Intracapsular Tonsillectomy

Why has a tonsillectomy been recommended for my child?

The procedure to take out the tonsils is known as a tonsillectomy. It’s a procedure that’s frequently performed.

For the procedure to be done, your child must have experienced severe tonsillitis, an infection of the quinsy, or difficulty breathing while sleeping numerous times.

The advantages of the surgery should outweigh the usual risks.

What is intracapsular tonsillectomy?

The tonsils are encircled by a delicate covering known as a capsule. A tonsillectomy that involves removing the tonsil while keeping the capsule intact is known as an intracapsular tonsillectomy. The conventional method of doing a tonsillectomy (also referred to as an extracapsular tonsillectomy) involves the complete removal of both the tonsil and the capsule.

What are the alternatives?

You might choose to observe if the issue improves on its own. It’s common for kids to outgrow such issues within a year or so. Your kid might not require surgery.

Tonsillitis can be managed with pain relievers and antibiotics. Overusing antibiotics can lead to other health issues.

Using saltwater gargles can be beneficial. This method can lessen the severity of tonsillitis and decrease its recurrence. However, young kids might struggle with gargling.

Your kid could undergo an extracapsular tonsillectomy, which is the standard method for tonsil removal. This procedure involves removing both the tonsil and the capsule.

You could opt to see if the issue resolves on its own. Children often outgrow these problems within a year or so. 

Tonsillitis can be managed with pain relievers and antibiotics. Overusing antibiotics can lead to other health issues. Using saltwater gargles can be beneficial. This method can lessen the severity of tonsillitis and decrease its recurrence.

However, young kids might find it challenging to gargle. Your kid could undergo an extracapsular tonsillectomy, which is the traditional method for tonsil removal. This procedure involves removing both the tonsil and the capsule. You could choose to see if the issue resolves on its own. Children often outgrow these problems within a year or so.

Why choose intracapsular tonsillectomy?

The surgeon ought to describe the most effective treatment option for your child.

The chance of experiencing bleeding following the surgery is approximately one tenth as much for intracapsular tonsillectomy compared to extracapsular tonsillectomy. Intracapsular tonsillectomy is also believed to cause less discomfort.

Nonetheless, it’s possible that a tiny portion of the tonsil might remain, potentially leading to its resurgence. This could result in the recurrence of previous tonsil issues. About two children out of every hundred might require additional surgery to eliminate the tonsil tissue that has regrown.

Before my child's operation

Schedule a two-week break from school or day care. It’s important to inform us if your child experiences any abnormal bleeding or bruising issues.

Additionally, inform us if any other relatives in your family have similar issues. Before the procedure, make sure to inform the doctor who will be operating on your child and the person who will administer anaesthesia about any loose, capped, or crowned teeth your child has.

Communicate with the ear, nose, and throat (ENT) doctor if your child has a cold or a sore throat in the week leading up to the surgery. It’s best to postpone the surgery for safety reasons.

What does the operation involve?

Your kid will be put to sleep using a general anesthetic. The tonsillectomy is carried out through the mouth with a heated tool known as a coblator.

No external incisions or scars will be left. The procedure typically lasts around 30 minutes. Following this, your child will be moved to a recovery zone. They will be closely monitored as they come out of anaesthesia. They will spend about an hour away from the hospital’s ward.

What happens after the operation?

Following the procedure, your child will be taken to the recovery area. Once the effects of the anaesthesia have subsided, they will return to the day surgery unit if the operation is scheduled for a day case. Should they require overnight care, they will be transferred to the ward.

What symptoms should I expect after surgery?

Sore Throat:

Your child’s throat will be sore. This may get worse 3 to 5 days after the operation. It will slowly get better. Give your child painkillers half an hour before meals for the first few days. Do not give more than it says on the label. Do not give your child aspirin. Aspirin is not safe to give to children under 16 at any time unless prescribed by a doctor.

Sore Ears:

Your child may have sore ears. This is normal. It does not usually mean your child has an ear infection.

Bad Breath:

Bad breath is very common after tonsillectomy. It doesn’t always mean your child has an infection. Drinking lots of water and chewing gum may help. 

Feeling Sick:

Some children feel sick after the operation, but not for long. Your child may need some medicine for this.

Swollen Uvula:

Your child’s uvula (the dangling bit at the back of their throat) can swell up after the operation. This can feel like there is something stuck at the back of the throat. It gets better within a few days. It does not usually need medicine.

High Temperature:

A high temperature in the first day or two after the operation is common. Half of patients may get this.  A temperature that quickly goes back to normal should not need antibiotics.

Can my child eat and drink as normal after tonsillectomy?

Indeed. It’s crucial that your child continues to consume plenty of fluids following the surgery. They should be able to eat and drink prior to their discharge.

Consuming pain medication 30 minutes prior to meals can alleviate discomfort.

Normal eating and drinking habits can assist in clearing the throat’s back area, reducing the risk of bleeding and infection. Chewing gum can also be beneficial.

Should your child fail to eat and drink, they could face dehydration.

Safe and effective technique for treating children

intracapsular tonsillectomy