This is an automatically translated article.
The article was professionally consulted by MSc Dang Thi Thuy Trang - Ear, Nose and Throat specialist, Vinmec Central Park International General Hospital.Tonsillitis in adults, although uncommon, is often chronic. At this time, the main treatment method is tonsillectomy. However, for people over 45 years old, tonsil surgery, although it is a simple and popular technique, still needs to be very careful.
1. When to remove tonsils in adults?
How to cure tonsillitis in adults by tonsillectomy is set out with cases of chronic tonsillitis. This treatment method is now very popular, but it is necessary to strictly adhere to the indications because the tonsils are a physiological organ of the body, so only intervene when the tonsils really become a harmful inflammatory foci without causing harm. controllable.
Tonsillectomy is indicated in the following cases:
Inflammation many times (usually 5-6 times in a year). Complications of inflammation, abscess around the tonsils. Causing complications of rhinitis, sinusitis, otitis media, bronchitis, pneumonia, lymphadenitis under the jaw or side of the throat... Causes distant complications: pericarditis, glomerulonephritis, arthritis, confusion Prolonged digestive disorders, sepsis. Excessive inflammation causes difficulty breathing, swallowing, and speaking. In addition, cases of tonsillitis in adults with indications for surgery are performed only when there are absolutely no violations of contraindications such as coagulation disorders or unstable medical conditions such as high blood pressure. heart failure, kidney failure, liver failure in the decompensated stage,...
2. Should people over 45 years old have their tonsils removed?
Người trưởng thành trên 45 tuổi phải vô cùng thận trọng trong quyết định trước khi tiến hành phẫu thuật cắt amidan
Adults over 45 years old, when they have chronic tonsillitis and even if they have tonsillectomy surgery, they must be extremely careful in their decision before proceeding.
The reason is because at this stage, people over 45 years old often begin to suffer from chronic medical diseases, namely hypertension. Any intervention that causes pain in the body or pre-operative anxiety and stress are common factors that can cause blood pressure to rise suddenly, easily causing acute cardiovascular events that are life-threatening. such as stroke, acute myocardial infarction, and acute heart failure. In patients with diabetes, if blood sugar is not stable, the wound after surgery will be difficult to heal or even cause the infection to spread further. In addition, chronic heart failure, chronic kidney failure, chronic obstructive pulmonary disease, thyroid disease ... are easy to progress into exacerbations if there is a rush to intervene in the tonsils when the underlying disease is not stable. .
Therefore, before tonsillectomy, all patients are checked for health and do some necessary general tests. This is for the purpose of detecting comorbidities that have not yet been discovered as well as to ensure that contraindications such as hemostasis disorders are not violated. Particularly for patients with a previous medical history, it is necessary to have a specialist examination and assess that the disease is under stable control and can fully tolerate surgery. Some elderly patients with excessive anxiety about illness should also take measures to reassure and stabilize their psychology before intervention.
In addition, in subjects over 45 years old, tonsillectomy should be performed with the most minimally invasive method to ensure safety.
3. Methods of tonsillectomy in adults
The previous method of tonsillectomy, usually performed under local anesthesia, is the Sluder and Anse methods. Today, thanks to the advancements in medicine, tonsils are operated directly with a unipolar or bipolar electric knife, a laser knife, an ultrasound knife or most modernly with the Coblator machine system.
In which, the method of tonsillectomy with the current Coblator system is proving a lot of advantages and is preferred because it is safe and least invasive.
4. Details of tonsillectomy with Coblator
Chi tiết phương pháp cắt amidan bằng Coblator
4.1 Principle of treatment This is a modern method of using a plasma knife to cut tonsils. The principle of plasma knives is that they are created from very high frequency electromagnetic waves. In particular, the energy from the wave will create a conductive cloud surrounding the cutting device, allowing to cut and destroy tissue at a relatively low temperature of only 60 to 70 degrees Celsius, much lower than that of the laser. electric knife or laser (200 - 400 degrees Celsius). Thanks to that, patients will no longer have to "suffer" from the horrible experience when using previous methods with unipolar scalpels, lasers, etc., which often cause a lot of pain, bleeding and damage to surrounding tissues. as well as a long recovery time.
Not only that, the latest Coblator system uses a multi-function transducer that can both cut using high-frequency waves (acting as a plasma knife) and water to cool down and absorb debris. Besides, radio waves also cause blockage of small blood vessels, so it is very good to stop bleeding during surgery.
In addition, the combination with modern endoscopic imaging systems allows doctors to clearly observe the lesions during surgery, ensuring both removal of diseased tissues and maximum preservation of healthy tissue. Limit blood loss and speed up wound healing.
4.2 Advantages of the method The patient after surgery is almost painless. Time to lie on the operating table is fast, only 5 to 10 minutes. You can eat and drink right after surgery and have a quick hospital stay, only 1 day after surgery, suitable for busy people, often working. The method of tonsillectomy using the Coblator machine system is being used very effectively by Vinmec International General Hospital. Here, patients will be examined, consulted and treated by a team of good and experienced specialists, modern and comfortable facilities and equipment, helping to thoroughly solve the troubles caused by the disease. caused by chronic tonsillitis.
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