Swelling of the tongue after removal of the tonsils
Tonsils - clumps of lymphatic tissue,which surround the pharynx in the form of a ring. They are lingual, tubal, palatine, pharyngeal and located on the back of the pharynx. They take part in the formation of a healthy microflora of the nasopharynx and the oral cavity, supply the body with immune cells, that is, protect the upper respiratory tract from viruses and microbes.
Tonsils are an important organ for the health of the child. And so their removal without any serious reason is undesirable. Why do doctors-otolaryngologists especially do not recommend deleting them for children? First of all, such an operative intervention is a tremendous stress for the child's organism. The response of a child's body is sometimes unpredictable.
A healthy five-seven-year-old child is observedgradual growth of the tonsils. But after seven or eight years, the tonsils begin to decrease and, for the adolescent period, look like adults. More recently, the enlargement of the tonsils was considered a manifestation of the disease and they were recommended to be removed. Now the size of the tonsils is not considered the main factor for the operation. In this case, the question is considered: how often the tonsils are affected by the inflammatory process and how they function. However, even a competent and integrated approach to the therapy of the disease does not always lead to a positive result.
Prolonged inflammatory process in the fieldtonsils very often becomes one of the causes of serious complications. In such situations, the main method of treatment is their removal. An experienced specialist should conduct the operation. After all, a lot depends on the professionalism of the doctor, including the absence of negative results after the operation.
Removal of tonsils in children is carried out in those cases,when their inflammation interferes with the normal functioning of the child (for example, the process of ingestion of food becomes difficult or during its reception nausea appears, the appetite decreases, or if the anginas occur five or more times a year). With frequent diseases of purulent tonsillitis, the question of surgery may be raised. After all, we know that tonsils, in this case, are a constant focus of infection, and this can cause common severe complications (osteomyelitis, kidney disease, rheumatism, infectious arthritis).
Rheumatoid arthritis in the background of chronic tonsillitis
Up to 5-6 years, medical specialists do not recommendoperation. But if the body is weakened, the tonsils do not perform their functions, and the child often suffers from angina, the doctor can make a choice in the direction of the operation. If a child is prescribed surgical removal of tonsils, do not worry once again. Modern methods of conducting operations can reduce blood loss and pain, significantly reduce the recovery time.
Can I do without tonsils?
This issue has long been a concern for doctors, althoughThe technique of tonsillectomy has long been worked out and permits to conduct surgical intervention without any particular risk. After all, it's very simple - to remove from a baby or an adult just a piece of cloth that causes trouble. There was a time when tonsillitis surgery was so common that keeping them was seen as a "deviation from fashion." At present, the enthusiasm associated with the removal of the tonsils has cooled down.
What is the reason for this? Observations showed that conservative treatment can also yield positive results, ie, as a result of therapy, there is a gradual decrease in the frequency of respiratory diseases and ceases to exacerbate. Well, an undeniable argument against the removal of tonsils in children was that frequent respiratory diseases, heart murmurs, bronchitis and other conditions that associated with chronic tonsillitis do not always stop after surgery.
Clinical observations, however, have shown thatmost children after tonsillectomy feel better, that is, episodes of the disease appear less often, the pain in the throat ceases. But it should be remembered that tonsillectomy itself does not always solve the problem of sore throat. Sore throat can also be caused by, for example, pharyngitis. And the threat of the appearance of pharyngitis after the operation does not decrease, and there is a high probability that after a regular cold the sore throat will disturb the baby again.
- Complicated forms of chronic tonsillitis with toxic-allergic manifestations;
- Increased palatine tonsils, which interfere with normal swallowing;
- Frequent peritonsillar abscesses, tonsillogenic phlegmon;
- The syndrome of nocturnal apnea, which is caused by enlarged palatine tonsils or adenoids;
- Ineffectiveness of courses of conservative treatment of tonsillitis.
Expressed hypertrophy of palatine tonsils
- Disorders in the endocrine system;
- Diseases of the blood;
- Mental disorders that interfere with the safe course of the operation;
- Diseases of internal organs during decompensation.
Usually the tonsils in children go without complications and end with recovery, but sometimes, during or after surgery, serious complications may occur:
- Laryngeal edema with a risk of suffocation;
- After the operation, bleeding is possible. This happens with incomplete removal of the tonsils. To stop bleeding, the doctor performs a second scraping in the nasopharynx;
- Vascular thrombosis and cardiac arrest;
- There is a chronic inflammation of the remains of lymphoid tissue and their hypertrophy;
- Development of pneumonia after aspiration of gastric juice;
- Damage to the teeth and fractures of the lower jaw;
- Injuries of larynx, soft palate, throat.
Such postoperative complications and consequencescan sometimes pose a threat to the life of the patient. According to statistical studies conducted in the UK, approximately one case for 34,000 operations can result in death.
A sick child may feel difficulty in nasal breathing, because there is swelling of the nasopharynx. The condition is facilitated with the help of vasoconstrictive drops.
After tonsillectomy, a wound remains, that is, gate for infection. In this difficult period for the body, there is a weakening of immunity and the organs of the lymphoid ring should be in time to rebuild in order to take on the functions to restore it. Recovery after surgery lasts 2-3 months. All this time the child should be under the supervision of an immunologist and an otolaryngologist.
Before the operation, the attending physician will appointexamination of the patient. Blood tests are carried out (biochemistry, a general blood test, a blood test for clotting). If blood coagulability is disturbed, and this can be, for example, with hemophilia or with a lowered level of platelets in the blood, the operation is contraindicated, since there may be bleeding.
Most doctors, at present, recommend to their patients sparing procedures for operations with partial removal of tonsils, without destroying their tissues completely.
The most common method of tonsillectomymore recently, there were medical scissors or a wire loop. Removal of tonsils in children was carried out under general anesthesia or local anesthesia. Currently, surgeons use the most modern methods - ultrasound, laser, radio frequency vibrations.
Removing tonsils coblator has many advantages:
- Lack of pain;
- The duration of the procedure is fifteen to twenty minutes;
- Almost complete absence of complications;
- Since there is no open wound, infection is not possible, so there is no need to take antibiotics;
- The patient almost immediately returns to the usual life.
To date, this method of operation is considered the safest and most effective. Conduct it in specialized clinics, with the help of special equipment.
There is also a cryogenic method for removing tonsils(moxibustion with low temperatures). This method is carried out in stages, not at once (in several receptions at certain intervals in time). A local effect of very low temperatures on the tissues of inflamed tonsils is carried out. In this case, liquid nitrogen is used. Minus cryotherapy - slow resorption of dead tissue, edema of lymph nodes, the appearance of pain when swallowing. Contraindication to this method may be personal intolerance.
Treat a sick throat in time, do not bring it tooperation. Use a variety of rinses (chamomile, sea water, etc.). A good therapeutic effect is rinsing lacunae of the tonsils, removal of purulent plugs and their treatment with antiseptic drugs. Physioprocedures are very effective. If the child is diagnosed with chronic tonsillitis, regular examinations of the otolaryngologist are necessary. After all, inflamed tonsils change their state very quickly, and systematic examinations can stop the development of complications. Be healthy!