Otolaryngology
Tonsillectomy and adenotonsillectomy
Guide to removal of tonsils and, when appropriate, adenoids.
What it is
Tonsillectomy and adenotonsillectomy is a otolaryngology procedure focused on removing tonsils and sometimes adenoids for respiratory or infectious indications.
The exact technique is defined after reviewing symptoms, physical examination, imaging or laboratory studies, and medical history.
When it may be considered
It may be considered when recurrent infections, sleep-related breathing obstruction, or another ENT indication is present.
The decision should be made with a licensed specialist, comparing expected benefits, non-surgical alternatives when available, and individual risks.
Preparation
Preparation usually includes medical history, medication and allergy review, preoperative studies, and anesthesia assessment when appropriate.
The specialist may indicate fasting, temporary adjustment of anticoagulants or other medications, and specific instructions for the day of the procedure.
How it is generally performed
In general terms, it is performed in a clinical or hospital setting using sterile technique and anesthesia selected by the medical team.
The approach, materials, and observation time depend on the diagnosis, case complexity, and care-center protocols.
Recovery
Recovery varies according to technique, age, general health, usual activity level, and other medical conditions.
Discharge instructions often include pain control, care of the wound or treated area, activity limits, follow-up, and warning signs.
Risks and warning signs
Any procedure may involve bleeding, infection, pain, reaction to medication or anesthesia, need for additional studies, or reintervention.
Seek urgent medical care for persistent fever, worsening severe pain, heavy bleeding, trouble breathing, persistent vomiting, progressive swelling, or foul-smelling drainage.
Frequently asked questions
Am I a candidate for this procedure?
Only a medical evaluation can confirm this based on your diagnosis and health history.
How long does recovery take?
It depends on the technique, findings, and progress; your specialist should provide personalized instructions.
Are there alternatives?
Some cases may have observation, medication, rehabilitation, or other procedure options; review them during consultation.
