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Difference Between Tonsillectomy and Tonsillotomy in Tonsil Removal Surgery for Tonsillitis

Perbedaan Tonsilektomi dan Tonsilotomi dalam Operasi Pengangkatan Amandel untuk Tonsilitis

Tonsillitis, or inflammation of the tonsils, is a common condition that can cause sore throat, fever, and difficulty swallowing. When conservative treatments are no longer effective, tonsil removal surgery is often recommended by doctors.

Traditionally, tonsil removal surgery is known as tonsillectomy. However, there is also another procedure called tonsillotomy. Although both involve the removal of tonsils, they differ significantly in terms of technique, purpose, and the extent of tissue removed.

What Is the Difference Between Tonsillectomy and Tonsillotomy?

Tonsillectomy

Tonsillectomy is the complete surgical removal of the tonsils, usually performed in patients with chronic tonsillitis, severely enlarged tonsils, or complications such as sleep disorders caused by large tonsils.

Procedure:

  • Performed under general anesthesia.
  • The entire tonsil tissue, including its capsule, is removed.
  • Can be done using a scalpel, coblation, laser, or electrocautery.
  • The surgical site may be sutured or left to heal naturally.

Advantages:

  • Permanently removes tonsils, minimizing the risk of recurrence.
  • Highly effective for chronic tonsillitis or very large tonsils.
  • Reduces the risk of complications such as recurrent infections or sleep apnea.

Tonsillotomy

Tonsillotomy is a partial removal of the tonsils, usually recommended for patients with enlarged tonsils that cause breathing problems or mild to moderate sleep apnea.

Procedure:

  • Performed under general anesthesia.
  • Only part of the tonsil tissue is removed, while the capsule remains intact.
  • Can be performed using coblation, microdebrider, or other precise surgical tools.
  • Recovery is generally faster than tonsillectomy.

Advantages:

  • Lower risk of bleeding compared to tonsillectomy.
  • Faster recovery, allowing patients to resume activities sooner.
  • Reduces symptoms of enlarged tonsils such as snoring or sleep apnea without complete removal.

Tonsillotomy with Plasma Coblation Technology at Mandaya Royal Puri Hospital

Mandaya Royal Puri Hospital provides tonsillotomy with plasma coblation technology for patients with tonsillitis.

Plasma coblation is an advanced medical technology that uses radiofrequency energy to remove or reduce tonsil and adenoid tissue at a lower temperature compared to conventional radiofrequency methods. This lower temperature minimizes the risk of damage to surrounding tissues, making the procedure safer and more comfortable.

Unlike traditional surgical methods that rely on high heat and may burn the tissue, coblation works without burning or charring, allowing faster healing and reducing the risk of inflammation after the procedure.

Advantages of plasma coblation:

  • Less postoperative pain; patients can eat and drink sooner.
  • Minimal risk of bleeding compared to traditional surgery.
  • Faster recovery time.
  • Many patients can go home the same day without long hospitalization.
  • Safer and more comfortable, ideal for patients concerned about pain or long recovery.

Meet dr. Abdillah – ENT Specialist at Mandaya, Trained in Italy

The tonsillotomy with coblation procedure at Mandaya Royal Puri Hospital is performed by dr. Abdillah Hasbi Assadyk, Sp.THT-KL, an experienced ENT specialist trained in Italy.

In addition to expertise in plasma coblation, dr. Abdillah also performs advanced ENT procedures such as balloon sinuplasty for sinusitis and Quantum Molecular Resonance (QMR) for sleep apnea. QMR is an innovative method designed to safely and effectively treat snoring and sleep apnea.

Having trained directly under Prof. Lino Businco, a world-renowned ENT expert who has treated international figures such as opera singer Andrea Bocelli and football legend Francesco Totti, dr. Abdillah brings international-standard, modern ENT care to patients in Indonesia.

dr. Abdillah’s Consultation Schedule at Mandaya Royal Puri Hospital

  • Monday: 08.00 – 12.00 & 16.00 – 20.00 WIB
  • Tuesday: 08.00 – 12.00 & 16.00 – 20.00 WIB
  • Wednesday: 08.00 – 12.00 & 16.00 – 20.00 WIB
  • Thursday: 08.00 – 12.00 & 16.00 – 20.00 WIB
  • Friday: 08.00 – 12.00 & 16.00 – 20.00 WIB
  • Saturday: 08.00 – 20.00 WIB

For your convenience, you can book an appointment through WhatsApp Chat, Book Appointment, or the Care Dokter app, available on Google Play and App Store, to check your queue number and access complete hospital service information.

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