TONSILLITIS AND TONSILLECTOMY
What is Tonsillitis and Tonsillectomy?
TONSILLITIS AND TONSILLECTOMY
When a person opens his mouth, there are a lot of things you can see.
One of the most important organs that helps fight off infections are among them, also known as tonsils.
Tonsils are often overlooked when you open your mouth.
This is because they're often small and hidden between the two arches.
These tonsils are known as palatine tonsils due to their location near the palate or the roof of the mouth.
How Tonsils Fight off Infection?
The tonsils act like entry point from the throat, picking up virus and bacteria particles which are breathed in or swallowed and relaying this to the immune system.
To help with this role, the surfaces of the tonsils are pitted with a number of little recesses, also called tonsil crypts.
This increases surface area of the tonsils, relaying more viruses or bacteria to the immune system.
How Tonsils Get Infected?
Tonsils can also become clogged with bacteria and food particleswhich can lead to problems.
When this happens, the tonsil itself becomes infected and starts to get swollen due to inflammation because of infection, leading to condition known as tonsillitis or inflammation of the tonsils.
Because the tonsils are always trapping bacteria, they can become infected quite commonly, especially in children, leading to condition known as recurrent acute tonsillitis.
Signs and Symptoms of Tonsillitis.
The main symptom of tonsillitis is sore throat, but since the throat and ears share the same nerves, the pain is often felt in the ears too.
This process is known as referred pain.
The pain is usually worse when swallowing, also known as Odynophagia.
Very young children may not complain of a sore throat, but may simply refuse to eat.
In addition, you may also have a cough, fever due to infection, head ache, feel sick, feel tired, and swollen and tender glands (lymph nodes), on the side of the neck, as well as bad breath.
How Tonsillitis is Diagnosed?
Diagnosis is based on the physical examination of your throat.
Your doctor may also take a throat culture by gently swabbing the back of your throat.
The culture will be sent to a laboratory to identify the bacteria causing the throat infection.
Treatment for Tonsillitis.
A mild case of tonsillitis does not necessarily require treatment, especially if a virus, such as cold, causes it.
Good rest and remaining well hydrated are treatment of choice in such cases.
Painkiller medicines can be added to relief the throat pain.
Treatment for more severe cases of tonsillitis may include antibiotics or tonsillectomy.
Antibiotics will be prescribed to fight the bacterial infection.
It's important you complete the full course of antibiotics.
Tonsillectomy is the surgical removal of tonsils to permanently end the problem of tonsillitis.
Criteria for Tonsillectomy- At least 7 episodes in the previous year- At least 5 episodes in each of the previous two years or at least 3 episodes in each of the previous three years.
How Tonsillectomy is Done?
Dissection and snare method
There are multiple methods to do tonsillectomy.
One of the most commonly used is dissection and snare method.
Steps of Dissection and Snare Method:
1.Patient is placed in rose position.
2.Boyle-Davis mouth gag is introduced and opened. It is held in place by Draffin's, bipods or string over pulley.
3.Tonsil is grasped with forceps and pulled medially; incision made in the mucous membrane.
4.A blunt-curved scissor may be used to dissect the tonsil from the peritonsilar tissue and separate its upper pole.
5.Tonsil is held at its upper pole and traction applied downwards and medially or scissor until lower pole is reached.
6.Wire loop of tonsilar snareis threaded over the tonsil onto its pedicle, tightened.
7.Pedicle is cut and the tonsil removed.
8.A gauze sponge is placed in the fossa and pressure applied for a few minutes.
9.Bleeding points are tied with silk.
Procedure is repeated on the other side.