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 EFFECTS
The tonsils are an accumulation of lymphatic textile placed on both sides of the gullet, of which they take control in the struggle against the illness in early stages of the life. Nevertheless, the tonsils can be in turn a cause of chronic illness and stop having this mission that assumes to them. They turn then into a source of problems that can reverberate in the whole organism.
WHEN IS AN AMIGDALECTOMÍA NECESSARY?
The surgery of the tonsils is necessary when the treatment of the tonsillitis appellant with medicines and other measurements of support is not effective. It usually realize together with the adenoidectomía (eradication of the adenoidal vegetations). Although the indication of realizing surgery or not always it is individualized for every patient, there is a series of generic indications as they are:
- When the big size of the tonsils together with that of the adenoids interferes with the respiration provoking apnea breaks during the sleep, or interferes with the correct feeding.
- When there are infections gullet appellants. If in a period of 2 years, a child has had from 3 to 5 sprouts of annual tonsillitis, the specialist for otolaryngology (ORL) might value the possibility of an amigdalectomía, especially if the presence of streptococcus beta persists hemolítico of the group A in the cultivation realized in spite of the correct antibiotic treatment.
- When in advance an abscess has been had periamigdalar, since it is habitual that recidiven, being able to be pictures of potential gravity.
- When the tonsillitis is a cause of feverish convulsions.
- If the size amigdalar favors the earache production, or rinitis of repetition.
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PROCEDURES OF THE OPERATION OF THE TONSILS
- Before the intervention a preoperative study is done.
- Eight hours previous to the intervention the child must remain on an empty stomach.
- The amigdalectomía is done under general anesthesia, in an operating theater, with an anesthetist who monitors at all times the vital constants of the child. The intervention lasts about approximately 20 minutes.
- The surgeon extracts the tonsils of the child across the mouth, without realizing incisions in the skin. The operation will be realized by specific instruments, which dissect the tonsils extracting them from the bed amigdalar. The place from which the tonsils have been extracted cicatriza by if the same in 10-14 days.
- In most cases the stay time in the hospital is 5 to 10 hours. Children younger than 3 years or with chronic illnesses they will remain in the hospital at least 24 hours. To high, the otorrinolaringólogo will indicate antibiotic and analgesic treatment.
CARE AFTER THE INTERVENTION
After the tonsils operation, a few whitish crusts appear in the area of the intervention. These crusts are not an infection sign, but the normal evolution of the healing of the pharyngeal mucous membrane. It is necessary to be very careful in that these crusts do not become detached sudden to avoid the bled one. For it, it is suitable:
- Relative rest after the amigdalectomía, avoiding the sudden exercises.
- To avoid the maneuvers in the mouth that could lead to the detachment of the crusts (later dental hygiene, colutorios energetic, etc.)
- To continue a cold soft diet for two days, which then will make lukewarm to itself up to past the seventh day in which it will be begun by normal diet.
- There are medicines as the aspirin that they interfere with the coagulation, to try to avoid them earlier and after the intervention.
RISKS OF THE AMIGDALECTOMÍA
Anesthetic risk, just as any other operation. Fortunately, thanks to the measurements of control and the new anesthetic medicines, this risk is minimal. Bled of the bed amigdalar. It is possible to produce immediately after the intervention or about the seventh day of the operation, when the crust that covers the produced area falls down. It is complication can be minimized following the recommendations of his otorrinolaringólogo for the postoperative one. When the hemorrhage happens most of the times are scarce and it stops spontaneously. Intense gullet pain during the swallowing, often radiated to ears. It is passing and he usually answers to the analgesic treatment. The amigdalectomía does not seem influír of negative form in the immune answer (defenses) of the organism. The function of the tonsils is fulfilled entirely with the rest of the lymphatic textiles of the organism.
WHAT DOCTOR CAN TREAT ME?
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EFECTOS 
