Throat
Enlarged tonsils
Operations throats
The tonsils protect the body from infections. Located in the throat, they are the first to become targets of bacterial attack. They then become enlarged and red, stopping the infection in the throat, while signaling the immune system to proceed to defend the body. When the disease passes, they return to their previous state. Sometimes, however, the tonsils lose the battle against bacteria – they are constantly enlarged, pus discharge collects on them. They themselves then become a breeding ground for infection. Then it is worth considering their removal. Most often the palatine tonsils and the so-called Third tonsil (invisible, covered by the soft palate) are operated on.
Adenotomy / adenoidectomy (Endoscopic reduction of the third tonsil)
The third amygdala (also called the pharyngeal tonsil) performs very important functions in the immune system, especially until the age of 10. It defends the body against germs entering through the nose. During surgery, the relevant diseased tissue – the one that causes difficult breathing through the nose and impaired hearing – is removed. Healthy tissue is left to continue its function.
Excision of tonsils Tonsilotomy / tonsilectomy
It’s a removal, cutting out the tonsils, specifically the palatal parts, while preserving the healthy ones as a defensive barrier. It is performed with a special probe that, while cutting, simultaneously stops bleeding. Excision of the tonsils is usually carried out when the tonsils are hypertrophied, resulting in difficult breathing, abscesses, inflammation of the sinuses, among other things.
Ovulopalatopharyngoplasty
The procedure is performed under general anesthesia, during which the palate and uvula are shortened and the anatomy of the lateral pharyngeal wall is altered, making it stiffer. Removing the tonsils makes the walls of the throat less prone to collapse, which eliminates or reduces the amount of apnea. Of course, it also has a positive effect on eliminating snoring. There is a sore throat up to two weeks after the procedure, which is the healing period. It decreases with time and can be effectively relieved with painkillers. In addition, patients require a special diet during this time, that is, they should avoid hard, hot, spicy foods. But for that they can eat ice cream without restriction.
Electrothermooablation (Celon) of the palate and Coblation of the palate
It takes place using a modern medical device based on a combination of radiofrequency action and low-temperature coagulation. The use of these processes allows limited (submucosal) tissue injury. The consequence in the healing process is the transformation of flaccid tissue into hard, inflexible connective tissue (to put it simply: for example, too flaccid palate vibrates during sleep and gives the effect of snoring. With the procedure performed, the palate stiffens by eliminating snoring). After the procedure, the patient is able to return home or to work on his own strength. Pain and discomfort are very slight, lasting only 2-3 days. They can be eliminated with over-the-counter painkillers. Usually for optimal results, it is recommended to repeat this procedure after 6 weeks. Possible removal of the tonsils requires the patient to consult a doctor to determine the location of the blockage (the cause of the discomfort). Statistically, 60% of blockages are due to an improperly constructed palate, often including the palate and tonsils together; and 20% each are considered the cause of nasal (e.g., septal curvature) and tongue (e.g., wide tongue base) complaints. In doubtful cases, a full sleep analysis is performed, which accurately determines the site of the blockage / obstruction to breathing.
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