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Risks

By Mayo Clinic staff

Tonsillectomy, like other surgeries, has certain risks:

  • Reactions to anesthetics. Medication to make you sleep during surgery often causes minor, short-term problems, such as headache, nausea, vomiting or muscle soreness. Serious, long-term problems are rare, though general anesthesia is not without the risk of death.
  • Swelling. Swelling of the tongue and soft roof of the mouth (soft palate) can cause breathing problems, particularly during the first few hours after the procedure.
  • Bleeding during surgery. In rare cases, severe bleeding occurs during surgery and requires additional treatment and a longer hospital stay.
  • Bleeding during healing. Bleeding can occur during the healing process, particularly if the scab from the wound is dislodged too soon. Emergency surgery to stop the bleeding is riskier than scheduled surgeries that allow for appropriate pre-surgical safeguards, such as fasting.
  • Infection. Rarely, surgery can lead to an infection that requires further treatment.
References
  1. Fact sheet: Tonsils and adenoids. American Academy of Otolaryngology — Head and Neck Surgery. http://www.entnet.org/HealthInformation/tonsilsAdenoids.cfm. Accessed April 23, 2012.
  2. Fact sheet: Tonsils and adenoids: Postop. American Academy of Otolaryngology — Head and Neck Surgery. http://www.entnet.org/HealthInformation/tonsilsAdenoidsPostop.cfm. Accessed April 23, 2012.
  3. Kliegman RM, et al. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/208746819-6/0/1608/0.html. Accessed April 23, 2012.
  4. Tagliareni JM, et al. Tonsillitis, peritonsillar and lateral pharyngeal abscesses. Oral and Maxillofacial Surgery Clinics of North America. 2012;24:197.
  5. Tonsillopharyngitis. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/ear_nose_and_throat_disorders/oral_and_pharyngeal_disorders/tonsillopharyngitis.html. Accessed April 23, 2012.
  6. Fact sheet: Tonsillitis. American Academy of Otolaryngology — Head and Neck Surgery. http://www.entnet.org/HealthInformation/tonsillitis.cfm. Accessed April 23, 2012.
  7. Q & A: What you should know before surgery. American Society of Anesthesiologists. http://www.asahq.org/Lifeline/What-To-Expect/QA-What-You-Should-Know-Before-Surgery.aspx. Accessed April 28, 2012.
  8. McPhee SJ, et al. Current Medical Diagnosis & Treatment 2012. 51st ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/content.aspx?aID=2356. Accessed April 30, 2012.
  9. Fact sheet: Tonsillectomy procedures. American Academy of Otolaryngology — Head and Neck Surgery. http://www.entnet.org/HealthInformation/tonsillectomyProcedures.cfm. Accessed April 23, 2012.
  10. Combating antibiotic resistance. U.S. Food and Drug Administration. http://www.fda.gov/forconsumers/consumerupdates/ucm092810.htm. Accessed April 27, 2012.
  11. Hoecker JL (expert opinion). Mayo Clinic, Rochester, Minn. May 15, 2012.
  12. Baugh RF, et al. Clinical Practice Guideline: Tonsillectomy in children. Otolaryngology — Head and Neck Surgery. 2011;144:S1.
  13. Orvidas LJ (expert opinion). Mayo Clinic, Rochester, Minn. May 15, 2012.
MY00132 Aug. 4, 2012

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