Tonsillectomy in ENT Practice - Denis K Hoasjoe MD

This PowerPoint presentation provides a clear, easy-to-follow overview of tonsillectomy from an ENT specialist’s perspective. It explains the anatomy and function of the tonsils, common indications for surgery, preoperative evaluation, different surgical techniques (cold steel, electrocautery, coblation, etc.), postoperative care, possible complications, and expected outcomes.

1. TONSILLECTOMY IN
ENT PRACTICE
Diagnosis, Indications, Procedure & Aftercare

2. INTRODUCTION
Tonsillectomy = surgical removal of the palatine
tonsils
One of the most common ENT surgeries
Performed mainly in children but also in adults

3. ANATOMY &
FUNCTION OF
TONSILSPart of Waldeyer’s ring
Immune tissue located at the
back of the throat
Role in immunity during early
childhood

4. INDICATIONS FOR
TONSILLECTOMY
Recurrent tonsillitis (≥7 episodes in 1 year,
≥5 episodes/year for 2 years, ≥3
episodes/year for 3 years)
Obstructive sleep apnea (enlarged
tonsils)
Peritonsillar abscess (recurrent)
Chronic tonsillitis with halitosis
Suspicion of malignancy

5. PREOPERATIVE
ASSESSMENT
Detailed history & examination
Blood investigations (CBC, coagulation
profile)
Anesthesia fitness assessment
Counseling patient/parents about risks &
benefits

6. SURGICAL TECHNIQUES
Cold steel dissection (traditional)
Electrocautery
Coblation tonsillectomy
Microdebrider-assisted
Harmonic scalpel

7. INTRAOPERATIVE
CONSIDERATIONS
General anesthesia
Positioning
Hemostasis
Avoiding injury to adjacent structures

8. POSTOPERATIVE CARE
Pain management
Hydration & soft diet
Monitoring for bleeding
Antibiotics if needed

9. COMPLICATIONS
Primary hemorrhage (within 24 hours)
Secondary hemorrhage (5–10 days)
Pain & odynophagia
Dehydration
Infection

10. OUTCOMES & RECOVERY
Most patients recover within 7–10 days
Significant reduction in throat infections
Improved breathing & sleep quality

11. CONCLUSION
Tonsillectomy is safe & effective when
performed for the right indications
Advances in technique reduce pain &
bleeding
Proper patient selection & aftercare are key

12. CONTACT US
https://drhoasjoe.net/