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Tonsil and Adenoids Surgery



What are tonsils and adenoids?

Tonsils are lymph-like soft tissue located on both sides of the back of the throat. Along with adenoids (soft tissue behind the nose), tonsils help the body to fight infection by producing antibodies to combat bacteria that enter through the mouth and nose.

What are the symptoms of tonsillitis and adenoiditis?

Tonsils and adenoids can cause health problems when they become infected or obstruct normal breathing or nasal/sinus drainage. Recurring infections in the tonsils can lead to chronic tonsillitis. Symptoms include fever, persistent sore throat, redness of the tonsil area, yellow discharge on the tonsils, and tender lymph nodes on both sides of the neck.

In addition to blocking the throat, enlarged tonsils may interfere with normal breathing, nasal sinus drainage, sleeping, swallowing and speaking. They may also aggravate snoring and can even cause an alarming condition called sleep apnea which involves an occasional stoppage of breathing.

What are the reasons to have a adenoidectomy?

Sleep apnea, or periods at night when your child stops breathing

Trouble swallowing

Tumor in the throat or nasal passage

Bleeding from the tonsils that cannot be stopped

Significant blockage of the nasal passage and uncomfortable breathing

The following are adenoidectomy Guidelines from the American Academy of Otolaryngology:

Seven sore throats in one year

Five sore throats in each of two years

Three sore throats in each of three years

The sore throats may be associated with the following:

Fever above 101ยบ F

Discharge on the tonsils

Positive strep throat culture

The following are additional reasons for the removal of the adenoids and tonsils:

Bad snoring

Recurrent infections or abscesses in the throat

Recurrent ear infections

Hearing loss

Chronic sinusitis, or infection in the sinuses

Constant mouth breathing

Frequent colds

Cough

Bad breath

What is the treatment of adenoiditis and tonsillitis?

Medical treatment with Antibiotics and symptomatic treatment is given during the acute episodes. Your doctor can guide you if it needs to be operated after proper examination.

Why Coablation?

In traditional Adeno tonsillectomy procedures, adenoids and tonsils are removed by burning or controlling bleeding with cautery. Potential complications are post operative infection bleeding and damage to surrounding structures. Coblation Tonsillectomy and Coablation Adenoidectomy is the world's most advanced technique for bloodless tonsillectomy and adenoidectomy. Since it is totally bloodless, the procedure is mostly day care. Coblation is an advanced technology that combines gentle radiofrequency energy with natural saline to quickly, and safely remove tonsils. Because traditional procedures use high levels of heat to remove the tonsils, damage to surrounding healthy tissue is common. Coblation does not remove the tonsils by heating or burning, leaving the healthy tissue surrounding the tonsils intact.

Advantages of Coablation Surgery are -

Less swelling,

Minimal bleeding

Minimal discomfort and Reduced Post operative pain

Shorter hospital stay

No scarring with minimal incisions

Quicker Recovery

After the procedure:

Your doctor will provide postoperative instructions, which include antibiotics and oral rinses for up to 1 week some minor pain medication may also be prescribed. It is common for patients who have undergone Coblation Tonsillectomy and Adenoidectomy to feel better than expected following their surgery, with most patients resuming a normal diet and activities within just a few days. Therefore, it is critical that the patient avoid vigorous activity, such as sports, running etc for 14 days after the procedure. This will help to reduce their risk for complications such as postoperative bleeding.

What is coblation tonsillectomy?

Unlike traditional tonsillectomy procedures, which remove tonsils by burning, Coblation is an advanced technology that combines gentle radiofrequency energy with natural saline to quickly, and safely remove tonsils. Because traditional procedures use high levels of heat to remove the tonsils, damage to surrounding healthy tissue is common. Coblation does not remove the tonsils by heating or burning, leaving the healthy tissue surrounding the tonsils intact.

How chronic tonsil problems are usually treated?

Depending on symptoms, and the frequency of infection, tonsils are typically treated with antibiotics or removed surgically in a procedure called a tonsillectomy.

Meet Doctors

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Dr. Harish Nanda

M.B.B.S, M.S
ENT Specialist

SPECIALITY: Microscopic Ear Surgery/ Endoscopic Sinus Surgery / Head & Neck Surgery.

Dr. Harish Nanda, Consulting Otorhinolarygologist is known for his excellent rapport with his patients. He did his graduation & post graduation from Dayanand Medical College and Hospital Ludhiana in 1998.Since then he has worked under some of the top specialists in his field, which include fellowships under Dr. Heine Stamburger from Austria .He did his senior residency at Batra Cancer & Research Institute Delhi and Oswal Hospital Ludhiana and worked in Guru Nanak Mission Charitable Hospital Jalandhar for three years.


With excellent results in all his surgeries especially Laser/ Coablation and Microdebrider assisted FESS and Adenotonsillectomies and Reverse Stapedotomy ,he has garnered a reputation for being one of the best ENT Surgeons in Northern India.He has also attended a number of National & International conferences and also conducted live surgical workshops along with the best surgeons in the field of ENT at Kataria Eye & ENT Hospital Pvt. Ltd.


The Hospital has had the pleasure of having him for more than 20 years. He has been the driving force behind the total renovation and technical advancement of the hospital which is functioning since 1977.