Tonsillectomy and adenoidectomy

There are two primary reasons for Dr. Karanfilov to recommend removal of the tonsils and adenoids (T&A).  The first is disruption of breathing during sleep due to large, obstructing tonsil and adenoid tissue.  This condition is known as sleep-disordered breathing, and in cases when a sleep study has been performed, obstructive sleep apnea.  The second most common reason for this operation is chronic tonsillitis and adenoiditis. This is commonly known as “strep throat” and may also be referred to as pharyngitis.  Strict criteria from our national academy, the AAO-HNS, are in place to govern appropriate use of tonsil and adenoid surgery. 

Dr. Karanfilov performs T&A surgery under general anesthesia in the operating room.  A breathing tube and IV are in place for this surgery. Utilizing electric cautery and a state of the art advanced bipolar scalpel, Dr. Karanfilov completely excises the palatine tonsil tissue on each side of the throat.  Then using a dental mirror for visualization, he uses cautery to heat up and suction out the adenoid tissue, making more space for air to freely pass from the nasal cavities into the throat. This is often a same-day surgery, but for children under age 4 and any patients with other concerning medical conditions, overnight observation may be recommended either by Dr. Karanfilov or the treating anesthesiologist.