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Tonsillectomy

Anatomy & Physiology Final Project
by

Nameerah Fadzil

on 27 February 2015

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Transcript of Tonsillectomy

TONSILLECTOMY!
Nameerah Fadzil
Help fight infections
INFECTED
red and swollen
white or yellow coating
enlarged
pain when
swallowing
sore throat
swollen lymph nodes on neck
fever
When do doctors recommend tonsillectomy?
persistent or recurrent
Tonsillitis
Strep Infection
during sleep
breathing difficulty
swollen tonsils
difficulty in swallowing/chewing tough foods
snoring & obstructive sleep apnea
suspected tumor in tonsils
tonsil abscess
respond to drainage
first report

Roman encyclopedist
Cornelius Celsus

30 AD
SCALPEL
Tonsillectomy
scraping

tearing out

picking with hook

excising with scalpel
preferred surgical instrument
EAR MOUTH THROAT
TRADITIONAL
lower risk of bleeding

willing to eat and drink
INTRACAPSULAR
faster recovery

less pain

less medication needed
Traditional vs. Intracapsular
throat muscles exposed
(tonsils are removed completely)
bleeding risk
pain & discomfort
(small tonsil tissue layer left)
throat muscles protected
tonsil tissue
re-enlarge

become infected
VERY RARE
<1% of children
Before Surgery
Requirements
Informing the Doctor
Days Before Surgery
Day of Surgery
Blood tests
Physical exam
Medical history
Drug intake

Vitamins
Herbs
Stop taking drugs like aspirin

Take other drugs instructed by doctor
Not allowed to eat or drink

Take drugs given by doctor
During Surgery
General anesthesia
20 minutes
small tool in mouth to hold it open
surgeon cuts or burns away tonsils
AFTER SURGERY
Week-long pain
no school for 2 weeks
difficulty in swallowing
avoid acidic drinks
keep mouth clean
POST-OPERATIVE BLEEDING
24 hours - 10 days
1 in 100 children
1 in 30 adults
extensive bleeding

vomitting or coughing up blood
Treatment with surgery or blood transfusion
resolves by itself

gargle cold water
eat ice cream
RISKS
RISKS
Types of Procedures
Cold Knife Dissection
most common
general anesthesia
complete removal
Electrocautery
burns tonsil tissue
reduced bleeding
400 degrees Celsius
thermal injury to surrounding tissue
Harmonic Scalpel
blade vibrates at 55,000 cycles/second
Radiofrequency Ablation
transfers radiofrequency energy to tonsil tissue
scarring occurs within tonsils
for treatment of enlarged tonsils and NOT chronic tonsillitis
Carbon Dioxide Laser
vaporize and remove tonsil tissue

treats recurrect tonsillitis

20 minutes
Microdebrider
partially shaves tonsils
treats enlarged tonsils and NOT chronic infections
Coblation
ionic dissociation of tissue
45-85 degrees Celsius
for enlarged tonsils and chronic infections
Tonsillectomy
Tonsillectomy
American Academy of Otolaryngology. (2013). Tonsillectomy procedures [Fact sheet]. Retrieved June
13, 2013, from American Academy of Otolaryngology website: http://www.entnet.org/
HealthInformation/tonsillectomyProcedures.cfm
Cook, S. P. (2013, May). Tonsils and tonsillectomies. Retrieved June 13, 2013, from KidsHealth
website: http://kidshealth.org/parent/medical/ears/tonsil.html
Healthwise. (2010, December 8). Tonsillectomy. Retrieved June 13, 2013, from WebMD website:
http://www.webmd.com/oral-health/tonsillectomy-for-strep-throat
Kaneshiro, N. K. (2013, March 22). Tonsillectomy. Retrieved June 13, 2013, from MedlinePlus website:
http://www.nlm.nih.gov/medlineplus/ency/article/003013.htm
Messner, A. H. (n.d.). Tonsillectomy. Retrieved June 13, 2013, from ScienceDirect website:
http://www.sciencedirect.com/science/article/pii/S1043181005000667
Tonsillitis - treatment. (2012, February 2). Retrieved June 13, 2013, from NHS Choices website:
http://www.nhs.uk/Conditions/Tonsillitis/Pages/Treatment.aspx
References
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