Postoperative Tonsillectomy

Postoperative Tonsillectomy

WHAT IS THE RECOVERY LIKE AFTER TONSILLECTOMY?

  • There can be significant pain requiring regular pain killers up to the 2 week mark.
  • Pain is usually more severe in the adult age-group, than in kids.
  • The pain often gets worse between day 5 to day 10, before starting to settle.

KIDS’ PAIN CONTROL AFTER TONSILLECTOMY

  • Regular Paracetamol (following dosage for weight from bottle)
  • Regular Nurofen (following dosage for weight from bottle)
  • Occasionally stronger pain relief such as Oxycodone may be required.

        Pain medication may be required regularly for up to 2 weeks

ADULTS’ PAIN CONTROL AFTER TONSILLECTOMY

  • Panadol 1g 4 X day regularly

  • Nurofen 200mg 3X day

  • Endone 5-10 mg as required, 4th hourly

    • It is likely to be a significant struggle for up to 2 weeks postoperatively

    • With all these medicines, constipation is quite common.

    • It is often worth speaking to the pharmacist about a gentle laxative to help with this problem (Sorbilax, Duphalac)

    • If pain control is not working, please call for advice as there is almost always something that can be done to help as an outpatient

    • In the most severe cases, readmission to hospital for further pain relief may be required

HOW LONG IS NEEDED OFF WORK, SCHOOL, KINDERGARTEN OR DAYCARE AFTER TONSILLECTOMY?

  • 2 weeks off is routinely required
  • 3 weeks is required before return to full physical activity
  • Gentle exercise can recommence at 2 weeks, and gradually increase towards normal

HOW LONG IS IT BEFORE IT IS OK TO FLY AFTER TONSILLECTOMY?

  • Flying, or travel to remote areas should be avoided for 4 weeks after surgery.

CAN THE TONSILS GROW BACK AFTER SURGERY?

  • With modern tonsillectomy techniques (such as Coblation/ dissection used by Dr Smith) regrowth of the tonsil is almost never seen.
  • Regrowth used to be relatively common with old-fashioned tonsillectomy techniques, where only part of the tonsil was removed.
  • Occasionally, a tiny amount of residual tonsil, or some lymph tissue on the back of the tongue can cause infections requiring further treatment.

WHAT ARE THE RESULTS AFTER TONSILLECTOMY?

  • Tonsillectomy is curative in almost all cases for recurrent tonsillitis.

  • Very rarely a small amount of residual tonsil can grow back and cause problems down the track.

  • Tonsillectomy is one of the most successful modern operations.

  • Despite the difficult recovery, patients are almost always delighted with the long term results.