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A tonsillectomy definitely does not protect against recurrent throat infections. However, several scientific studies have shown that there are fewer cases of tonsillitis, especially in the first year after tonsillectomy. This study shows that children who had missed many school hours due to tonsillitis benefited most. They were absent from school less often due to illness after a tonsillectomy. Sore throats, typically associated with pharyngitis, can still occur!

Tonsillectomy: consequences and risks

Virtually every patient experiences pain after tonsillectomy. However, this usually subsides after a few days. Until then, sufferers can suck on ice (not fruit ice cream because of the acid, and no chunks!), just like with tonsillitis, to relieve the pain. If necessary, patients can also receive painkillers, such as tablets, suppositories, or sprays.

Danger

Do not take painkillers containing acetylsalicylic acid: they can increase the risk of bleeding. For the same reason, diclofenac and ibuprofen should only be taken with caution and after consulting a doctor.

Nausea and vomiting, which often occur after surgery, can also be treated with medication.

Bleeding

After a tonsillectomy, bleeding is relatively common compared to other surgeries. Although tonsillectomy is a routine procedure in hospitals, bleeding is not uncommon. However, it does not constitute malpractice. Despite various surgical techniques, a significant risk of bleeding remains. 

How do these bleedings occur?

The palatine tonsil is supplied with blood by several arteries. During surgery, the surgeon can stop acute bleeding by either cauterizing the vessel with an electric current or suturing it shut. However, they cannot apply a compression bandage to prevent (recurrent) bleeding, as is the case with an arm injury, for example. If a vascular injury reopens after a tonsillectomy, severe bleeding can often only be stopped by another operation.

A notice

Postoperative bleeding may occur on the day of surgery, perhaps as the vasoconstricting anesthetic wears off (primary bleeding). In general, the risk is greatest during the first three days and six to eight days after tonsillectomy.

Secondary bleeding

Approximately one week after the tonsillectomy, the scab begins to fall off the pharyngeal wall. This period carries a high risk of secondary bleeding, which can be fatal in the worst case. Therefore, young patients, especially those with tonsillectomy, must be carefully monitored until the wounds have completely healed. Bleeding after a tonsillectomy usually occurs in the first week after the procedure. However, it can also occur up to four weeks afterward. Regardless, any bleeding should be treated by a doctor!

Danger

Any bleeding after a tonsillectomy must be taken seriously, even if it initially appears minor. It is an emergency! Therefore, prompt transport by ambulance to a hospital is necessary for any post-tonsillectomy bleeding.

Nerve injuries

In addition, nerve damage can occur during a tonsillectomy. This can alter taste and sensation in the mouth. The tongue may be less able to move, and swallowing may be impaired. However, nerve damage during tonsillectomy is very rare.

General surgical risks

In addition to the specific risks of tonsillectomy, there are also the general risks of any surgical procedure. These include, for example, an allergic reaction or intolerance to the medications used, infections, injuries—including those caused by intubation (such as tooth damage) – or impaired wound healing. Therefore, the necessity of a tonsillectomy should be carefully considered on a case-by-case basis.

Tonsillectomy: Behavior after the operation

The pain usually subsides within the first week after tonsil surgery. Painkillers can successfully counteract a severe sore throat. The surgical team or your family doctor will prescribe the appropriate medication. Ice can also help. However, opt for softer ice—for example, milk ice without fruit acid or chunks.

Overall, it’s advisable to eat soft foods to avoid further irritation of the surgical site. The following foods are not recommended during the first two weeks after a tonsillectomy:

Solid food with hard pieces such as seeds, nuts, brittle or sharp edges, such as chips

• Fish with bones
• Acids, for example, from fruits or vegetables (e.g., tomatoes)
• Spicy foods
• Hot food
• Carbonated drinks
• alcohol
• Instead, these foods are suitable after tonsil surgery:
• Soft, pureed food
• Soups
• noodles
• White bread or mixed bread without crust (suitable toppings include sausage or cheese spread)
• yogurt

Water, milk, unsweetened tea

Other important tips after a tonsillectomy include:

• Stop smoking!
• Do not exert yourself excessively during the first two to three weeks (no lifting, no exercise, etc.).
• Avoid activities that excessively increase blood flow, such as sunbathing, visiting tanning beds, or taking hot showers.

• Drink plenty of water!

After a tonsillectomy, doctors usually issue a sick note. Children, for example, stay home for about one to two weeks, depending on the case. I

Call emergency services immediately

If you experience any complications or have concerns during your recovery, consult an ENT specialist immediately. At our Consultant ENT Private Clinic, we provide expert evaluation, post-surgical care, and emergency consultation for patients recovering from tonsillectomy.

Book an appointment today with our experienced ENT consultants to ensure a safe and smooth recovery.

Your health deserves expert care. Schedule your consultation now!