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A medical intervention, which used to be quite frequent in the last century, but current knowledge confirms the important role of tonsils, so even conservative doctors perform this surgery only after a series of failed antibiotics. Less conservative doctors prefer non-invasive solutions, such as treatment with Streptokill.  

Tonsillectomy - Removal of tonsils

If the prescribed treatment fails and tonsillitis continues to return, the last resort is surgical removal of tonsils, which is called tonsillectomy.

Tonsillectomy is an intervention, during which tonsils are surgically removed from the throat. 
Sometimes a partial removal is sufficient.

The surgeon will remove the entire tonsils, if the patient suffers from recurring tonsillitis. The entire operation is performed through the patient’s mouth. 

- in case of a repeated failure of antibiotics 
- for a short-term pulmonary arrest 
- when tonsillitis keeps coming back 
- for serious problems with loud snoring
- for long-term serious problems with swallowing and eating (when the tonsils are enlarged) 
- for an abscess on the tonsils
- removal by a scalpel is the most frequent and also most traditional manner 
- LTA (laser tonsil removal)
- microdebrider, removal of tonsils by means of a rotary device equipped with suction  
- electric cauter will treat the tonsils with a high temperature and at the same time it leads to a heal veins and cause less blood loss. 

Tonsillectomy is successful in most cases, but some complications are possible and some even life threatening.  
Some of complications may appear during the intervention. For example:
- patient response to anaesthetics 
- infection
- strong bleeding

Some complications are post-operational:
- throat ache
- bleeding
- infection
- problems with swallowing
- earache, jaw ache or neck ache 
Tonsillectomy is not just a standard intervention and the above-mentioned complications are not just hypothetical, which is proven by the recent case, when a seven year old girl from Kytlice died in Děčínská Hospital. The girl underwent a tonsillectomy, nothing indicated any potential serious complications, so she was released to home care. However, the condition of the girl rapidly deteriorated and doctors were not able to save her.

Tonsillectomy is a very controversial topic, which can be seen from the studies of children's hospitals published in USA Today, which shows that 8% patients from the total number of 114000 observed tonsillectomies in children under 18 years of age had to visit their hospital again within 30 days after the operation due to complications. The most frequent complications were bleeding, vomiting, dehydration, pain and infection. 

The decision to undergo tonsillectomy or not is always up to the patient, even if it is sometimes difficult to say “no” to a doctor, who convincingly claims that the tonsils are in very bad condition and they “must be removed”. However, it is also necessary to know that removal of tonsils is irreversible and so it is the very last option. You should make sure that all other types of treatment have already been exhausted, before you decide to undergo this intervention.

Nejnovější zkušenosti pacientů

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