well and there are no obvious discomforts, the patient may consume stir-fried dishes in moderation. However, if wound healing is poor or discomfort symptoms occur, eating stir-fried dishes is not recommended. Patients should follow their doctor's advice regarding diet to avoid physical discomfort and ensure proper recovery.