Sleep disturbances caused by enlarged tonsils and adenoids can have serious effects on a child’s growth and development. This was the case for Mira, a 5-year-3-month-old child who frequently snored loudly and even choked almost every night while sleeping. The condition was eventually identified as significant enlargement of the tonsils and adenoids. To address the problem, her mother decided to proceed with a plasma coblation procedure with dr. Abdillah Hasbi Assadyk, Sp.THT-KL at Mandaya Royal Hospital Puri. The results were remarkable.
“It (the surgery) only took a few hours. The operation started at 8 a.m., finished around 10 a.m., and then my child immediately ate ice cream. If I’m not mistaken, around 2 p.m. she was already playing at the Kids Corner and walking around. She was joking and laughing. She even ran to the Ground floor asking to go to the minimarket to buy snacks,” her mother said.
The recovery process was also very fast. “After the post-surgery recovery, thank God within three days she had fully recovered. By the fourth day, she was already able to return to school.”
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Initially Thought to Be a Common Allergy, It Turned Out to Be Enlarged Tonsils and Adenoids
Since the age of around 2–3 years, Mira often experienced coughs and colds accompanied by loud snoring during sleep. In fact, almost every night she would choke as if she had difficulty breathing. Each time she got sick, the symptoms would reappear. For parents, this situation naturally caused concern, especially since it occurred repeatedly over a long period.
At first, Mira’s mother thought the symptoms were simply due to allergies. However, after further examination, it was discovered that Mira’s tonsils were significantly enlarged and her adenoids were also suspected to be enlarged. This condition can obstruct the airway during sleep and potentially affect the quality of rest as well as a child’s growth and development.
Several doctors had previously recommended complete tonsil removal surgery. However, Mira’s parents hesitated because they understood that the tonsils play a role in the body’s immune defense system, acting as the “first line of defense” during infections. They preferred not to remove the entire tonsil tissue.
Plasma Coblation: Tonsil Surgery Without Removing the Entire Tissue
Eventually, the family decided to consult dr. Abdillah at Mandaya Royal Hospital Puri. During the consultation, the doctor explained the plasma coblation procedure, a modern tonsil surgery technique that does not remove the entire tonsil tissue.
With this method, a small portion of the tonsil tissue—approximately one-fifth to one-quarter of the thin layer—is preserved to continue supporting the body’s immune function. This approach reassured Mira’s parents and strengthened their decision to proceed with the procedure.
The surgery was performed at 08:00 a.m. and completed around 10:00 a.m. Just a few hours afterward, the improvements were already noticeable. In addition to being able to eat and play, Mira’s voice, which had previously sounded hoarse, became clearer and louder.
According to dr. Abdillah, Mira’s hoarseness was not caused by vocal cord issues or common inflammation. Instead, the enlarged tonsils had been blocking the pathway through which her voice resonated. Once the obstruction was removed, her voice quality improved within hours.
“Her voice used to sound hoarse. I thought it was because of throat inflammation. But according to dr. Abdillah, the hoarseness was not from the vocal cords or inflammation—it was because the tonsils were blocking the pathway of her voice. After the surgery, within a few hours, her voice became clearer and no longer hoarse,” said her mother.
Fast Recovery, Mira Returns to Her Active Life
Although Mira initially felt slightly uncomfortable and dizzy due to the effects of anesthesia, her condition improved quickly. After being given ice cream, her mood improved and she became cheerful again. Within just a few hours, she was already able to walk, joke around, and play.
During the first few days after the surgery, some snoring was still present due to post-procedure inflammation. However, the medical team had explained that this was normal and could occur for about 3–4 days. By the eighth day, the snoring had completely disappeared.
Within three days, Mira had fully recovered. By the fourth day, she had returned to kindergarten and resumed her normal daily activities. Her parents were deeply relieved because Mira could finally sleep peacefully without choking or loud snoring every night.
Why Plasma Coblation Can Be a Treatment Option
According to Mira’s parents, plasma coblation feels different from conventional tonsil surgery. In addition to faster recovery, the tonsil tissue is not completely removed, allowing it to continue functioning as part of the immune system.
This method is generally recommended for children with grade T3 or T4 tonsil enlargement, especially when it causes breathing difficulties during sleep, severe snoring, or recurrent infections. With improved sleep quality, a child’s growth and development can also progress more optimally, as growth hormone is largely produced during quality nighttime sleep.
The family’s experience also strengthened their trust in the services at Mandaya Royal Hospital Puri. From the facilities and specialist doctors to the prompt and accurate treatment, everything was considered highly satisfactory.
Now, Mira can sleep without snoring, breathe more comfortably, speak more clearly, and return to being an active child like others her age. For parents facing similar problems, consulting with an experienced ENT specialist can be an important first step in finding the right solution.
Profile and Practice Schedule of dr. Abdillah at Mandaya Royal Hospital Puri
The ENT Center at Mandaya Royal Hospital Puri is supported by experienced specialists, including dr. Abdillah, who is skilled in a range of modern technology-based ENT procedures. One of his key specialties is plasma coblation, a minimally invasive technique used to treat tonsillitis and enlarged adenoids with greater precision. Compared with conventional techniques, this procedure is known to be more comfortable, with less pain and faster recovery time, especially for pediatric patients.
In addition, dr. Abdillah is also experienced in treating various other ENT conditions. For sinusitis cases, balloon sinuplasty is available to help open sinus passages without major surgery. Meanwhile, for patients with sleep disorders such as sleep apnea, QMR (Quantum Molecular Resonance) therapy is available—an innovative technology designed to improve breathing quality during sleep.
His expertise is supported by intensive training in Italy and direct mentorship from Lino Businco, a renowned ENT professor who has treated world-known figures such as Andrea Bocelli and Francesco Totti. With this international background, dr. Abdillah is committed to providing comprehensive, modern, and globally standardized ENT care for patients in Indonesia.
dr. Abdillah Hasbi Assadyk, Sp.THT-KL practices at Mandaya Royal Hospital Puri on the following schedule:
- Monday: 08.00 – 12.00 WIB & 16.00 – 20.00 WIB
- Tuesday: 08.00 – 12.00 WIB & 16.00 – 20.00 WIB
- Wednesday: 08.00 – 12.00 WIB & 16.00 – 20.00 WIB
- Thursday: 08.00 – 12.00 WIB & 16.00 – 20.00 WIB
- Friday: 08.00 – 12.00 WIB & 16.00 – 20.00 WIB
- Saturday: 08.00 – 20.00 WIB.
To make your visit to Mandaya Royal Hospital Puri easier, you can use the Chat via WhatsApp, Book Appointment feature, or the Care Dokter application available on Google Play and the App Store to manage visits, check queue numbers, and access other useful information.
