What is a Tonsillectomy?
Need a tonsillectomy? Tonsillectomies have been practiced for over 2,000 years. A tonsillectomy is a surgical operation to remove the palatine tonsils. Tonsils are two glands located at the rear of the throat. Ear, Nose, and Throat Doctors, also known as an otolaryngologists, are highly experienced in tonsillectomies. Here's everything you need to know about tonsillectomies.
Why it's Done
A tonsillectomy is used to treat chronic or recurring tonsilitis, complications of enlarged tonsils, and bleeding of the tonsils. A tonsillectomy is also a treatment for sleep-disordered breathing and other rare diseases of the tonsils. The need for tonsillectomies are more common in kids than adults. However, people of any age can experience trouble with their tonsils and require a tonsillectomy.
Tonsillectomy is an operation in which both tonsils are removed from a recess in the side of the pharynx called the tonsillar fossa. Once the patient is asleep, the surgery begins. An instrument is used to hold the patient's mouth open. The tonsils are then cut away with a laser, scalpel, or a heated instrument. Once the tonsils are removed and the bleeding is controlled, the surgery is over. The procedure is performed under general anesthesia, which is usually completed in 20 to 30 minutes.
A tonsillectomy is a common procedure. However, like with other operations, there are some risks with this procedure. These can include bleeding, infection, swelling, prolonged pain, or a reaction to anesthetics. Be sure to discuss your concerns with your physician before the procedure. Anyone who is contemplating surgery must weigh the potential risks against the benefits of the surgery.
Tonsillectomies are usually performed on an outpatient basis, which allows the patients to go home once they are awake from surgery. Recovery time for a tonsillectomy is usually at least 10 days to 2 weeks. You may experience some pain as as recover from a tonsillectomy. You might have a sore throat after the procedure. Pain relief medication can help you feel better during recovery. Many people are ready to go back to work or school within two weeks after a tonsillectomy.
An appointment for a checkup should be made two weeks after the procedure. The most important thing one can do after surgery to prevent dehydration is to drink plenty of fluids. Try to drink non-acidic drinks. Soft foods such as gelatin, puddings, and mashed foods are helpful to maintain adequate nutrition. Spicy, hot, and coarse foods should be avoided because they may scratch the throat and cause bleeding. Bed rest is important for several days after the procedure. Strenous activities should be avoided for two weeks after surgery.
You don't have to suffer anymore. If you think you may need a tonsillectomy, talk it over with a board certified ENT specialist. Find an ENT specialist in your area and schedule an appointment today. A tonsillectomy can ease your symptoms and help you get back to a happy and healthy life!
Head and neck cancers aren’t as often talked about or publicized as much as other types of cancer, but it doesn’t make these any less serious. Regardless of whether a member of your family has been diagnosed with head and neck cancer or you are experiencing some worrisome symptoms of your own, it’s important that you have an ENT specialist on your side to provide you with the care you need.
Head and neck cancer is an umbrella term that encompasses five different kinds of cancers that affect the pharynx (throat), sinuses, larynx (voice box), mouth, and the salivary glands.
Cancer can develop anywhere on the lips or inside the mouth. You may notice a red or white patch, or a lump, in your mouth that doesn’t go away. You may notice facial swelling, particularly around the jaw. You may also have difficulty swallowing or chewing. While a dentist can often pinpoint these early warning signs during a routine dental exam, if they suspect that it might be cancerous they may also turn to an ENT doctor for further medical care.
The pharynx runs from your nose to the esophagus and cancer of the throat can cause difficulty breathing or swallowing, persistent or severe throat pain, ringing in the ears, or difficulty hearing.
Cancer of the Larynx
The voice box (this includes your vocal chords and a structure known as the epiglottis) can also develop cancer. Symptoms are similar to pharyngeal cancer, as you may experience difficulty or painful swallowing or ear pain. You may also notice changes to your voice include chronic hoarseness. It may also feel as if a lump is constantly in your throat.
Cancer of the Salivary Glands
The salivary glands, as you may have already guessed, are responsible for the production of saliva. These glands are found in the mouth close to the jawbone. Signs of salivary gland cancer include persistent or severe jawbone and facial pain, muscle numbness, or weakness in the face, as well as swelling near the jawbone.
Paranasal Sinus and Nasal Cavity Cancer
It’s important to recognize that the symptoms of nasal cavity cancer are similar to a lot of other less serious condition; however, it’s important to seek medical attention from an ENT specialist if you notice these symptoms:
- Chronic or recurring nosebleeds
- Chronic or severe nasal blockages or sinus infections
- Facial swelling, particularly around the nose and eyes
- Recurring pain in the upper teeth
Do you have questions about head and neck cancer? Are you experiencing any symptoms that give you pause? If so, this is the perfect time to turn to an otolaryngologist who can provide you with the diagnostic care and treatment you need.
If you’ve ever watched a boxing or MMA fight on television then chances are good that you may have noticed something a bit odd and maybe a bit disturbing about some of the fighters—their ears. Some fights have what is called “cauliflower ear” in which the outer ears have become deformed due to blunt-force trauma. This is most common in athletes who wrestle, box or are involved in contact sports (e.g. rugby). When someone develops auricular hematoma the goal is to always treat the problem right away to prevent cauliflower ear from happening in the future.
While wearing the proper headgear and protection can often prevent an auricular hematoma, sometimes injuries to the outer ear can still occur. When this hematoma surfaces the blood starts to collect, causing the cartilage and the connective tissue around it (perichondrium) to separate. If left untreated, the cartilage of the outer ear no longer gets the blood flow it needs, which leads to cartilage death (necrosis).
If this happens to you or someone you know it’s important that you seek treatment right away so that the ear can be properly drained and to prevent blood from collecting inside the ear. By coming in right away for medical care, an ENT doctor can prevent complications such as cartilage necrosis, infection, tympanic membrane rupture and cauliflower ear.
In order to properly drain the hematoma, this minor procedure is performed with a local anesthesia. Once the ear is numb, a small incision is made to the outer ear to drain the blood that has collected. Once the procedure is finished, there are several methods for which to bandage the ear.
Of course, one of the most common ways is to use thermoplastic splints, which prevent blood from re-accumulating within the ear. In other instances, a simple mattress suture is placed, which also prevents blood from collecting but doesn’t need to be removed (unlike splints). Once the sutures or splints have been placed, the ear will be covered with clean gauze. Finally, the head is wrapped in order to hold the gauze in place.
Before you leave, your ENT doctor will provide you with all the information you will need for how to keep the ear clean and protected as it heals. Just know that this kind of damage to the ear can be serious if left untreated. If you experienced this kind of trauma it’s important that you seek the guidance of an otolaryngologist right away so that we can tend to this traumatic injury and prevent complications.
While there have been commercials and ads occurring for years that talk about the negative impact smoking has on your health, perhaps it’s been something that you haven’t really paid attention to; however, if you’ve been smoking for a while and you are looking for a reason to quit, let an otolaryngologist tell you the many long-term and potentially serious health problems smoking can cause.
Many of the chemicals found in cigarettes are harmful and several of them have even been linked to cancer; however, smoking is the most common preventable cause of death in the US, according to the CDC. So it’s important to quit smoking if you want to protect yourself from:
Every time you take a puff of a cigarette or consume a tobacco product you are exposing your lungs to poisonous chemicals that damage both the airways and the alveoli in your lungs. Along with the increased risk of infection, you are also putting yourself at an incredible risk for long-term or potentially serious lung problems such as:
- Chronic bronchitis
- Lung cancer
If you are someone who has asthma, tobacco may not only increase your chances of an asthma attack but it can also make asthma attacks worse.
The nicotine found in tobacco products is known to restrict blood flow. Not only does this affect healing but also it can damage the walls of the blood vessels and raise your blood pressure. As a result, this can increase your chances of heart disease, heart attack or stroke. Of course, exposing others around you to smoke increases their risk of cardiovascular problems, as well.
Besides the increased risk of throat, lung or esophageal cancer, smoking can also increase your chances of pancreatic cancer. Furthermore, smoking affects insulin production, which can increase your chances of developing type 2 diabetes.
Smoking and Other Health Problems
Smoking affects just about every system in your body, from your skin and eyes to your stomach and colon. Smoking also increases your risk of cancer-related death. By quitting smoking you could drastically cut your risk of cardiovascular problems in just one year. Your risk of stroke or developing cancer will also drop drastically the first few years after you quit.
If you are trying to quit smoking you don’t have to do it alone. Talk to an ENT doctor who can provide you with the recommendations you need to quit smoking for good. You deserve to lead a long, healthy life.
Has your otolaryngologist told you that you have a deviated septum? If so, you may be wondering what this condition is, what issues it could possibly cause and when it might be time to have the issue corrected.
A deviated septum is a structural abnormality within the nose in which the wall that separates the two nasal passages deviates more to one side. As a result, one nasal passage is much smaller than the other. In more severe cases, the deviated septum can even completely block one passageway, making it more difficult to breathe out of your nose.
Those who have a deviated septum may find that they deal with more frequent nosebleeds or swelling of the nasal tissue. You may also experience facial pain and pressure. If you are experiencing any of these symptoms or finding it difficult to breathe out of your nose then you will want to visit an ENT doctor who can perform a thorough evaluation and determine whether your symptoms are caused by a deviated septum or another issue.
If we determine that you have a deviated septum there are a couple different courses of action in which we can take. If the deviated septum isn’t causing severe issues then the first defense will be to better manage your symptoms through the use of steroid nasal sprays, decongestants or antihistamines. While these medications won’t correct the problem it will help to reduce nasal congestion and swelling within the nasal passages to help you breathe better.
Of course, if your symptoms are severe and not controlled through medication then the next step will be surgery to repair the structural deformity. This procedure is called septoplasty, in which an ENT specialist will make incisions into the septum so that it can be repositioned into the proper place. In some cases, a rhinoplasty (“nose job”) may also be performed during the septoplasty to correct the shape, size or alignment of the nose and improve its appearance.
If you think you may be suffering from a deviated septum this is the perfect time to pick up the phone and call an otolaryngologist who can help manage your symptoms and help you breathe better.
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