
Dr Atul Mittal
- Dr. Atul Mittal's surgical skills span the entire continum of Otorhinolaryngology, having performed hundreds of specialized surgeries.
Areas Of Interest
- Minimal Access Endoscopic Sinus
- Skull Base surgeries
- Balloon Sinuplasty
- Endoscopic Adenoidectomy
- Sleep Surgery
Treatments Offered
Hospitals
Related Blogs
Tonsillectomy (Tonsil Removal Surgery): All You Need to Know
Overview
Tonsils are the two tiny glands that are found at the back of the throat. Tonsils contain a large number of white blood cells, which play an important role in the body's defense mechanism and aid in the fight against infections. Tonsillitis, a condition in which the tonsils swell and cause a painful throat, occurs when the tonsils become infected. Your doctor may suggest tonsillectomy as a treatment option if you suffer from frequent tonsillitis or other tonsil-related issues. Here we’ve discussed the procedure along with the tonsillectomy surgery cost in India.
How is the surgery performed?
A tonsillectomy can be done in a variety of ways. "Cold knife (steel) dissection" is a common technique in which the surgeon removes your tonsils with a scalpel.
Tonsillectomy can also be performed by cauterizing and burning away the tissues. Some tonsillectomy techniques employ ultrasonic vibration (sound waves).
Tonsillectomies take about 30 minutes to complete.
Also, Read - Adenotonsillectomy and Turbinate Surgery
Why do you need to go through this procedure?
As suggested by our experts, tonsil inflammation can be mistaken for a cold, sore throat, strep throat, and other illnesses. These conditions may be related, but they do not always necessitate medical attention. Consult your doctor if you have enlarged tonsils and are experiencing any of the following symptoms:
- Muscle fatigue
- Breathing problems
- High fever (temperatures above 101°F)
- Having difficulty swallowing
- Tonsils that are painful and swollen
- Tense muscles in the neck
- More than two days of sore throat
What is the best age for getting your tonsillectomy done?
There is no ideal time for a tonsillectomy. Although it is most commonly performed on children and teenagers, it can be done at any age if you start having tonsil problems.
Learn more about when your child needs a tonsillectomy.
Is the surgery painful?
Because tonsillectomy is performed under anesthesia, it is not a painful procedure. To ensure a painless procedure, the patient is given local or general anesthesia prior to the procedure. However, as the anesthesia wears off, the patient may experience minor pain and discomfort around the surgical site.
Also, Read - Side Effects After Cochlear Implant Surgery
Tonsillectomy surgery costs in India
Tonsillectomy costs vary depending on where you live in India. Hospitals or surgery centers in major cities charge significantly more for this treatment than hospitals in smaller towns and cities throughout India.
Tonsillectomy costs between Rs. 15,000 and Rs. 90,000 on average in India.
The following are the factors based on which the costs may vary:
- Hospital stay prior to and after surgery
- Experience of the surgeon
- Medication costs
- Post-surgery follow-up sessions
- Diagnostic tests
- Insurance coverage
How long does it take to recover?
The tonsillectomy procedure takes about 30 minutes to complete. The patient can return home the same day after the surgery is completed. The recovery time for a patient who has had a tonsillectomy varies from person to person. Children's recovery times are thought to be much shorter than those of adults. However, it takes approximately 7 to 10 days on average for a person who has had a tonsillectomy to fully recover.
How can we help with the treatment?
If you are in search of ent treatment in India, we will serve as your guide throughout your treatment and will be physically present with you even before it begins. The following will be provided to you:
- Opinions of expert physicians and surgeons
- Transparent communication
- Coordinated care
- Prior appointment with specialists
- Assistance with hospital formalities
- 24*7 availability
- Arrangements for travel
- Assistance for accommodation and healthy recovery
- Assistance in emergencies
Our team is dedicated to offering the highest quality health care services to our patients. We have a team of highly qualified and devoted health trip advisors who will be by your side from the beginning of your medical tour.
Does Your Child Need Adenotonsillectomy and Turbinate Surgery?
Overview
Adenotonsillectomy and turbinate surgery are primarily performed on children. Your child may need one of these procedures if they’re suffering from snoring, pauses between breathing, or if they have frequent severe tonsillitis. And we believe that apart from the doctors, parents can also contribute to the success of such surgeries. In this blog, we've briefly covered adenotonsillectomy and turbinate surgery, so you can learn how to help your child during and after surgery and on their way to recovery.
What are adenoids and tonsils and what do they do?
- Adenoids: Adenoids are made of lymph tissue, which aids in the fight against infections. Adenoids are located at the junction of the nose and the throat. Special instruments are required to see them through the mouth.
Adenoids grow larger in young children and then shrink to adult size between the ages of 8 and 12 years.
- Tonsils: Tonsils are fleshy pads located on each side of the throat. They are made of lymph tissue, which aids in the fight against infections. Tonsils grow larger in young children and then shrink to adult size between the ages of 8 and 12 years.
Although tonsils and adenoids are part of the infection-fighting (immune) system, their removal will not harm your child’s immune system.
Also, Read - Cerebral Palsy Symptoms in Babies - Risk Factor, Prevention, Treatment
Why would your child need adenotonsillectomy surgery?
- Adeno-Tonsillectomy surgery is commonly used in children to treat recurring ear, nose, and throat infections.
- If your child has large adenoids, removing them will allow air to pass through their nose while they are talking and eating. This may improve your child's voice quality as well.
- Tonsillitis develops when the tonsils become infected. This can make your child feel ill by causing pain, fever, and difficulty swallowing.
Adenoid and tonsil removal can be done individually or can also be performed together through adenotonsillectomy surgery.
Also, Read - Side Effects After Cochlear Implant Surgery
What is turbinate surgery?
Turbinate surgery is often performed to improve the overall nasal flow. Typically, surgery is performed through the nostrils on both sides of the nose. This procedure is performed under general anesthesia. This procedure is sometimes used in conjunction with other procedures like sinus surgery, septoplasty, or nasal endoscopy to improve nasal breathing.
Why would your child need turbinate surgery?
Your child’s ENT surgeon may recommend turbinate surgery only if:
- Your child is having difficulty breathing through the nose.
- Having epistaxis(nose bleeds)
- Snoring problems
What are the benefits of these surgeries?
There are no other medical treatments for enlarged adenoids besides waiting for the problem to resolve itself. By removing them, your child should experience relief from a blocked or runny nose and may sleep better.
Furthermore, surgery is the only sure way to prevent tonsillitis from recurring. However, throat infections due to cold and flu may still happen.
A turbinectomy is typically recommended for patients who have a severely blocked nose.
Parent’s role during surgery:
The most important role of a parent or guardian before surgery is to keep your child calm and relaxed. The best way to help your child remain calm is for you to remain calm as well.
You’ve to take extra care of your child after surgery. You should know how to take care at home during those post-operative (after surgery) days.
Our expert advice will help you through your child’s journey to recovery from surgery.
- Your child may catch a cold or another infection more easily in the 14 days following surgery. Friends and family who are or may become ill should refrain from attending.
- You will be asked to follow up with your child's ENT doctor or pediatrician after the surgery to have your child checked.
- You might notice a difference in your child's voice. These changes are normal, but if your child continues to "baby" his or her voice for several weeks after surgery, consult with a pediatrician or an ENT specialist.
- After 7 days, your child may return to school.
- Sports or strenuous activity should be avoided for at least 2 to 3 weeks following surgery.
Also, Read - Rhinoplasty Surgery for Nose - Costs, Types, Procedure, Recovery
How can we help with the treatment?
If you are searching for superficial parotidectomy treatment for your child, we will serve as your guide throughout the treatment and will be physically present with you even before your child’s treatment begins. The following will be provided to you:
- Opinions of expert physicians and surgeons
- Transparent communication
- Coordinated care
- Prior appointment with specialists
- Assistance with hospital formalities
- 24*7 availability
- Arrangement for travel
- Assistance for accommodation and healthy recovery
- Assistance in emergencies
We are dedicated to offering the highest quality health care to our patients. We have a team of highly qualified and devoted health trip advisors that will be by your side from the beginning of your journey.
Getting Familiar with the Side Effects of Cochlear Implant Surgery
Overview
Patients who undergo medical procedures are frequently at risk of developing side effects. And those who are suffering from hearing issues may need to undergo cochlear implant surgery at one point in their lives. With increasing hearing problems, in recent years, the cochlear implant has become a routine surgical procedure. However, you should be aware of the side effects and complications related to the same. Our expert otologists and ENT surgeons have helped us with the same.
Understanding the procedure: Cochlear implant surgery
A cochlear implant is a small electronic device that stimulates the cochlear nerve (the nerve for hearing) electrically. The implant consists of both internal and external components. The external portion is located behind the ear. It captures sounds using a microphone. After processing the sound, it transmits it to an internal component of the implant.
During an outpatient procedure, the internal part is implanted beneath the skin behind the ear. An extremely thin wire and tiny electrodes are used to access the cochlea, which is a component of the inner ear. The cochlear nerve receives signals from the wire and sends them to the brain, where they are processed to produce the sensation of hearing.
Also, Read - Cochlear Implant Surgery Cost in India
Why do you need to undergo such a procedure?
People who are candidates for cochlear implant surgery include those who:
- Are suffering from hearing loss and are unable to benefit from hearing aids
- Hearing in both ears, but with limited clarity
- Even when wearing hearing aids, half or more of spoken words are missed without lip reading.
- Or for the people for whom, despite wearing hearing aids, they rely heavily on lip reading.
A partially inserted cochlear implant is used to preserve hearing in cases of more moderate hearing loss, allowing both a hearing aid and the cochlear implant to be used in the same ear at the same time. However, in more severe cases of hearing loss, a fully inserted cochlear implant is required to reap the full benefits of electrical hearing.
Also, Read - Cochlear Implant Treatment Procedure
What are the complications associated with cochlear implant surgery?
- Injuries to the facial nerve — this nerve travels through the middle ear and provides movement to the muscles of the face. It is located near where the surgeon needs to place the implant and may be injured during the procedure. An injury can result in temporary or permanent weakness or complete paralysis on the same side of the face where the implant is located.
- Meningitis is an infection of the lining of the brain's surface. People with abnormally formed inner ear structures appear to be more vulnerable to this uncommon but serious complication.
- Cerebrospinal fluid leakage—the brain is surrounded by fluid, which may leak from a hole created in the inner ear or elsewhere as a result of the surgical procedure.
- Perilymph fluid leak—fluid is present in the inner ear or cochlea. This fluid may leak through the hole made to insert the implant.
- Infection of the wound on the skin
- Dizziness or vertigo attacks
- Tinnitus is a ringing or buzzing sensation in the ear.
- Disturbances in taste—the nerve that gives taste sensation to the tongue also runs through the middle ear and may be injured during surgery.
- Numbness in the ear.
Other unanticipated complications with long-term implantation may occur, which might not be predicted earlier. However, other than these above-mentioned complications, the following are some potential risks or side effects that you should be aware of.
- Sounds may be perceived differently. According to people who could hear before going deaf, sound impressions from an implant differ from normal hearing. Users initially describe the sound as "mechanical," "technical," or "synthetic." This perception changes over time and most cochlear implant users do not notice the artificial sound quality after a few weeks of use.
- It's possible to lose residual hearing. The implant has the potential to destroy any remaining hearing in the implanted ear.
- It is possible that the effects will be unknown and uncertain. The cochlear implant uses electrical currents to directly stimulate the nerves. Although this stimulation appears to be safe, the long-term effect of electrical currents on nerves is unknown.
- Language comprehension may be impaired. There is no pre-surgery test that can predict how well a person will understand language after surgery.
- If an infection develops after the implant surgery, it may have to be removed temporarily or permanently. This, however, is a rare complication.
- Cochlear implants could fail. In this case, a person with an implant would require additional surgery to resolve the issue, exposing them to the risks of surgery once more.
How can we help in the treatment?
If you are in search of a cochlear implant hospital in India, we will serve as your guide throughout your treatment and will be physically present with you even before your treatment begins. The following will be provided to you:
- Opinions of expert physicians and surgeons
- Transparent communication
- Coordinated care
- Prior appointment with specialists
- Assistance in hospital formalities
- 24*7 availability
- Arrangement for travel
- Assistance for accommodation and healthy recovery
- Assistance in emergencies
We are dedicated to offering the highest quality health care to our patients. We have a team of highly qualified and devoted health professionals that will be by your side from the beginning of your journey.
Indications of Adenotonsillectomy for Your Child: A Parent’s Guide
Overview
Adenoid glands are components of the immune system that help protect the body from viruses and bacteria. Tonsils are small, round pieces of tissue that are found on both sides of the throat in the back of the mouth. They are often removed at the same time as a part of the medical treatment plan and are known as a tonsillectomy and adenoidectomy, or T & A. And the procedure is mostly carried out on children.
Here we’ve discussed the various reasons why your children might need such a procedure so that you would know about it in brief.
Understanding the procedures: tonsillectomy and adenoidectomy
Adenoidectomy: An adenoidectomy, also known as adenoid removal, is a surgical procedure that removes the adenoid glands.
While adenoids help protect the body from viruses and bacteria, they can become swollen, enlarged, or infected over time. This could be caused by infections, allergies, or other factors. Some children are born with adenoids that are abnormally large.
When a child's adenoids swell, they can partially block his or her airway, causing problems. When this occurs, children may experience breathing issues, ear infections, or other complications, which may result in snoring or more serious conditions such as sleep apnea (stopping breathing) at night.
Tonsillectomy: According to studies, when compared to a full tonsillectomy, children often recover faster and with less pain after a tonsillotomy. Both procedures relieve upper airway obstruction, but after a tonsillectomy, some children's tonsils grow back and their symptoms return.
Also, Read - Cerebral Palsy Symptoms in Babies - Risk Factor, Prevention, Treatment
Why does my child need to undergo an adenoidectomy and tonsillectomy?
If your child has repeated tonsil and adenoid infections caused by inflammation — known as tonsillitis and adenoiditis — that do not respond to more conservative treatments, a T&A may be recommended.
If your child’s tonsils and adenoids are causing a functional problem, your doctor may recommend a T&A.
- Obstructive sleep apnea (OSA)
- Repeated infections
- Stones in the tonsils
- Swallowing difficulties
- Throat or nasal passage tumor
- Bleeding from the tonsils
- Significant nasal passage obstruction and uncomfortable breathing
Apart from the above-mentioned conditions, if there is a persistent sore throat, including the following, your child might need to undergo T&A surgery.
- Fever of 101°F or higher
- Tonsillitis discharge
- A positive culture for strep throat
Here are some additional, more contentious reasons for removing the adenoids and tonsils:
- Snoring problem
- Recurring throat infections or abscesses
- Repeated ear infections
- Loss of hearing
- Chronic sinusitis, or sinus infection,
- Continuous mouth breathing
- Recurring colds
- Cough
- Foul odor
Also, Read - Deep Brain Stimulation Side Effects - Complications with DBS
How many tonsillitis episodes should my child have before tonsillectomy?
When children begin to interact with other children or begin a new school, they may be exposed to new viruses, resulting in more infections than previous. They may have seven tonsillitis infections in a year (especially in the winter), but none or only one or two the following year. This is why it is common for doctors to advise patients to postpone surgery until the following summer.
Also, Read - 10 Signs of Parkinson’s Disease
How should I look after my child following a tonsillectomy and adenoidectomy?
Our doctors will help you with taking care of your child and suggest doing the following:
- Increased fluid consumption
- No heavy or rough play for the duration specified by the surgeon
- Pain medication as per the prescription
A child almost always recovers completely from an adenoidectomy r tonsillectomy, leading to a healthier life with far fewer breathing and ear problems. As he or she recovers, your child may experience a sore throat, earaches, bad breath, or a stuffy nose.
Also, Read - Stereotactic Surgery Complications and Side Effects
How can we help with the treatment?
If you are in search of ent treatment in India, we will serve as your guide throughout your treatment and will be physically present with you even before it begins. The following will be provided to you:
- Opinions of expert physicians and surgeons
- Transparent communication
- Coordinated care
- Prior appointment with specialists
- Assistance with hospital formalities
- 24*7 availability
- Arrangements for travel
- Assistance for accommodation and healthy recovery
- Assistance in emergencies
Our team is dedicated to offering the highest quality health trip and services to our patients. We have a team of highly qualified and devoted health professionals that will be by your side from the beginning of your medical tour.