Tonsils and things to know

Tissues called tonsils are made up of lymph cells. It has a role in lymph production. They grow due to infections, more frequently at 4-5 years of age. They tend to shrink with puberty. In these children, bad breath, snoring, sleep apnea, mouth breathing, night coughs, loss of appetite and failure to grow are observed. When tonsil growths reach the size that will narrow the upper respiratory tract, serious problems such as snoring and apnea begin.

The disease known as rheumatic fever is a complication caused by antibodies against group A beta-hemolytic streptococci. It can cause serious diseases in the heart valves and joints.

In which cases should the tonsils be taken?

Tonsil surgery is the most common operation performed by otolaryngologists. In tonsil problems that do not benefit from drug treatment, the tonsils are surgically removed. There are definite and relative criteria used to decide on this surgery.

Conditions that require definitive tonsillectomy:

Obstruction of the upper respiratory and digestive tract depending on the size of the tonsils (deterioration of the jaw structure, difficulty in swallowing, snoring and sleep apnea)

Abscess around the tonsils (Peritonsillar abscess)

suspected malignant tumor

Relative states:

Frequent tonsil infections: 40% of tonsil surgeries are performed for this reason. 5 or more years of febrile tonsillitis suggests that the tonsils should be removed.

Carriers of diphtheria microbe

People with heart valve disease

bad breath

In relative cases, there is chronic tonsillitis. Surgical treatment is recommended for its solution.

At what age is tonsil surgery performed?

There is no age restriction for tonsil surgery. It can be done at any age when necessary. However, it is recommended not to perform tonsil surgery under the age of 3 due to the frequency of complications and the difficulty of treating complications, except in mandatory cases. Although tonsil diseases are known as a child age group problem, the same rules apply to adults. Tonsil surgery is also performed in adults who do not have any serious health problems that may prevent surgery. There is no upper age limit. In general, the incidence of this disease in older ages is low and simple solutions are often preferred.

How risky is tonsil surgery?

The risk of tonsil surgery is very low. However, tonsil surgery is not a simple operation. The suffix “-cik” at the end should not cause the surgery to be underestimated. In statistics, serious complications related to anesthesia or surgery are reported in one out of 40,000 operations. Postoperative bleeding is 3-5%. After tonsil surgery, many scientific studies have been conducted on the body’s defense system, but no clear results have been obtained. A reduction in the number of some types of lymphocytes has been shown in people who have had their tonsils removed. However, it has not been found to cause clinical problems.

Does chronic pharyngitis develop after tonsillectomy?

There is a belief that pharyngitis is easier after tonsil surgery. The incidence of pharyngitis is the same in people whose tonsils have been removed or not. Removal of the tonsils does not increase the rate of pharyngitis. A person with pharyngitis after tonsillectomy is likely to have a nose problem; pharyngitis in this person develops not because his tonsils are removed, but because he cannot breathe easily through the nose.

Is the person whose tonsils are removed prone to lower respiratory tract diseases?

Since the tonsils are in the position of guard at the entrance of the throat, there is a belief that when they are removed, the infection will descend to the lungs and the person will get pneumonia. However, there is no scientific evidence about this. The removed tonsils are not healthy and cannot fulfill the filtering function that it should normally do, but act as a focus of inflammation. Every time the body’s resistance drops, the inflammation located in the tonsils flares up and can cause inflammation both in the throat and elsewhere in the body. For this reason, a source of infection is removed from the body by removing the diseased tonsils, which are the focus of inflammation.

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