The child’s tonsillectomy is performed under general anesthesia in all cases. The nasal tonsil is removed orally with a device called an adenotome by a conventional excision or coblation procedure.
An otolaryngologist performing surgery during a conventional excision removes the tonsil from the back wall of the pharynx, making sure that as little lymph tissue as possible remains.
One of the biggest advantages of the coblation, also known as cold plasma cutting procedure, in addition to faster wound healing, is also much milder wound pain after surgery. The essence of the method is to create a focused plasma with the electrically excited electrolyte (NaCl), which breaks down the tissue molecular bonds at low temperatures, the cutting is practically done by evaporating the tissues. As a result, a uniform, fine anatomical surface is formed at the site of the incision, where the wound does not require suturing either, because the plasma incision occludes the small blood vessels at the same time, so that no bleeding occurs. This significantly shortens the recovery time after surgery and results in less pain and discomfort after surgery as no sutures are required either.
During tonsillectomy, a hemostatic swab is used to control the bleeding during surgery. If this does not control the bleeding, electrical hemostasis, possibly a nasopharyngeal swab for 1-2 days is required. Nasal tonsil removal can be performed at the same time as sore tonsil surgery.