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Painless Tonsillectomy

Surgeons Use Heat to Make Procedure Easier on Patients

July 1, 2004

A new technique called "thermal welding" significantly reduces the pain associated with a tonsillectomy, or removal of the tonsils. In the technique, a forceps with a fine wire heats tissue. Pinpointed on a very small region of tissue to reduce pain, the heat simultaneously cuts tissue and seals blood vessels on either side of the cut.

What are tonsils and adenoids, and what are they for?

Science behind the news is funded by a generous grant from the NSF

The tonsils are two almond-shaped clumps of tissue on either side of the throat. They are embedded in a pocket beside the roof of the mount, with the lower edge reaching to the back of the throat. The adenoids are a single clump of tissue, shaped like a grape. They are located on the back wall of the throat, about one inch above the little teardrop-shaped piece of tissue that hangs down in the back of your throat, called the uvula.

Tonsils and adenoids are mostly composed of lymphoid tissue, also found on the base of the tongue and in the gastrointestinal tract. This type of tissue is composed of cells called lymphocytes, which produce antibodies that literally devour invading bacteria. So contrary to popular belief, tonsils and adenoids do serve a useful purpose in the body: they serve as a defense against infections, such as respiratory tract infections. The tonsils can also trap germs and viruses that enter the body through the nose and mouth.

So why can they be removed so easily? And why are children so prone to tonsillitis? Scientists believe that the tonsils and adenoids developed as part of our immune system at a time when children were rarely exposed to large groups of people and the germs they carried. Today, with denser urban populations, children are exposed to many more germs and viruses, and the tonsils and adenoids are easily overwhelmed.

If your child's throat is red and swollen, or has a white or yellow coating, your child may have tonsillitis. Other symptoms include sore throat, pain when swallowing, fever, raspy voice, and swollen glands in the neck.


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Did you know?...

Tonsils contain many pits and pockets, which can trap bacteria and dead cells, and become infected. This is the cause of one type of chronic tonsillitis.

More information on this story

Dr. Michael Treat
Laproendoscopy
Associate Attending Surgeon
Columbia University Medical Center
Associate Professor of Clinical Surgery
212-932-4520


© 2008 American Institute of Physics