At Healing Hospital, we understand that recurrent tonsillitis, chronic throat infections, breathing difficulties during sleep, and enlarged adenoids disrupt your child’s health, cause repeated school absences, affect growth and development, and create constant worry for parents. That is why our advanced ENT Surgery Centre, led by Dr. Lovkesh Mittal, one of India’s most experienced ENT surgeons offers state-of-the-art coblation tonsillectomy and adenoidectomy using bloodless technology, ensuring minimal pain, faster recovery, and excellent outcomes for both children and adults.
We serve patients across Chandigarh, Punjab, Haryana, Himachal Pradesh, J&K, and other states of India with comprehensive tonsil and adenoid care including thorough clinical evaluation, sleep assessment for obstructive symptoms, advanced coblation surgery in modular operation theatre, paediatric anaesthesia expertise ensuring child safety, and complete post-operative care. With 5,000+ successful tonsillectomy and adenoidectomy procedures performed using advanced coblation technology, Dr. Mittal provides proven expertise in both adult and paediatric ENT surgery ensuring optimal results with patient safety, minimal discomfort, and family satisfaction as highest priorities.
If you are searching for “best tonsillectomy surgeon in Chandigarh,” “painless tonsil removal,” “adenoid surgery for children,” or “coblation tonsillectomy near me,” you have found a centre where surgical excellence meets child-friendly care and cutting-edge technology.
What is Tonsillectomy & Adenoidectomy?
Tonsillectomy is surgical removal of palatine tonsils (tissue masses on both sides of the throat), usually performed when they become chronically infected, excessively enlarged, or cause obstructive symptoms.
Adenoidectomy is surgical removal of adenoid tissue (located behind the nose in upper throat) performed when enlarged adenoids block nasal breathing, cause ear infections, or contribute to sleep apnoea.
These procedures are often performed together (T&A surgery) as tonsils and adenoids frequently cause problems simultaneously, particularly in children aged 3-15 years.
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When is Tonsillectomy & Adenoidectomy Recommended?
Indications for Tonsillectomy
- Recurrent Tonsillitis - 7+ infections in one year, 5+ per year for two years, or 3+ per year for three years requiring multiple antibiotic courses
- Chronic Tonsillitis - Persistent throat pain, bad breath, tonsil stones despite medical treatment lasting >3 months
- Obstructive Sleep Apnea - Enlarged tonsils blocking airway causing breathing pauses, snoring, disturbed sleep
- Peritonsillar Abscess - Recurrent quinsy (abscess near tonsil) requiring drainage
- Asymmetric Tonsil - One tonsil significantly larger raising suspicion (rare cases may need biopsy)
- Failed Medical Management - Repeated tonsillitis despite adequate antibiotic treatment affecting quality of life
Indications for Adenoidectomy
- Nasal Obstruction
- Recurrent Ear Infections
- Recurrent or chronic sinus infections
- Snoring, restless sleep, or sleep apnea
- Nasal voice quality
- Chronic mouth breathing in young children
What are the Types of Tonsillectomy & Adenoidectomy Techniques ?
Coblation Tonsillectomy
Advanced "cold" ablation technology using radiofrequency energy and saline creating a plasma field that dissolves tissue at low temperatures (40-70°C), results in bloodless surgery, significantly less pain, minimal tissue trauma, faster healing, reduced post-operative bleeding risk.
Traditional Cold Steel Dissection
Surgical instruments cut and remove tonsils, more bleeding during surgery, more post-operative pain, longer recovery, older technique still used in some centres but largely replaced by coblation.
Electrocautery/Diathermy
Uses heat to cut and cauterise tonsils, controls bleeding well but high temperatures (400°C) cause more tissue damage, greater post-operative pain and longer healing compared to coblation.
Laser Tonsillectomy
Laser energy removes tonsil tissue, expensive equipment, no significant advantage over coblation, not commonly used.
What Happens Before, During, and After Tonsillectomy & Adenoidectomy?
Before Procedure
Comprehensive ENT Evaluation
Detailed examination of throat, nose, and ears using nasoendoscopy visualising adenoids and tonsil size, hearing assessment if ear infections present, evaluation of sleep obstructive symptoms, review of infection frequency and severity with parent/patient.
Pre-Operative Assessment
Complete blood count, bleeding and clotting tests ensuring safe surgery, anaesthesia fitness evaluation, discussion of procedure details and realistic expectations, instructions about fasting (6-8 hours before surgery for children, adults), medications to stop before surgery (aspirin, anti-inflammatory drugs).
During Procedure
General Anaesthesia
Complete unconsciousness and pain control essential for throat surgery, breathing tube placed protecting airway, child feels nothing during procedure.
Tonsillectomy Procedure
The mouth is opened using a special retractor exposing tonsils; the coblation wand carefully dissects tonsils from surrounding tissue using plasma technology, bloodless removal with minimal cauterisation is done, and tonsil bed is inspected for complete removal and haemostasis (bleeding control).
Adenoidectomy Procedure
Soft palate lifted exposing adenoid tissue behind nose, coblation or specialised adenoid curette removes adenoid tissue, minimal bleeding due to technique, posterior nasal space examined ensuring complete removal.
After Procedure
Recovery Room
The child wakes gradually from anaesthesia in a comfortable recovery area, parents are allowed at bedside providing reassurance, ice chips or cold fluids offered when fully awake, pain medication is given ensuring comfort, monitoring for bleeding or breathing difficulty is done continuously.
Hospital Stay (1-2 days)
Overnight observation recommended for T&A surgery, especially in children and those with sleep apnea, ensures stable condition, no post-operative bleeding, adequate oral intake, comfortable pain control, typically discharged next morning if all parameters are normal.
What are the Recovery & Success Factors?
Virtually Bloodless Surgery
Coblation's plasma-based tissue removal operates at low temperatures (40-70°C) compared to traditional electrocautery (400°C), resulting in precise tissue dissection with minimal bleeding during surgery.
Significantly Less Post-Operative Pain
The low-temperature plasma technology causes minimal thermal damage to surrounding tissues compared to hot electrocautery burning tissue. This translates to dramatically less post-operative pain.
Faster Recovery & Reduced Complications
Minimal tissue trauma from coblation means faster healing. Post-operative bleeding risk is significantly reduced, because less cauterisation means less scab formation and tissue necrosis. Reduced inflammation means less difficulty swallowing, quicker return to normal diet, and overall smoother recovery experience for children and parents.
Why Choose Healing Hospital in Chandigarh for Tonsillectomy & Adenoidectomy?
State-of-the-Art Modular Operation Theatre with Latest Equipment : Our specialised ENT operation theatre features international-standard modular design with HEPA filtration and laminar airflow controlling infection risk, advanced coblation technology enabling bloodless surgery, high-definition video endoscopy systems for adenoid visualisation, comprehensive anaesthesia monitoring ensuring patient safety, and dedicated paediatric anaesthesia equipment.
Comprehensive Pre & Post-Operative Care : We provide complete surgical care extending beyond operation day: thorough pre-operative counselling to parents and child, detailed written post-operative instructions, 24/7 emergency contact availability for post-surgery concerns, scheduled follow-up appointments monitoring healing, and long-term outcome tracking.
Child-Friendly Environment with Paediatric Expertise : Understanding that children represent the majority of T&A surgery patients, Healing Hospital provides a specialised paediatric care environment. This comprehensive child-centric approach transforms potentially frightening surgical experience into manageable, even positive experience for young patients.
What are the Advantages of Tonsillectomy & Adenoidectomy?
- Eliminates recurrent infections
- Improves sleep quality & cures sleep apnea
- Removes adenoid obstruction causing nasal voice quality
- Reduces recurrent ear infections
- Eliminates chronic ear & throat pain
- Ends antibiotic dependency
- Eliminates bad breath
- Prevents children’s school absences
What are the Risks & Complications Involved in Tonsillectomy & Adenoidectomy?
Post-Operative Bleeding
Most significant complications occurring in 2-5% of patients, can happen within the first 24 hours, ranging from minor blood-tinged saliva to significant bleeding, requiring emergency intervention. However, coblation technology reduces this risk.
Pain & Difficulty Swallowing
Moderate to severe throat pain expected for 2 weeks, worst around days 5-7 when scabs separate, ear pain common due to referred pain, difficulty swallowing solids and sometimes liquids initially. The adults typically experience more pain than children, managed with prescribed pain medications and cold foods/fluids.
Dehydration
Children are especially at risk due to reluctance to drink from throat pain. Inadequate fluid intake can worsen pain and delay healing, and may require hospital readmission for intravenous fluids in severe cases.
Infection
Throat infection is uncommon (2-3% of cases), as white membrane covering surgical sites is normal healing tissue and not an infection. A true bacterial infection causes worsening pain, high fever, foul odour, difficulty opening mouth, treated with antibiotics if it occurs.
Voice Changes
Temporary nasal voice quality is common for 2-4 weeks post-operatively from palatal swelling, usually resolves completely without treatment, permanent voice changes extremely rare (<1%), velopharyngeal insufficiency (air escaping through nose during speech) very rare.
Taste Changes
Temporary altered taste sensation for a few weeks post-operatively, usually resolves spontaneously, permanent taste changes extremely rare.
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Frequently Asked Questions (FAQs)
What is the ideal age for tonsillectomy and adenoidectomy?
T&A surgery can be performed at any age when clearly indicated. Most commonly performed in children aged 3-12 years when tonsil/adenoid problems peak. Below age 3, surgery reserved for severe obstruction or recurrent infections. Adults can undergo tonsillectomy when indicated, though recovery typically involves more pain and longer healing than children.
Is tonsillectomy painful? How much pain should I expect?
With modern coblation technology, pain is significantly less than traditional methods. Children typically experience moderate throat discomfort for 2 weeks postoperatively, worst around days 5-7. Pain is manageable with prescribed medications. Adults generally experience more pain than children, but coblation still reduces discomfort considerably compared to traditional techniques.
Can my child eat ice cream after tonsillectomy?
Yes! Cold foods like ice cream are highly encouraged after tonsillectomy. They provide comfort, reduce pain and swelling, and help prevent dehydration. Ice cream, lollies, cold milk, and yoghurt are excellent choices immediately after surgery and throughout recovery.
Will tonsils or adenoids grow back after surgery?
Properly performed tonsillectomy removes tonsils completely—they cannot grow back. Adenoid tissue may occasionally show minor regrowth in young children (under age 5) but rarely causes problems requiring repeat surgery.
Will removing tonsils weaken my child's immune system?
No. This is a common misconception. Tonsils are just two small parts of a large immune system network. Their removal does not compromise immunity. In fact, children with chronically infected tonsils often show improved overall health and fewer infections after surgery because their body isn’t constantly fighting tonsil infections.
Can adults have tonsillectomy? Is it more difficult?
Yes, adults can have tonsillectomy when indicated (chronic tonsillitis, recurrent infections, obstructive symptoms). Adult surgery is technically more challenging due to thicker tonsil capsule and more developed blood supply. Recovery involves more pain and typically takes 2-3 weeks (longer than children). However, with coblation technology and Dr. Mittal’s expertise, adult tonsillectomy is safe with excellent outcomes.
How do I know if my child needs T&A surgery?
Schedule consultation with Dr. Lovkesh Mittal if your child experiences: recurrent throat infections (5+ per year), chronic nasal obstruction/mouth breathing, loud snoring or sleep apnoea, recurrent ear infections, speech problems, or failure to thrive. Dr. Mittal will perform thorough evaluation including nasoendoscopy and provide clear recommendations based on clinical findings.
How do I schedule a consultation for tonsillectomy?
Contact our appointment desk at +91-8989600034 to schedule consultation with Dr. Lovkesh Mittal. Bring any previous medical records, list of antibiotic courses taken, sleep concerns, and questions for comprehensive evaluation and treatment planning.