Department of Otolaryngology –
Head & Neck Surgery
Tampa, Florida
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TONSILLECTOMY AND ADENOIDECTOMY
What are they?
The tonsils and adenoids are lymphoid tissue, involved in the body's immune or defense system. However, they are not
necessary for normal functioning. There are no adverse long-term consequences of having them removed. The tonsils
may be easily seen when looking in the back of the throat; they appear as two ball-like lumps on the sides in back. The
adenoids cannot be seen easily through the throat, but require an X-ray or mirror to see.
When is surgery necessary?
Surgery is performed for several reasons. One of the most common reasons is for chronic tonsillitis, or infection of the
tonsils. This may lead to chronic antibiotic use, absence from school or work, or an abscess/collection of pus in the
tonsils. Another common reason is for trouble sleeping, especially breathing at night. The tonsils and adenoids may
become so large or swollen as to make it difficult to breathe at night. There are many other reasons surgery may need to
be done that your surgeon may go over with you.
What is done in surgery?
The tonsils and adenoids are removed with an electrical cutting instrument.
What to expect after surgery?
Pain is the most obvious and upsetting problem after surgery. A bad sore throat can be expected up to 10 to 14 days
afterward. This is treatable with the pain medication the doctor will prescribe. It may be a good idea for children to be
given the medicine around the clock for the first 48 to 72 hours. Follow the dosing guidelines on the medicine carefully.
Bleeding may occur in up to 5 out of 100 people following surgery. Call the doctor and go to the nearest emergency
center if this happens. It usually does not occur until 5 to 7 days after the surgery, if it does happen, and sometimes will
stop on its own. Gargle with ice-cold water and spit it out into a cup until the spit comes back clear. Other common
occurrences include fever for 2-3 days after, nausea and vomiting (usually limited to the day after surgery), ear pain,
neck pain, bad breath, constipation, and low energy. These should all improve 1 to 2 weeks after the procedure. Food
and fluid intake should be carefully monitored and encouraged after surgery. Soft foods are preferable as they are easier
to swallow. Strenuous activity such as sports should be avoided for 2 weeks. Children may typically return to school after
1 week.
Mailing Address (all locations): 12901 Bruce B. Downs Blvd. MDC 73 Tampa, Fl 33612
http://health.usf.edu/medicine/ent