Tonsillectomy and adenoidectomy
Surgeries/ENT/Tonsils and adenoids

Tonsillectomy and adenoidectomy

Removal of the tonsils and/or adenoids, a common procedure in children with recurrent infections or breathing difficulties.

What is it?

Tonsillectomy (removal of the tonsils) and adenoidectomy (removal of the adenoids) are among the most common ENT procedures, particularly in children. They are recommended when the tonsils or adenoids cause recurrent infections (tonsillitis, ear infections) or airway obstruction, especially snoring with pauses in breathing during sleep. The procedure is performed through the mouth, under general anaesthesia, with no visible scar. Depending on the case, the surgeon removes the tonsils, the adenoids, or both during the same anaesthesia. The benefits are often quickly noticeable: more peaceful sleep, freer breathing, a marked reduction in infections, better appetite and renewed energy in children. At Clinique Pasteur Tunis, this procedure is performed by ENT surgeons experienced in paediatric care, in an environment designed to reassure both the child and the parents, most often as a short hospital stay.
Tonsillectomy and adenoidectomy

When is it indicated?

Recurrent tonsillitis despite properly followed treatment

When tonsillitis keeps coming back despite well-followed treatments, removing the tonsils puts an end to this cycle of infections.

Snoring with pauses in breathing during sleep (apnoea)

If the child snores loudly and seems to stop breathing at night, oversized tonsils or adenoids are often the cause; their removal frees the breathing.

Chronic nasal obstruction caused by the adenoids

Overgrown adenoids force the child to breathe through the mouth constantly; their removal restores normal nasal breathing.

Recurrent glue ear associated with the adenoids

The adenoids can sustain the presence of fluid behind the eardrum; removing them helps the ears ventilate better.

Very large tonsils interfering with breathing or swallowing

When the tonsils are so large that they make breathing or swallowing difficult, their removal brings rapid relief.

Preparation

1ENT consultation with a full examination
2Mandatory anaesthesia consultation a few days beforehand
3Blood tests if requested by the anaesthetist
4Fast for 6 hours before the procedure
5Report any recent infection (fever, tonsillitis) before the procedure

Procedure

1

Welcome of the child and parents in the ward

2

General anaesthesia by a team accustomed to children

3

Removal of the tonsils and/or adenoids through the mouth, with no external incision

4

Careful check for any bleeding

5

Monitored recovery, then return to the room with the parents

Duration

About 30 minutes

Aftercare & Recovery

Discharge takes place the same day or the following day. Pain when swallowing is normal for a few days and is well relieved by the prescribed painkillers. A smooth, cool diet is recommended at first, with about ten days of rest before returning to school.

Risks and side effects

Pain when swallowing for a few days, well controlled by treatment
Possible minor bleeding in the days following the procedure, warranting a consultation
Mild transient fever

These risks remain rare. Your surgeon will inform you in detail before the procedure.

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At a glance

Duration: About 30 minutes
Preparation: Required
Dedicated specialist team