More often than not medical therapy may fail to measure up to the function of resolving chronic tonsil infections that affect either you or your child. The tonsils could be enlarged thereby causing you to snore or develop sleep disorders because of the obstruction of the upper airway. The best solution to these complications could be undergoing a tonsillectomy procedure that involves the removal of the tonsils as well as adenoids.
There are several tonsillectomy procedures that are involved in the tonsils removal.
The first tonsillectomy procedure was conducted by a Roman surgeon known as Celsus in 30AD. This surgeon described the tearing and the scraping of the tonsils followed by picking them using a hook before excising then using a scalpel. Today, the scalpel is the most preferred tool used by ENT specialists. Even then, there are other tonsillectomy procedures that are recommended for the removal of tonsils even though the selection is largely depended on extent of the procedure. Some of the tonsillectomy procedures conducted today includes the cold knife dissection procedure which involves the removal of the tonsils using a scalpel. This is the most common method practiced today. The procedure requires that the patient be subjected to anaesthesia to allow for the removal of the tonsils with less bleeding.
The second tonsillectomy procedure is electrocautery which essentially involves the burning of the tonsillar tissues as well as aid the reduction of loss of blood through a process known as cauterization. This is usually done at an estimated temperature of 400 degree which also causes thermal injury to the tissues.
The third type of tonsillectomy procedure is the use of harmonic scalpel which utilizes ultrasonic energy so as to vibrate the blade at an approximated fifty five thousand cycles in a second. This movement is not visible naked eyes but is responsible for the transfer of energy to the tissue thus simultaneously coagulating and cutting. During this process, the temperature of the surrounding tissue is brought eighty degrees Celsius. Usually, the outcome is a precise cutting that comes with minimal damage.
The other type of Tonsillectomy Procedure
Is the radiofrequency ablation which involves the transfer of radiofrequency energy towards the tonsil tissues via probes that are inserted into the tonsil. This procedure can easily be conducted in an office set up but with light sedation or even light anaesthesia. The working of this procedure is such that after it has been performed, scars occur on the tonsil thereby causing it to shrink in size for a period of weeks. This could also be performed severally with the advantages being minimal discomfort, the ease with which it is performed as well as the possibility of the patient making an immediate return to work or school. Although the tonsillar tissue will remain even after the procedure, they are not prominent. This tonsillectomy procedure is recommended in the treatment of tonsils that are enlarged, non chronic and are not recurrent. The other tonsillectomy procedures include carbon dioxide laser, bipolar radiofrequency ablation and the microdebrider.