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This PowerPoint presentation provides a clear, easy-to-follow overview of tonsillectomy from an ENT specialistu2019s perspective. It explains the anatomy and function of the tonsils, common indications for surgery, preoperative evaluation, different surgical techniques (cold steel, electrocautery, coblation, etc.), postoperative care, possible complications, and expected outcomes.
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TONSILLECTOMY IN ENT PRACTICE Diagnosis, Indications, Procedure & Aftercare
INTRODUCTION Tonsillectomy = surgical removal of the palatine tonsils One of the most common ENT surgeries Performed mainly in children but also in adults
ANATOMY & FUNCTION OF TONSILS Part of Waldeyer’s ring Immune tissue located at the back of the throat Role in immunity during early childhood
INDICATIONS FOR TONSILLECTOMY Recurrent tonsillitis (≥7 episodes in 1 year, ≥5 episodes/year for 2 years, ≥3 episodes/year for 3 years) Obstructive sleep apnea (enlarged tonsils) Peritonsillar abscess (recurrent) Chronic tonsillitis with halitosis Suspicion of malignancy
PREOPERATIVE ASSESSMENT Detailed history & examination Blood investigations (CBC, coagulation profile) Anesthesia fitness assessment Counseling patient/parents about risks & benefits
SURGICAL TECHNIQUES Cold steel dissection (traditional) Electrocautery Coblation tonsillectomy Microdebrider-assisted Harmonic scalpel
INTRAOPERATIVE CONSIDERATIONS General anesthesia Positioning Hemostasis Avoiding injury to adjacent structures
POSTOPERATIVE CARE Pain management Hydration & soft diet Monitoring for bleeding Antibiotics if needed
COMPLICATIONS Primary hemorrhage (within 24 hours) Secondary hemorrhage (5–10 days) Pain & odynophagia Dehydration Infection
OUTCOMES & RECOVERY Most patients recover within 7–10 days Significant reduction in throat infections Improved breathing & sleep quality
CONCLUSION Tonsillectomy is safe & effective when performed for the right indications Advances in technique reduce pain & bleeding Proper patient selection & aftercare are key
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