Tonsils and adenoids
are one part of a collection of immune specific cells making up the
reticuloendothelial system. Small solitary units of this type are present in the mouth, throat,
and esophagus and the entire digestive tract.
The tissue produces
white blood cells which help to process information from the environment
to help the body distinguish between self and non-self. This allows
adaptation to the environment, especially in children. There are
specific white blood cells in the tonsillar tissue known as B and
T-lymphocytes. B cells make immunoglobulins which help to ward off
infection. T-cells are part of the cell immune-surveillance system.
They are also present in the spleen and lymph nodes. There are over
300 lymph nodes in the neck, and 1,000 in the body. T-cells ‘process’
material from the environment so the body can defend against pathogens.
Both T-and B-cells are released into the blood as they are from all
lymph nodes or the spleen.
"Divots" or crypts of the tonsil are
lined with cells. Cells from the tonsil and the lining are
shed into the crypt and into the mouth and swallowed. It is estimated
over 100 million cells are shed this way a day. The purpose is not
There are 6 clusters of these types of cells
known as tonsils. The
two most common are the pharyngeal tonsils and the paired palatine
tonsils. Tonsils and adenoids enlarge during childhood as an expression
of an active defense mechanism. If they become too large they cause
obstruction. Severe snoring, sleep apnea, and swallowing/eating disorders
result. When tonsils are very large- they become immunologically
incompetent, meaning they do not secrete helpful cells or immunoglobulins. No person has ever suffered an immune problem because of tonsil or
for removal Recurrent Acute Tonsillitis-
7 infections in one
year / 5 infectons for 2 consecutive years / 3 for 3 years.
Peritonsillar abscess Nasal obstruction causing dental malocclusion
or speech problems!
Removal of the tonsils and/or adenoids requires a general anaesthetic at a hospital or surgery center. Dr.
Wladecki utilizes a device known as a Coblator (www.arthrocareent.com) which utilizes radiofrequency ‘waves’ to remove the tissue. This causes less trauma to the tissue, with less pain post-op. Dr. Wladecki also injects local anaesthetic into the surrounding area to help with post-op pain.
Pain, which results
in dehydration. Fever post-op is usually because of dehydration. It is
very common to have pain in the ear post-op. This is known
as referred otalgia and does not mean an ear infection.
is rare – approximately
1 in 100 to 500 cases. This usually happens about 4 to 9 days
post–op. Sitting up reduces blood pressure. Gargling with ice
water usually stops this in 3-5 minutes. If bleeding persists
Dr. Wladecki wants to be notified, so he can arrange for
care. The most important point: DON’T PANIC!!!!! Do not
call 911 or go to the ER without calling Dr. Wladecki first!
it is recommended to drink extra fluids. Popsicles, slushies, etc. ANY food or drink is okay if it is tolerated!
Dr. Wladecki likes his patients to use ibuprofen (motrin, advil) 3-4x a day for the first 5 days. Avoid liquid pain meds as they are alcohol based. Prescription pain meds will also be available.
White spots in the throat are normal, DON’T LOOK IN THERE!!!!!!!!!!!
Activity: decrease activity for about 9 days. No heavy lifting, no running, no heavy exercise. This helps to prevent bleeding.