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Adenotonsillectomy (anesthesia and hospitalization costs not included)

10000.00 MDL

Comandarea acestui serviciu anulează reducerea.*

Adenotonsillectomy is a combined surgical procedure that involves the simultaneous removal of the adenoids (pharyngeal tonsils) and palatine tonsils. It is one of the most common ENT (Ear, Nose, and Throat) surgeries performed in children, but it can also be indicated for adolescents or adults in cases of recurrent or complicated infections.

Procedure Overview
* Approach: Transoral (through the mouth), without external incisions
* Anesthesia: General anesthesia
* Purpose: To restore normal breathing, prevent recurrent infections, and improve sleep quality

ComponentProcedure
Palatine tonsilsComplete (capsular) resection
Adenoid vegetationsComplete or partial resection
Pharyngeal mucosaProtection, coagulation, local hemostasis
Surgical instrumentsCurette, electric loop, scalpel, suction device

 

Benefits and Goals

  • Improved nasal and oral breathing
  • Prevention of recurrent infections (tonsillitis, otitis, sinusitis)
  • Reduction in snoring and sleep apnea
  • Better hearing and proper speech development
  • Enhanced quality of life in children and adolescents

Indications:

  • Recurrent tonsillitis and adenoiditis
  • Persistent nasopharyngeal obstruction
  • Obstructive sleep apnea
  • Recurrent otitis media
  • Conductive hearing loss
  • Delayed speech development

Patient Preparation:

  • Full ENT consultation (including nasopharyngeal endoscopy)
  • Blood count, coagulation tests, ECG, pre-anesthetic evaluation
  • Inform the doctor about any medications being taken
  • Discontinue anticoagulants (only under professional medical advice) 14 days prior
  • No food or liquids for at least 6 hours before the procedure

Procedure Details:

  • Performed under general anesthesia with access through the oral cavity
  • Complete removal of the palatine tonsils and adenoids
  • Use of modern hemostasis techniques to reduce local trauma

Duration: 45–60 minutes

Anesthesia: General

Hospitalization: Short-term or outpatient

Recovery:

  • Sore throat and difficulty swallowing for 3–7 days
  • Cold and soft diet recommended for the first few days
  • Physical rest for 7–10 days
  • Post-operative check-up at 7–10 days


Sources:

https://www.ncbi.nlm.nih.gov/books/NBK536942/

https://www.ncbi.nlm.nih.gov/books/NBK536881/

https://www.enthealth.org/conditions/tonsils-and-adenoids/

https://www.healthdirect.gov.au/surgery/adeno-tonsillectomy-child

https://www.stanfordchildrens.org/en/topic/default?id=tonsillectomy-and-adenoidectomy-161-8

Preparation:

Complete ENT consultation (including nasopharyngeal endoscopy)Hemogram, coagulogram, ECG, preanesthetic assessmentInforming the doctor about any drugs administeredDiscontinuation of anticoagulant medication (as directed by the doctor) 14 days beforeAvoiding food and liquids for at least 6 hours before the procedure.
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