{"id":5677995,"date":"2020-12-04T16:18:40","date_gmt":"2020-12-04T15:18:40","guid":{"rendered":"https:\/\/www.dr-delagranda.com\/amygdalectomie\/"},"modified":"2024-05-03T12:30:09","modified_gmt":"2024-05-03T10:30:09","slug":"tonsillectomy","status":"publish","type":"page","link":"https:\/\/www.dr-delagranda.com\/en\/tonsillectomy\/","title":{"rendered":"Tonsillectomy"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; css=&#8221;.vc_custom_1624396314188{padding-top: 35vh !important;padding-bottom: 25vh !important;background-image: url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/06\/chirurgie-amygdales.jpg?id=5676972) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221;][vc_column offset=&#8221;vc_col-lg-offset-1 vc_col-lg-10 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-0 vc_col-xs-12&#8243; css=&#8221;.vc_custom_1603286580076{padding-right: 12% !important;padding-left: 12% !important;}&#8221;]<div class=\"norebro-heading-sc heading text-shadow text-center\"\n\tid=\"norebro-custom-6a19d1903cec5\" \n\t \n\t>\n\t\n\t\n\t\n\t<h1 class=\"title\">\n\t\tTonsillectomy\t<\/h1>\n\n\t\n\t\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content&#8221; css=&#8221;.vc_custom_1619517744409{padding-top: 8vh !important;}&#8221;][vc_column offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-0 vc_col-xs-12&#8243;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a19d1903d11d\" \n\t \n\t>\n\n\t<p>Tonsillectomy is a surgical procedure to remove the tonsils. The operation is performed under general anaesthetic by an ENT surgeon, and generally requires hospitalization for one day, or several days in the event of severe pain.<\/p>\n<p>Find out more about tonsillectomy from ENT surgeon Dr. Delagranda.<\/p>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1708584558262{padding-top: 6vh !important;padding-bottom: 8vh !important;}&#8221;][vc_column width=&#8221;2\/3&#8243; offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-0 vc_col-xs-offset-1 vc_col-xs-10&#8243; css=&#8221;.vc_custom_1619534081562{border-top-width: 1px !important;border-right-width: 1px !important;border-bottom-width: 1px !important;border-left-width: 1px !important;padding-top: 10px !important;padding-right: 10px !important;padding-bottom: 10px !important;padding-left: 10px !important;background-color: #f9f9f9 !important;border-left-color: #0a0a0a !important;border-left-style: dotted !important;border-right-color: #0a0a0a !important;border-right-style: dotted !important;border-top-color: #0a0a0a !important;border-top-style: dotted !important;border-bottom-color: #0a0a0a !important;border-bottom-style: dotted !important;border-radius: 1px !important;}&#8221;]<div class=\"norebro-text-sc \" \n\tid=\"norebro-custom-6a19d1903d30d\" \n\t \n\t>\n\n\t<div id=\"post-link-5677995\" class=\"sh-link post-link sh-hide\"><a href=\"#\" onclick=\"showhide_toggle('post', 5677995, 'SUMMARY', 'SUMMARY'); return false;\" aria-expanded=\"false\"><span id=\"post-toggle-5677995\">SUMMARY<\/span><\/a><\/div><div id=\"post-content-5677995\" class=\"sh-content post-content sh-hide\" style=\"display: none;\"><\/p>\n<ul>\n<li><a href=\"#objectifs\">Objectives of tonsil surgery<\/a><\/li>\n<li><a href=\"#amygdales\">Tonsils<\/a><\/li>\n<li><a href=\"#publics\">Who should have their tonsils removed?<\/a><\/li>\n<li><a href=\"#intervention\">The surgical procedure<\/a><\/li>\n<li><a href=\"#intervention\">Post-operative recovery period<\/a><\/li>\n<li><a href=\"#intervention\">Risk of complications<\/a><\/li>\n<li><a href=\"#indications\">When should tonsils be removed?<\/a><\/li>\n<li><a href=\"#questions\">Frequently asked questions<\/a><\/li>\n<li><a href=\"#rdv\">Appointment<\/a><\/li>\n<\/ul>\n<p><\/div>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; equal_height=&#8221;yes&#8221; content_placement=&#8221;middle&#8221; css=&#8221;.vc_custom_1621501335426{padding-top: 6vh !important;padding-bottom: 6vh !important;background-color: #0f2233 !important;}&#8221; el_id=&#8221;objectifs&#8221;][vc_column width=&#8221;1\/2&#8243; offset=&#8221;vc_col-lg-offset-0 vc_col-lg-6 vc_col-md-offset-0 vc_col-md-6 vc_col-sm-offset-0 vc_col-xs-12&#8243; css=&#8221;.vc_custom_1619517220506{padding-right: 7% !important;padding-left: 7% !important;background-color: #0f2233 !important;}&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-6a19d1903d64c\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tObjectives of tonsil surgery\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a19d1903d708\" \n\t \n\t>\n\n\t<ul>\n<li>Restore growth by improving swallowing and thus mealtimes<\/li>\n<li>Improve sleep quality, and thus daytime activities (schoolwork, sports) and behavior (social interactions and relationships)<\/li>\n<li>Eliminate angina-related pain and thus reduce school absenteeism<\/li>\n<li>Reduce bad breath (factors other than tonsils may be to blame)<\/li>\n<li>Facilitate the work of orthodontists and speech therapists<\/li>\n<li>In exceptional cases, diagnose cancerous pathologies<\/li>\n<\/ul>\n\t\n<\/div>[\/vc_column][vc_column width=&#8221;1\/2&#8243; offset=&#8221;vc_col-xs-12&#8243; css=&#8221;.vc_custom_1619517230925{padding-top: 8vh !important;padding-right: 7% !important;padding-bottom: 8vh !important;padding-left: 7% !important;background-color: #0f2233 !important;}&#8221;][vc_single_image image=&#8221;5675480&#8243; img_size=&#8221;full&#8221; alignment=&#8221;center&#8221;][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content&#8221; css=&#8221;.vc_custom_1621500035504{padding-top: 8vh !important;padding-bottom: 8vh !important;}&#8221; el_id=&#8221;amygdales&#8221;][vc_column offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-0 vc_col-xs-12&#8243;]<div class=\"norebro-heading-sc heading text-center\"\n\tid=\"norebro-custom-6a19d1903d782\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tTonsils\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a19d1903d809\" \n\t \n\t>\n\n\t<p>The palatine tonsils are located behind the mouth, on either side of the tongue, in the oropharynx. Round masses measuring 2 cm in diameter, made up of lymphoid tissue, they have an irregular surface dotted with crypts of varying depths. The tonsils play a role in the immune system, helping the body to mount a defense against bacterial and viral infections by triggering the production of antibodies and lymphocytes after trapping these micro-organisms. This mechanism is particularly useful in early childhood.<\/p>\n<p>On the other hand, they can become a source of discomfort as a result of excessive volume acquired through chronic inflammation following repeated or persistent infections. Removing them poses no subsequent immune problems. In France, 10 to 12 million cases of acute tonsillitis are diagnosed each year, more than a third of them in children.<br \/>\nMost cases (60% to 80%) are viral.<br \/>\nDiagnosis of group A streptococcal infection by streptotest justifies antibiotic therapy (to reduce the risk of post-streptococcal complications).<br \/>\nObstruction of the oropharynx by hypertrophic tonsils, leading to eating and breathing difficulties (OSA), is the second reason for tonsillectomy.<\/p>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1621501393301{background: #ffffff url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2020\/11\/ablation-vegetations.jpg?id=5674698) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; el_id=&#8221;publics&#8221;][vc_column][vc_empty_space height=&#8221;120px&#8221;][vc_row_inner][vc_column_inner width=&#8221;7\/12&#8243; css=&#8221;.vc_custom_1607095018746{padding-right: 10% !important;padding-left: 10% !important;background-color: rgba(255,255,255,0.95) !important;*background-color: rgb(255,255,255) !important;}&#8221;][vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-6a19d1903d877\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tWho is concerned by tonsil removal ?\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a19d1903d8ed\" \n\t \n\t>\n\n\t<p>Children from the age of 2-3 and all adults can be concerned.<br \/>\nThe main cause of tonsillectomy in adults is recurrent infection (tonsillitis or angina) or at least 2 peritonsillar abscess.<br \/>\nIn children, the main causes of tonsil removal are tonsillar hypertrophy associated with OSAS (obstructive sleep apnea syndrome), chronic tonsillar infections (local tonsillar signs or satellite adenopathies persisting for 3 months) and\/or recurrent tonsillitis (5 tonsillitis\/year for 2 consecutive years). The prevalence-frequency of OSA in children is highest between the ages of 3 and 6 (1-3%), with obstructive pathologies being the most frequent causes (tonsils and vegetations). It can reach 13% in obese children.<br \/>\nThe long-term consequences of OSAS are numerous and deleterious (cardiovascular, neurocognitive development, growth disorders).<\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;80px&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;5\/12&#8243;][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;120px&#8221;][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; css=&#8221;.vc_custom_1619553467037{padding-top: 8vh !important;padding-right: 12% !important;padding-bottom: 8vh !important;padding-left: 12% !important;background-color: #eaebed !important;}&#8221;][vc_column offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-0 vc_col-xs-12&#8243;]<div class=\"norebro-heading-sc heading text-center\"\n\tid=\"norebro-custom-6a19d1903d952\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tEvaluate your own sleep and risk of sleep apnea syndrome\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1607163024794{padding-right: 10% !important;padding-left: 10% !important;}&#8221;]<div class=\"norebro-text-sc \" \n\tid=\"norebro-custom-6a19d1903d9c7\" \n\t \n\t>\n\n\t<p style=\"text-align: center;\">For yourself: Epworth sleepiness questionnaire (there will be a link to make): if the score is \u2265 9, a consultation is necessary.<\/p>\n<p style=\"text-align: center;\"><a style=\"color: #1c2541;\" href=\"https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/questionnaire-epworth.pdf\" target=\"_blank\" rel=\"noopener\"><em>Do the test<\/em><\/a><\/p>\n\t\n<\/div>[\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1607163047854{padding-right: 10% !important;padding-left: 10% !important;}&#8221;]<div class=\"norebro-text-sc \" \n\tid=\"norebro-custom-6a19d1903da2e\" \n\t \n\t>\n\n\t<p style=\"text-align: center;\">For your child: Spruyt Gozal questionnaire (there will be a link to make): if the score is \u2265 2 ,75, a consultation is necessary.<\/p>\n<p style=\"text-align: center;\"><a style=\"color: #1c2541;\" href=\"https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/04\/score-de-spruyt-gozal.pdf\" target=\"_blank\" rel=\"noopener\"><em>Do the test<\/em><\/a><\/p>\n\t\n<\/div>[\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content&#8221; css=&#8221;.vc_custom_1621501410809{padding-top: 8vh !important;padding-bottom: 8vh !important;background-color: #0f2233 !important;}&#8221; el_id=&#8221;intervention&#8221;][vc_column offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-0 vc_col-xs-12&#8243;]<div class=\"norebro-heading-sc heading text-center\"\n\tid=\"norebro-custom-6a19d1903da98\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tThe different stages of the intervention\t<\/h2>\n\n\t\t\t<div class=\"divider\"><\/div>\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-6a19d1903db0b\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tThe surgery\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a19d1903db7b\" \n\t \n\t>\n\n\t<p>Tonsil surgery is performed under general anaesthetic with tracheal intubation in 20-30 minutes, using a variety of techniques depending on the indication (laser, radiofrequency, dissection-diathermy-electrocoagulation), in full hospitalization or on an outpatient basis (depending on certain criteria and only for children). Ablation is usually total, although some teams recommend partial ablation, particularly in cases of OSAS.<\/p>\n<p>Hospitalization is brief in 99% of cases. The average length of stay is 1.4 days.<br \/>\nTonsil removal is associated with removal of the vegetations in 82% of cases (source ATIH). 35,000 tonsillectomies were performed in France on patients under 18 in 2010.<\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-6a19d1903dbdb\" \n\t \n\t>\n\t\n\t\n\t\n\t<h3 class=\"title\">\n\t\tPost-operative recovery period\t<\/h3>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a19d1903dc55\" \n\t \n\t>\n\n\t<p>The patient usually returns home the day after the operation, or the same day in the case of outpatient hospitalization.<br \/>\nAfter hospitalization, you should rest at home for 10 days, and check for bleeding (bloody sputum, marks on the pillow, etc.).<br \/>\nThe surgeon will give you 10 to 15 days off work.<br \/>\nSport is not recommended for the first 15 days, and resumption should be gradual.<br \/>\nPain is considerable, except when radiofrequency is used, and corresponds to that of severe angina. Class II analgesics are used to control pain. Strong breath may be present during the healing period.<br \/>\nFood should be cold and blended for 10 days, to limit the risk of secondary bleeding from a falling eschar and reduce pain.<br \/>\nPost-operative care at home: mouthwash, analgesics.<br \/>\nScarring: no visible scarring, but the back of the throat may appear whitish due to fibrin, which gradually disappears.<\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-6a19d1903dcd0\" \n\t \n\t>\n\t\n\t\n\t\n\t<h3 class=\"title\">\n\t\tComplications of tonsil surgery\t<\/h3>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a19d1903dd5a\" \n\t \n\t>\n\n\t<p>In addition to the risks inherent in any surgery involving general anesthesia, tonsillectomy presents rare risks of complications:<\/p>\n<ul>\n<li>Bleeding during the operation: less than 1% of operations.<\/li>\n<li>Haemorrhage when a pressure sore falls 1 to 3 weeks after the operation: 1 to 3% of cases.<\/li>\n<li>Voice changes: due to air leakage into the nose, these are exceptional and are improved by speech therapy.<\/li>\n<li>Tooth dislocation<\/li>\n<li>Small mouth injuries<\/li>\n<\/ul>\n<p>Please refer to the ENT College&#8217;s explanatory sheet on tonsillectomy for further details.<\/p>\n<p><a href=\"https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/fiche-orl-amygdalectomie-enfant.pdf\" target=\"_blank\" rel=\"noopener\">\u2794 Amygdalectomie chez l&#8217;enfant<\/a><br \/>\n<a href=\"https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/05\/fiche-orl-amygdalectomie-adulte.pdf\" target=\"_blank\" rel=\"noopener\">\u2794 Amygdalectomie chez l&#8217;adulte<\/a><\/p>\n\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1621501426511{background: #ffffff url(https:\/\/www.dr-delagranda.com\/wp-content\/uploads\/2021\/04\/causes-amygdalectomie.jpg?id=5675482) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; el_id=&#8221;indications&#8221;][vc_column][vc_empty_space height=&#8221;120px&#8221;][vc_row_inner][vc_column_inner width=&#8221;7\/12&#8243; css=&#8221;.vc_custom_1607095018746{padding-right: 10% !important;padding-left: 10% !important;background-color: rgba(255,255,255,0.95) !important;*background-color: rgb(255,255,255) !important;}&#8221;][vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-heading-sc heading text-left\"\n\tid=\"norebro-custom-6a19d1903ddbc\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tWhen to have your tonsils removed?\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a19d1903de3d\" \n\t \n\t>\n\n\t<p>Tonsillectomy is indicated in cases of :<\/p>\n<ul>\n<li>Enlarged tonsils leading to difficulty swallowing and delayed weight gain (short stature, low weight, very slow mealtimes): stage 3 or 4 of Brodsky&#8217;s classification.<\/li>\n<li>Enlarged tonsils causing respiratory problems when lying down, with repercussions during the day (snoring, sleep apnea or pauses in breathing OSA in children, nocturnal calls from children, fatigue during the day, irritability, behavioral problems).<\/li>\n<li>Tonsils that are too large, causing teeth to shift by pressing on the tongue (orthodontist&#8217;s request) or speech difficulties (speech therapist&#8217;s request).<\/li>\n<li>Recurrent angina (5 or more episodes\/year), phlegmon (abscess around the tonsil)<\/li>\n<li>Bad breath due to cryptic tonsils with caseum (malodorous white production)<\/li>\n<li>Chronic pharyngeal pain<\/li>\n<li>Rare cancers in adults (squamous cell carcinoma, lymphoma) and exceptional cancers in children (lymphoma, rhabdomyosarcoma)<\/li>\n<\/ul>\n\t\n<\/div>[vc_empty_space height=&#8221;80px&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;5\/12&#8243;][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;120px&#8221;][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content&#8221; css=&#8221;.vc_custom_1621501436529{padding-top: 8vh !important;padding-bottom: 10vh !important;}&#8221; el_id=&#8221;questions&#8221;][vc_column offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10 vc_col-sm-offset-0 vc_col-xs-12&#8243;]<div class=\"norebro-heading-sc heading text-center\"\n\tid=\"norebro-custom-6a19d1903de9c\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tFrequently asked questions about tonsillectomy\t<\/h2>\n\n\t\t\t<div class=\"divider\"><\/div>\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;80px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a19d1903df06\" \n\t \n\t>\n\n\t<p>Here is a selection of questions frequently asked by Dr Delagranda&#8217;s patients during a tonsillectomy consultation in La Roche-sur-Yon.<\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;80px&#8221;]<div class=\"norebro-accordion-s\u0441 accordion-box  outline\" \n\tid=\"norebro-custom-6a19d1903df5a\"\n\tdata-norebro-accordion=\"0\"\n\t \n\t>\n\n\t<div id=\"1605017264328-06613f59-3c90\" class=\"item justify\">\n\t\n\t<div class=\"title\">\n\t\t\t\t<h4>How do you know when to have tonsil surgery?<\/h4>\n\t\t<div class=\"control\">\n\t\t\t<span class=\"ion-plus\"><\/span>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"content\">\n\t\t<div class=\"wrap\">\n\t\t\t<p>Ask your ENT surgeon for advice.<\/p>\n\t\t<\/div>\n\t<\/div>\n\n<\/div><div id=\"1605017264387-ae52c0b0-c778\" class=\"item justify\">\n\t\n\t<div class=\"title\">\n\t\t\t\t<h4>At what age can tonsils be removed?<\/h4>\n\t\t<div class=\"control\">\n\t\t\t<span class=\"ion-plus\"><\/span>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"content\">\n\t\t<div class=\"wrap\">\n\t\t\t<p>From age 2-3, with no age limit.<\/p>\n\t\t<\/div>\n\t<\/div>\n\n<\/div><div id=\"1605017264450-ed4b6523-622c\" class=\"item justify\">\n\t\n\t<div class=\"title\">\n\t\t\t\t<h4>How does tonsil surgery work?<\/h4>\n\t\t<div class=\"control\">\n\t\t\t<span class=\"ion-plus\"><\/span>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"content\">\n\t\t<div class=\"wrap\">\n\t\t\t<p>The tonsil surgery is performed under general anesthesia with tracheal intubation in 20-30 minutes.<\/p>\n\t\t<\/div>\n\t<\/div>\n\n<\/div><div id=\"1605017264576-d1a35267-9612\" class=\"item justify\">\n\t\n\t<div class=\"title\">\n\t\t\t\t<h4>What are the risks of tonsillectomy?<\/h4>\n\t\t<div class=\"control\">\n\t\t\t<span class=\"ion-plus\"><\/span>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"content\">\n\t\t<div class=\"wrap\">\n\t\t\t<p>In addition to the risks inherent in any surgery involving general anesthesia, tonsillectomy presents rare risks of complications:<\/p>\n<ul>\n<li>Bleeding during surgery: less than 1% of operations.<\/li>\n<li>Haemorrhage due to pressure sores 1 to 3 weeks after the operation, which occurs in 1 to 3% of cases.<\/li>\n<li>Voice changes: due to air leakage into the nose, these are exceptional and are improved by speech therapy.<\/li>\n<li>Tooth dislocation<\/li>\n<li>Small mouth injuries<\/li>\n<\/ul>\n\t\t<\/div>\n\t<\/div>\n\n<\/div><div id=\"1607180706824-8dcbf8b4-78ea\" class=\"item justify\">\n\t\n\t<div class=\"title\">\n\t\t\t\t<h4>When to eat after tonsillectomy?<\/h4>\n\t\t<div class=\"control\">\n\t\t\t<span class=\"ion-plus\"><\/span>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"content\">\n\t\t<div class=\"wrap\">\n\t\t\t<p>Feeding can be resumed from day one.<\/p>\n\t\t<\/div>\n\t<\/div>\n\n<\/div><div id=\"1607180741537-a8917c85-446a\" class=\"item justify\">\n\t\n\t<div class=\"title\">\n\t\t\t\t<h4>What should I eat after a tonsillectomy?<\/h4>\n\t\t<div class=\"control\">\n\t\t\t<span class=\"ion-plus\"><\/span>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"content\">\n\t\t<div class=\"wrap\">\n\t\t\t<p>Food should be cold and blended for 10 days, to limit the risk of secondary bleeding and reduce pain. Ice cream is permitted and recommended.<\/p>\n\t\t<\/div>\n\t<\/div>\n\n<\/div><div id=\"1607180981567-69bd386e-5676\" class=\"item justify\">\n\t\n\t<div class=\"title\">\n\t\t\t\t<h4>How can I reduce pain after tonsil surgery?<\/h4>\n\t\t<div class=\"control\">\n\t\t\t<span class=\"ion-plus\"><\/span>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"content\">\n\t\t<div class=\"wrap\">\n\t\t\t<p>Cold foods, class-two analgesics with codeine and tramadol.<\/p>\n\t\t<\/div>\n\t<\/div>\n\n<\/div><div id=\"1607181020778-5ae5d5b0-a477\" class=\"item justify\">\n\t\n\t<div class=\"title\">\n\t\t\t\t<h4>Can tonsils grow back?<\/h4>\n\t\t<div class=\"control\">\n\t\t\t<span class=\"ion-plus\"><\/span>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"content\">\n\t\t<div class=\"wrap\">\n\t\t\t<p>No, or only very moderately, in the case of residues at the base of the tongue, which must be left in place for safety reasons, or in cases of partial removal for OSA.<\/p>\n\t\t<\/div>\n\t<\/div>\n\n<\/div><div id=\"1607181075591-3a3b2097-df08\" class=\"item justify\">\n\t\n\t<div class=\"title\">\n\t\t\t\t<h4>How do you get tonsillitis?<\/h4>\n\t\t<div class=\"control\">\n\t\t\t<span class=\"ion-plus\"><\/span>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"content\">\n\t\t<div class=\"wrap\">\n\t\t\t<p>Direct contact: Someone comes into contact with the infected person&#8217;s saliva, nose or skin wound.<br \/>\nIndirect contact: The microbes in an infected person&#8217;s nose and throat are transmitted through the air, in droplets (Fl\u00fcgge) that escape when the person coughs or sneezes.<\/p>\n\t\t<\/div>\n\t<\/div>\n\n<\/div><div id=\"1607181139129-3f7d1d3a-27d5\" class=\"item justify\">\n\t\n\t<div class=\"title\">\n\t\t\t\t<h4>Is tonsillitis contagious?<\/h4>\n\t\t<div class=\"control\">\n\t\t\t<span class=\"ion-plus\"><\/span>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"content\">\n\t\t<div class=\"wrap\">\n\t\t\t<p>Not very contagious, if you avoid receiving the droplets of Fl\u00fcgge emitted by the patient in the eyes, nose or mouth.<\/p>\n\t\t<\/div>\n\t<\/div>\n\n<\/div><div id=\"1607181181696-2c504641-4d75\" class=\"item justify\">\n\t\n\t<div class=\"title\">\n\t\t\t\t<h4>Fees and payment for the procedure<\/h4>\n\t\t<div class=\"control\">\n\t\t\t<span class=\"ion-plus\"><\/span>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"content\">\n\t\t<div class=\"wrap\">\n\t\t\t<p>Tonsil surgery is covered by health insurance. Contact your mutual insurance company to find out whether any extra fees will be covered.<\/p>\n\t\t<\/div>\n\t<\/div>\n\n<\/div>\t\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; css=&#8221;.vc_custom_1621501455520{background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; el_id=&#8221;rdv&#8221;][vc_column parallax=&#8221;content-moving&#8221; parallax_image=&#8221;5676558&#8243; css=&#8221;.vc_custom_1622240117752{padding-top: 20vh !important;padding-bottom: 20vh !important;}&#8221;][vc_row_inner][vc_column_inner css=&#8221;.vc_custom_1619469911864{padding-right: 7% !important;padding-left: 7% !important;}&#8221; offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10&#8243;]<div class=\"norebro-heading-sc heading text-center\"\n\tid=\"norebro-custom-6a19d1903e766\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tDo you have a question? Need more information?\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a19d1903e7dc\" \n\t \n\t>\n\n\t<p>Dr Antoine Delagranda will be happy to answer any questions you may have about tonsil surgery. Dr Delagranda is a specialist in ENT surgery at the Clinique Saint Charles in La Roche-sur-Yon in the Vend\u00e9e.<\/p>\n\t\n<\/div>[vc_empty_space height=&#8221;60px&#8221;]<div class=\"norebro-button-sc btn-wrap text-center\" \n\tid=\"norebro-custom-6a19d1903e864\"\n\t \n\t>\n\n\t<a href=\"#consultation\" \n\t\tclass=\"btn  btn-outline btn-large\">\n\n\t\t\n\t\t\n\t\t<span class=\"text\">\n\t\t\tMake appointment with Dr Delagranda\t\t<\/span>\n\n\t\t\n\t\t\n\t\t\t<\/a>\n\n<\/div>[\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; el_id=&#8221;consultation&#8221;][vc_column offset=&#8221;vc_col-lg-offset-0 vc_col-lg-12 vc_col-md-offset-0 vc_col-md-12 vc_col-sm-offset-0 vc_col-xs-12&#8243;][vc_row_inner css=&#8221;.vc_custom_1619533987520{padding-top: 8vh !important;padding-bottom: 6vh !important;}&#8221;][vc_column_inner offset=&#8221;vc_col-lg-offset-2 vc_col-lg-8 vc_col-md-offset-1 vc_col-md-10&#8243;]<div class=\"norebro-heading-sc heading text-center\"\n\tid=\"norebro-custom-6a19d1903ea52\" \n\t \n\t>\n\t\n\t\n\t\n\t<h2 class=\"title\">\n\t\tENT consultation for tonsillectomy in Vend\u00e9e\t<\/h2>\n\n\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;40px&#8221;]<div class=\"norebro-text-sc justify\" \n\tid=\"norebro-custom-6a19d1903ead4\" \n\t \n\t>\n\n\t<p style=\"text-align: center;\">Dr Antoine Delagranda will be happy to answer any questions you may have about tonsil surgery. Dr Delagranda is a specialist in ENT surgery Clinique Saint Charles \u00e0 La Roche-sur-Yon en Vend\u00e9e.<\/p>\n\t\n<\/div>[\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; gap=&#8221;30&#8243; equal_height=&#8221;yes&#8221; el_class=&#8221;upper-layer&#8221; css=&#8221;.vc_custom_1636446388832{padding-right: 10% !important;padding-bottom: 8vh !important;padding-left: 10% !important;}&#8221; el_id=&#8221;rdv&#8221;][vc_column width=&#8221;1\/3&#8243;][vc_row_inner css=&#8221;.vc_custom_1502457070774{margin-right: 0px !important;margin-left: 0px !important;background-color: #f9f9f9 !important;}&#8221;][vc_column_inner css=&#8221;.vc_custom_1607088904656{background-color: #f7f7f7 !important;}&#8221;][vc_empty_space height=&#8221;50px&#8221;]<div class=\"norebro-icon-box-sc icon-box text-`{`object Object`}`\" \n\tid=\"norebro-custom-6a19d1903eb55\" \n\t \n\t>\n\n\t<div class=\"icon-wrap shape-fill brand-bg-color shape-rounded\">\n\t\t\t\t\t<span class=\"linea-basic-geolocalize-01\"><\/span>\n\t\t\t<\/div>\n\n\t<div class=\"content-wrap\">\n\n\t\t<div class=\"content-center with-full\">\n\t\t\t<div class=\"wrap\">\n\t\t\t\t<h3>Medical office<\/h3>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t\t<\/div>\n\t\t\n\t\t<p class=\"description content-full\">\n\t\t\tClinique Saint Charles<br \/>\n11 boulevard Ren\u00e9 Levesque<br \/>\n85016 La Roche-sur-Yon<br \/>\nVend\u00e9e\t\t<\/p>\n\n\t\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;50px&#8221;][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;10px&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_row_inner css=&#8221;.vc_custom_1502457070774{margin-right: 0px !important;margin-left: 0px !important;background-color: #f9f9f9 !important;}&#8221;][vc_column_inner css=&#8221;.vc_custom_1607088917620{background-color: #f7f7f7 !important;}&#8221;][vc_empty_space height=&#8221;50px&#8221;]<div class=\"norebro-icon-box-sc icon-box text-`{`object Object`}`\" \n\tid=\"norebro-custom-6a19d1903ed83\" \n\t \n\t>\n\n\t<div class=\"icon-wrap shape-fill brand-bg-color shape-rounded\">\n\t\t\t\t\t<span class=\"linea-basic-calendar\"><\/span>\n\t\t\t<\/div>\n\n\t<div class=\"content-wrap\">\n\n\t\t<div class=\"content-center with-full\">\n\t\t\t<div class=\"wrap\">\n\t\t\t\t<h3>Secretary for appointment<\/h3>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t\t<\/div>\n\t\t\n\t\t<p class=\"description content-full\">\n\t\t\t+33(0)2 51 44 44 85<br \/>\nMonday to Friday<br \/>\n9am-12pm \/ 2pm-6pm\t\t<\/p>\n\n\t\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;50px&#8221;][vc_empty_space height=&#8221;25px&#8221; el_class=&#8221;vc_hidden-sm vc_hidden-xs&#8221;][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;20px&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_row_inner css=&#8221;.vc_custom_1502457070774{margin-right: 0px !important;margin-left: 0px !important;background-color: #f9f9f9 !important;}&#8221;][vc_column_inner css=&#8221;.vc_custom_1607088929872{background-color: #f7f7f7 !important;}&#8221;][vc_empty_space height=&#8221;50px&#8221;]<div class=\"norebro-icon-box-sc icon-box text-`{`object Object`}`\" \n\tid=\"norebro-custom-6a19d1903ee17\" \n\t \n\t>\n\n\t<div class=\"icon-wrap shape-fill brand-bg-color shape-rounded\">\n\t\t\t\t\t<span class=\"linea-basic-clock\"><\/span>\n\t\t\t<\/div>\n\n\t<div class=\"content-wrap\">\n\n\t\t<div class=\"content-center with-full\">\n\t\t\t<div class=\"wrap\">\n\t\t\t\t<h3>Opening hours<\/h3>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t\t<\/div>\n\t\t\n\t\t<p class=\"description content-full\">\n\t\t\tClinic reception<br \/>\nMonday to Friday<br \/>\n8am-12.30pm \/ 1.30pm-6.30pm<br \/>\nClosed : Sat \/ Sun\t\t<\/p>\n\n\t\t\n\t\t\n<\/div>[vc_empty_space height=&#8221;50px&#8221;][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;20px&#8221;][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; 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Dr Delagranda explains...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.dr-delagranda.com\/en\/tonsillectomy\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tonsillectomy or tonsil surgery - indications, risks, objectives...\" \/>\n<meta property=\"og:description\" content=\"Tonsillectomy is surgery to remove the tonsils. 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