Tonsillectomy and adenoidectomy

Who this is for

Children and adults with recurrent tonsillitis, quinsy (an abscess beside the tonsil), large tonsils or adenoids that block breathing during sleep, or other tonsil problems your GP has referred for review. The decision depends on how often infections happen, how severe they are and how much they affect daily life.

How we assess

The surgeon will ask about the number and severity of infections, time off school or work, snoring and breathing pauses during sleep, and examine the throat and neck. For children with snoring, a sleep study is sometimes recommended.

The operation

Tonsillectomy is done under general anaesthetic through the mouth, with no external cuts. Adenoids (at the back of the nose) are often removed at the same time in children (adenotonsillectomy). The operation usually takes under an hour.

Risks

• Bleeding is the most important risk. It can happen in the first 24 hours or, more often, 5 to 10 days after surgery. Any bleeding after tonsillectomy needs urgent medical review: call 000 or go to the nearest emergency department. A small number of people need a return to theatre.

• Pain, often worse around days 3 to 7, and sometimes ear pain

• Infection

• Damage to teeth, lips or gums from the mouth instruments

• Change in voice, or fluid coming back through the nose (usually temporary)

• Persisting symptoms, or snoring that does not fully resolve

• Risks of general anaesthetic

Recovery (typical)

Most patients go home the same day or after one night. Allow about two weeks off school, childcare or work, and stay close to a hospital during that time. Regular pain relief, plenty of fluids and normal eating help healing. White patches in the throat are normal while it heals. A follow-up is arranged after surgery.

Where

Consultations at Bella Vista (near Norwest) and Parramatta. Surgery in an accredited hospital, confirmed at your consultation.

Related pages: Snoring & Sleep Apnoea · Grommets

Referral: To see a specialist and claim a Medicare rebate you need a current referral from your GP or another specialist. Please talk to your GP first; they can email the referral to admin@entsurgeons-sydney.com.au. New referrals are usually seen within 1–2 weeks.

Fees: Private fees apply. A Medicare rebate is available with a valid referral, and bulk billing may be offered in some circumstances. Our rooms will explain consultation and any procedure fees before your appointment.

Contact: Sydney ENT Surgeons, Suite A11, Level 1, 24–32 Lexington Drive, Bella Vista NSW 2153 · (02) 8883 5368 · admin@entsurgeons-sydney.com.au. Parramatta consultations at Agios Health, 3/23 Hassall Street, Parramatta NSW 2150 · (02) 8608 2262.

This page is general information only and is not a substitute for advice from your own doctor. Any surgical or invasive procedure carries risks. You are welcome to seek a second opinion from another appropriately qualified practitioner before deciding on treatment.

In an emergency, call 000 or go to your nearest emergency department.