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Tonsillectomy (anesthesia and hospitalization costs not included)

7500.00 MDL

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Tonsillectomy is a surgical procedure that involves the complete removal of the palatine tonsils. This intervention is indicated in cases of recurrent tonsillitis, chronic infections, snoring, or obstructive sleep apnea.
The operation is performed under general anesthesia, using a transoral approach (through the mouth), with no external incisions.

ComponentsApplied Procedure
Palatine tonsils   Complete (capsular) resection
Peritonsillar space Dissection between the capsule and the muscle wall
Pharyngeal mucosaHemostasis, preservation
Surgical instruments Scalpel, electric loop, radiofrequency, suction device

 

Purpose and Benefits of the Procedure:

  • Elimination of the source of recurrent infections (chronic/recurrent tonsillitis)
  • Improvement of breathing and sleep (in cases of apnea or snoring)
  • Reduction of the risk of systemic complications (abscesses, rheumatic fever)
  • Enhanced quality of life and general health status

Indications:

  • 5–7 episodes of acute tonsillitis annually for at least 2 consecutive years
  • Chronic tonsillitis with persistent inflammation
  • Recurrent peritonsillar abscesses
  • Sleep-related breathing disorders (snoring, obstructive apnea)
  • Persistent bad breath (halitosis) linked to cryptic tonsils

Patient Preparation:

  • ENT consultation and complete preoperative evaluation
  • Complete blood count, coagulation tests, ECG, pre-anesthesia assessment
  • Informing the doctor about current medications (including supplements)
  • Discontinuation of medications affecting coagulation 10–14 days before surgery
  • Fasting: no food or drink for at least 6 hours before the procedure

Procedure:

The tonsils are removed through complete surgical dissection from the peritonsillar space. Modern techniques are used to control bleeding and minimize local trauma.

Duration: 30–60 minutes

Anesthesia: General

Hospitalization: Outpatient or short-term stay

Recovery:

  • Pain when swallowing for 5–10 days
  • Soft, cold diet; avoid physical exertion
  • Postoperative check-up at 7–10 days
  • Avoid group settings for 7–10 days

Sources:

https://www.entnet.org/quality-practice/quality-products/clinical-practice-guidelines/tonsillectomy-in-children-update/   https://www.aafp.org/pubs/afp/issues/2011/0901/p566.html

https://www.ncbi.nlm.nih.gov/books/NBK536942/

https://www.entuk.org/_userfiles/pages/files/guidelines/Revised%20ENT%20UK%20Tonsillectomy%20commissioning%20guide%20edit%20to%20final%20(002).pdf

Pregătirea:

ENT consult and complete preoperative evaluationHemogram, coagulogram, ECG, preanesthetic assessmentTelling your doctor about your current medication (including supplements)Stopping medications that affect coagulation 10–14 days beforeFasting: prohibition of food and liquid consumption at least 6 hours before.
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