Operation of the tonsils (tonsillectomy) is an attempt to do the removal of tonsils by surgery. Tonsillectomy in fact, not to do a complete removal but is to reduce the inflammation of the tonsils. Naturally surgery what needs to be done must be adjusted to the severity of the inflammation itself.
What is the disease of the tonsils, and why you should get the surgery.
Tonsils actually is part of the throat, tonsils are part of the lymph nodes that have the function of early defense for the body to cope with the attack of viruses and bacteria. Viruses and bacteria attached on the tonsils, will be eaten by cells in the tonsils exterminator. If the number of viruses and bacteria that too much will cause inflammation of the tonsils.
Tonsils can cause respiratory and digestive tracts can be disturbed even clogged. Many roads can be done to reduce inflammation without having in operation, but generally well adapted to the severity. If inflammation of the tonsils are too large to clog the throat it is often decided to take surgical action.
Where necessary process of tonsils if the character tonsillitis which runs as follows:
- Enlarged tonsils and resulting airway becomes blocked so that the oxygen intake will be reduced.
- Severe pain when swallowing food, or swallowed though.
- Patients experiencing insomnia and cardiopulmonary complications
- Inflammation resulting in convulsions with high fever
Tonsil Surgery Techniques
Tonsillectomy is done when it has become the last option to be taken for the benefit of future patients. Dr Agus Subagio, ENT specialist from RS Puri Indah explained that the actual tonsils have great benefits for the body, but there are conditions where it is currently suffering from tonsillitis, it benefits are not as great as the bad effects that will occur in the future and that this needs to be surgery.
there is two tehniquees in this surgery traditional and modern ones.
There are two techniques in traditional ones that can be done
1. Mechanical Dissection
With this technique, the tonsils will lift first clamped and then cut. The effect, will cause bleeding and severe pain after postoperatively.
2. Techniques Guilottine
Surgery with this technique traditionally classified by using a knife cut. Stages are not complicated and can be quickly done. But the effects of the complications posed much greater. Gilottine technique is very rarely performed.
There are some more modern way by using tools and techniques that are more effective for the treatment of this tonsils. There are 3 modern techniques are classified, namely:
1. Mechanical Electrocautery
This technique uses energy with high temperatures reaching 400-600 degrees celsius. The resulting heat is too high and it is able to accelerate the process of appointment, but there will be a risk of damage to the tissue surrounding the tonsils have been removed.
2. Techniques Mikroderider
This technique uses a tool that can help the bleeding could be aspirated quickly. His appointment was made by rotating the tonsils with a tool is still classified as very expensive. Therefore it is very rare to find a hospital in Indonesia that use this tool tonsillectomy.
3. Mechanical Radio frequency
This technique is relatively advanced and widely recommended to be applied in each hospital. This technique uses energy with low temperatures around 40-70 degrees Celsius only. Radiofrequency techniques such as the name suggests uses radio waves with a frequency of 1.5 to 4.5 MHz.
This technique has been introduced and widely adopted by hospitals in Indonesia. Dr. Agus added that with this frequency radio method will provide good comfort for the patient during surgery or even during the process of postoperative recovery.
Research carried out in various countries found that the application of radiofrequency technique has several advantages is compared to other techniques. Advantages of radiofrequency techniques are :
- The time required is relatively short
- Bleeding that occurred included a little
- Pain in milder pain after surgery
- The risk of postoperative bleeding was also very small
- The healing process is shorter
- Generally the cost is also cheaper than other modern techniques
- In addition, this technique is considered very safe
For patients with tonsillitis and had to undergo surgery is highly recommended to choose the technique of radio-frequency . In addition to cheaper, radio-frequency technique is also safe and comfortable enough to do.
Tonsil surgery is not without risk. In fact, every action performed surgery in the medical world will certainly have side effects or risk incurred, although slightly. This tonsillectomy, has some side effects that can arise, such as:
After the lifting of the tonsils in the throat, it will cause scars of surgery on the tonsils previous location. After tonsils removed does not mean the pain is lost, but after the surgery was pain when swallowing can still be felt. But the difference between the levels of the pain might not hurt as much when there is inflammation.
Surgery would have caused minor bleeding at the dissected. Moreover, parts of the tonsils relatively wet channel and bypassed by the food and drinks were about to go to the hull. Even this bleeding, may get worse and cause the patient to vomit blood. Although it is rare, but it could be a risk of bleeding that occurs after removal of the tonsils.
Surgery is done will leave cuts on the location of the previous tonsils. The incision is very vulnerable especially touching glands open channels including wet throats because mucus. The entry of food and air into the throat and pharynx, going through the incision wound. Is likely to stick to the incision wound and cause an infection. Impact, the whole body will feel pain accompanied by headache and a high fever.
The scars inflicted on the larynx, will create a feeling of “”lump”” in the mouth. Perhaps there is a feeling “”uncomfortable”” because something changed in the throat of the patient. However, this condition only occurs when the drying process of the surgical wound. Once cured, the patient will start to get used to the feeling by itself will disappear.