TONSILLITIS, TONSILLECTOMY

Tonsillitis : Tonsils are located on both sides of the throat and separated from the surrounding tissues with a capsule. Like other structures of the lymphatic system, they form part of the immune system and protect the body against infections. Tonsillitis is called inflammation of tonsils. It may be acute or chronic.

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ACUTE TONSILLITIS

It is an acute active infection of the tonsils, the severity of which varies depending on the type of microbe causing and the resistance of the patient's defense system. It may be of bacterial or viral origin.

Symptoms of acute tonsillitis include;

  • Quick-start chills and fever
  • Sore throat
  • Cough
  • Joint pain
  • Exhaustion
  • Difficulty to breath
  • Nasal speaking
  • Difficulty in swallowing.

TREATMENT OF ACUTE TONSILLITIS

Antibiotics, analgesic and antipyretic drugs are used. Resting is essential. Plenty fluid consumption is useful.

CHRONIC TONSILLITIS

It occurs due to recurrent infections. It is quite common in adolescents and adults. The cause is usually bacteria that have settled in tonsils. Cigarette, allergy, nasal discharge with factors such as the formation is easier. Tonsillitis during childhood should not be ignored in terms of further complications.

SYMPTOMS OF CHRONIC TONSILLITIS

  • Enlarged tonsils
  • Growth of neck lymph nodes
  • Fever
  • Bad smell in the mouth
  • Breathing in the mouth
  • Sleeping with mouth open
  • Sore throat
  • Joint pain
  • Exhaustion

TREATMENT OF CHRONIC TONSILLITIS

Although medical therapy may be performed, removal of the tonsils (tonsillectomy) is preferred.

WHAT IS THE CAUSE FOR TONSILLOLITH?

  • Various infections (such as throat, teeth)
  • Food waste
  • Metabolic wastes of the bacteria
  • Precipitation of calcium or magnesium salts
  • Larger tonsils than normal

SYMPTOMS OF TONSILLOLITH

The most common symptom is malodor. Other possible symptoms are as follows:

  • Pain on the throat, behind the ear
  • Stinging sense
  • Cough
  • Difficulty to swallow the foods or the sputum

TREATMENT OF TONSILLOLITH

If the patient does not have many complaints, she/he may clean the stones himself by simple methods. Mouthwash with warm salt water is usually sufficient. Furthermore, the stones may be removed by the tongue tip or the ear stick. Carbonated beverages may be kept in the mouth for a while before swallowing.

If the symptoms cause discomfort to the patient, special intervention is required if the stone is too large. In this case, curettage, shaving tonsil pores (cryptolysis) or tonsillectomy (tonsillectomy) may be applied.

In the curettage method, the stones are curetted and removed without damaging the tissue. Local anesthesia maybe performed if necessary.

The cryptolysis process is based on the flattening of the gaps on the surface of the tonsils with the help of laser so that no further particles enter. Generally, local anesthesia is applied.

WHAT MAY BE DONE TO PREVENT FORMATION OF TONSILLOLITH?

* Drink plenty of water.

* Oral and dental hygiene should be prioritized.

* If tonsil stones persist, consumption of dairy products should be reduced for a while.

* Mouthwash should be done frequently with warm salt water.

* If the underlying cause is infection, it should be treated.

* Food should be swallowed thoroughly after chewing.

TONSILLECTOMY

Tonsillectomy is performed for the removal of some or all of the tonsils.

Tonsil surgery should be done in the following situations:

* Recurrent acute tonsillitis,

* Chronic tonsillitis,

* Frequent abscess formation around the tonsils,

*Snoring and chronic mouth breathing,

* Obstructive (obstructive) sleep apnea syndrome,

* Occurrence of speech disorder,

* Occurrence of jaw closure due to mouth opening,

*Developmental disorders of facial bones.

HOW IS TONSILLECTOMY PERFORMED?

Tonsil surgery is performed under general anesthesia in children and under local or general anesthesia in adults depending on the situation.

The operation may be performed with the classical method or with Thermal Welding method. In this method, tissues are separated by using heat energy. The surrounding tissues are not damaged. There is almost no bleeding. Postoperative pain is less and recovery is faster. In the classical method, the tonsils are removed by dissection from the surrounding tissues. Since it is a vein, bleeding is more common.

AFTER TONSILLECTOMY

In the first 2-3 days after tonsillectomy, it is normal to have pink bleeding mixed with saliva, but fresh red blood or bloody vomiting should be consulted. Pain is less and shorter in children, usually decreases gradually within 5 days. This may be relieved with simple painkillers.

After tonsillectomy, the patient should pay attention to the following:

  • Consume cold and juicy foods (cold milk, cold tea, ice cream) on the first postoperative day. On the second day, yoghurt and custard type foods may be switched. On the third and fourth days, mashed foods may be consumed. In the following days, nutrition is continued according to the physician's recommendation.
  • Cold foods such as cold water, milk and ice cream should be consumed and hard, bitter, spicy, acidic foods and beverages should be avoided.
  • The use and duration of the medications prescribed by the doctor should be observed.
  • Alcohol and tobacco products should not be used during the period prescribed by the doctor.
  • The physician's recommendations should be followed in terms of travel, physical activity and sports.
  • Physical exertion of children with tonsil surgery for three weeks is inconvenient.
  • Unless otherwise stated, plenty of water should be consumed.
  • Bath and shower may be done at any time after discharge. However, the water should be warm.
  • The risk of postoperative bleeding is low and around 1-2%. In case of fresh blood coming from the mouth and throat and vomiting blood, the doctor should be contacted immediately.

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