Tonsillectomy is the surgical removal of the tonsils (glands), performed in cases of chronic inflammatory processes such as chronic tonsillitis or recurrent sore throats. In recent years, high-tech methods such as videoendoscopic and microscopic technologies have been actively developed in otolaryngology, enabling tonsillectomy in adults to be performed with high precision and minimal risk to the patient. The introduction of modern technologies—such as tonsillectomy performed with videoendoscopic and microscopic equipment—significantly improves the accuracy and outcomes of surgeries, reduces the likelihood of complications, and facilitates recovery.
Advantages of videoendoscopic tonsillectomy
Videoendoscopy is a method in which surgery is performed using an endoscope – a thin, flexible instrument with a camera at the end that displays an image on a monitor in real time.
Magnified image and detailed visualization
The endoscope allows the surgeon to see all anatomical structures in the smallest detail, which significantly increases the accuracy of the intervention.
Minimal tissue trauma
Precise visualization avoids damage to surrounding healthy tissue, reducing the risk of bleeding and postoperative pain.
Reduced risk of complications
Less damage promotes faster healing and reduces the risk of infection. Reduction of pain in the postoperative period due to the precision of the surgeon’s work and the use of high technology.
The procedure is usually performed under general anesthesia, ensuring patient comfort during the procedure. Following the procedure, the patient can be discharged home within 1-2 days, depending on their condition.
Benefits of microscopic tonsillectomy
Microscopic technologies allow the use of surgical microscopes to magnify the surgical area and improve the precision of the procedure. Microscopic magnification is used to assess and remove tonsils with maximum precision, which is important in complex anatomical cases and in patients with complex pharyngeal anatomies. Maximum precision of excision: the microscope allows the surgeon to see small vessels and nerve endings, which allows the surgeon to avoid unnecessary damage.
Bleeding control
Microscopic technology helps the surgeon control bleeding more precisely by using the coagulation of vessels at an early stage.
Minimizing scarring
Less tissue trauma helps reduce the risk of scarring in the surgical area, which is important for preventing future complications. Reduction of pain in the postoperative period. Microscopic technologies are particularly useful in patients with an increased risk of bleeding or with complications associated with chronic inflammation.
When is surgery indicated?
- Chronic tonsillitis that does not respond to conservative treatment.
- Recurrent tonsillitis (more than 3-4 episodes per year) worsens the quality of life.
- Tonsil abscesses, when the infection spreads into the surrounding tissue.
- Hypertrophy of the tonsils, causing difficulty breathing or sleep disturbances (eg, sleep apnea).
- Frequent otitis and sinusitis are associated with chronic inflammation of the tonsils.
- Suspected tumor formations in the tonsils.
How does the operation go?
Tonsillectomy using videoendoscopic and microscopic technologies includes several stages:
Patient preparation
Before surgery, a comprehensive examination is performed, including blood tests, an ECG, and an anesthesiologist consultation. The condition of the tonsils is assessed, and the need for surgical intervention is determined.
Anesthesia
The surgery is performed under general anesthesia, ensuring the patient experiences no pain or discomfort.
Tonsil removal
Using an endoscope or microscope, the surgeon removes the tonsils. A video endoscopic system displays a clear image on a monitor, allowing the surgeon to precisely monitor each step of the procedure. Microscopic technology allows for maximum precision, reducing the risk of damage to surrounding tissue.
Bleeding control
If necessary, coagulation techniques are used to stop bleeding. Precise microsurgical instruments minimize the risk of injury to blood vessels.
Postoperative follow-up
After surgery, the patient is monitored until full recovery from anesthesia. A mild sore throat is common, which can be successfully managed with analgesics.
Recommendations for the postoperative period
- Eating soft and cool foods in the first few days after surgery will help minimize throat irritation.
- Drink plenty of fluids to prevent dehydration and moisturize the mucous membranes.
- Avoid physical activity for 1-2 weeks to reduce the risk of bleeding.
- Use of prescribed analgesics and anti-inflammatory drugs to relieve pain and promote healing.
Full recovery after a tonsillectomy takes about 10-14 days, during which it is important to follow all of your doctor’s recommendations. The postoperative period after tonsillectomy using videoendoscopy and microscopy is significantly shorter and less painful compared to traditional methods.
Conclusion
Tonsillectomy using videoendoscopic and microscopic technologies is an advanced method for treating chronic inflammatory diseases of the tonsils, ensuring high surgical precision, minimal trauma, and rapid recovery. This method is especially effective for patients with anatomically complex throat structures or when precise removal of inflamed tissue is required. Consulting an ENT specialist West Yorkshire with experience and modern equipment guarantees a successful outcome and an improved quality of life for the patient. Gentle, minimally invasive techniques are used for the surgical treatment of otolaryngological diseases, thanks to the use of modern, high-precision endoscopic and microsurgical equipment.
